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Treatment guidelines

Grafting, maxilla

Key points

  • The atrophic edentulous upper jaw presenting with less than 5-6 mm in height and 6 mm in width, requires bone augmentation prior to implant placement
  • In the anterior region autologous bone block grafts are used for vertical and horizontal bone augmentation
  • In the posterior maxilla the sinus lift is the procedure of choice for vertical bone augmentation
  • Sinus floor augmentation can be performed with immediate or delayed implant placement
  • Anorganic bovine bone substitute materials are as effective as autogenous bone for sinus floor augmentation

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Treatment guidelines

There are three main indications for grafting from an anatomical perspective...

Bone grafting and regeneration

Treatment guidelines



Sinus lifting

Less than 4-6 mm of vertical residual bone height in the posterior segment of the maxilla is an indication for a sinus augmentation procedure [Esposito]. The external access to the maxillary sinus is carried out at a lateral buccal alveolar...

Posterior implants
Sinus augmentation

Treatment guidelines

In the edentulous lower jaw implant insertion can be limited due to bone resorption processes and the resulting superficial alveolar nerve topography. In the anterior region less than 5-6 mm in height and 6 mm in width requires bone grafting before implant placement...

Edentulous treatments
Implants in compromised sites
Bone grafting and regeneration

Additional internal materials



Dr Watzek compares implant treatment with and without sinus lift augmentation procedures from the aspects: relative and absolute contra-indications, intra-operative risks, treatment time frame, success rate and cost. As a general rule, the smaller the surgical intervention, the...
Guided Surgery
Edentulous treatments
Implants in compromised sites


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asked by Anonymous

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My mom is a healthy 64 year old woman. She is and upper edentulous patient who needs a sinus lift and needs horizontal and vertical BRG in the anterior region. How do I find some one who can do this correctly? I also know it is expensive and I would love to try and pay for it because it would be like her winning the lottery.?