Surgical restoration of interocclusal space and maxillary sinus floor elevation for prosthetic purposes

a case report


  • Carolina Yoshi Campos Sugio Universidade de São Paulo
  • Amanda Aparecida Maia Neves Garcia Universidade de São Paulo
  • Patrick Henry Machado Alves Universidade de São Paulo
  • Ana Lucia Pompeia Fraga de Almeida Universidade de São Paulo
  • Vinícius Carvalho Porto Universidade de São Paulo
  • Simone Soares Universidade de São Paulo
  • Karin Hermana Nepplenbroek Universidade de São Paulo



Dental implants, Dental prosthesis, Maxillary sinus, Osteotomy, Surgery, Oral


Aim: To report on a surgical procedure with osteotomy in the posterior region of the maxilla and lifting of the maxillary sinus floor for the installation of implants and rehabilitation with implant-supported crowns.

Case report: A 54-year-old female patient was admitted to the dental clinic, complaining that she was dissatisfied with her smile and the missing teeth. After the clinical, radiographic, and tomographic examinations, a well as a case study of a semi-adjustable articulator, multidisciplinary planning was carried out using surgical, endodontic, periodontic, orthodontic, and prosthetic approaches. A lack of interocclusal space was observed in the posterior region of the maxilla. After osteotomy in tuberosity, maxillary sinus lift using an autogenous bone graft was performed, and three implants were installed. After the osseointegration period, provisional crowns were placed, followed by definitive metal-ceramic crowns.

Conclusion: The surgical techniques used in this clinical case made it possible to install implants in a single clinical session for prosthetic rehabilitation.


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Benic GI, Hämmerle CH. Horizontal bone augmentation by means of guided bone regeneration. Periodontol 2000. 2014; 66(1):13-40.

Misawa M, Lindhe J, Araújo MG. The alveolar process following single-tooth extraction: a study of maxillary incisor and premolar sites in man. Clin Oral Implants Res. 2016; 27(7):884-9.

Cavalcanti MC, Guirado TE, Sapata VM, Costa C, Pannuti CM, Jung RE, et al. Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study. Braz Oral Res. 2018;32:e64.

Silva LD, Lima VN, Faverani LP, Mendonça MR, Okamoto R, Pellizzer EP. Maxillary sinus lift surgery-with or without graft material? A systematic review. Int J Oral Maxillofac Surg. 2016;45(12):1570-6.

Gavhane S, Costa GC, Chalakkal P, Souza N. Segmental osteotomy, implants, and restorative procedures for the treatment of an extruded maxillary alveolar segment. Contemp Clin Dent. 2019;10(1):170-3.

Manzanera E, Llorca P, Manzanera D, García-Sanz V, Sada V, Paredes-Gallardo V. Anatomical study of the maxillary tuberosity using cone beam computed tomography. Oral Radiol. 2018;34(1):56-65.

Cicconetti A, Sacchetti B, Bartoli A, Michienzi S, Corsi A, Funari A, et al. Human maxillary tuberosity and jaw periosteum as sources of osteoprogenitor cells for tissue engineering. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(5):618.e1-12.

Martins Junior W, Ferraz EP, Beloti MM, Rosa AL, Rosa JM. Immediate dentoalveolar restoration technique (IDR). Autograft characterization and a case report. J Osseointegration. 2017 9(3):305-9.

Rosa JC, Rosa AC, Fadanelli MA, Sotto-Maior BS. Immediate implant placement, reconstruction of compromised sockets, and repair of gingival recession with a triple graft from the maxillary tuberosity: a variation of the immediate dentoalveolar restoration technique. J Prosthet Dent. 2014;112(4):717-22.

Rosa JCM, Sotto-Maior BS, Rosa ACPO, Pereira LAVD. Clinical, tomographic, and histologic evaluation of an autogenous bone graft harvested from the maxillary tuberosity for guided bone regeneration: case report with a 4-year follow-up. Int J Periodontics Restor Dent. 2021;41(4):e183-e190.

von Lande RG, Worth AJ, Guerrero TG, Owen MC, Hartman A. Comparison between a novel bovine xenoimplant and autogenous cancellous bone graft in tibial tuberosity advancement. Vet Surg. 2012;41(5):559-67.

Ataoglu H, Kucukkolbasi H, Ataoglu T. Posterior segmental osteotomy of maxillary edentulous ridge: an alternative to vertical reduction. Int J Oral Maxillofac Surg. 2002;31(5):558-9.

Silva I, Suska F, Cardemil C, Rasmusson L. Stability after maxillary segmentation for correction of anterior open bite: a cohort study of 33 cases. J Craniomaxillofac Surg. 2013;41(7):e154-8.

Mertens C, Decker C, Seeberger R, Hoffmann J, Sander A, Freier K. Early bone resorption after vertical bone augmentation-a comparison of calvarial and iliac grafts. Clin Oral Implants Res. 2013;24(7):820-5.

Xu H, Shimizu Y, Onodera K, Ooya K. Long-term outcome of augmentation of the maxillary sinus using deproteinised bone particles experimental study in rabbits. Br J Oral Maxillofac Surg. 2005;43(1):40-5.

Kim YS, Kim SH, Kim KH, Jhin MJ, Kim WK, Lee YK, et al. Rabbit maxillary sinus augmentation model with simultaneous implant placement: differential responses to the graft materials. J Periodontal Implant Sci. 2012;42(6):204-11.

Pistilli R, Felice P, Piatelli M, Nisii A, Barausse C, Esposito M. Blocks of autogenous bone versus xenografts for the rehabilitation of atrophic jaws with dental implants: preliminary data from a pilot randomised controlled trial. Eur J Oral Implantol. 2014;7(2):153-71.

Corbella S, Taschieri S, Weinstein R, Del Fabbro M. Histomorphometric outcomes after lateral sinus floor elevation procedure: a systematic review of the literature and meta-analysis. Clin Oral Implants Res. 2016;27(9):1106-22.

Al-Moraissi EA, Alkhutari AS, Abotaleb B, Altairi NH, Del Fabbro M. Do osteoconductive bone substitutes result in similar bone regeneration for maxillary sinus augmentation when compared to osteogenic and osteoinductive bone grafts? A systematic review and frequentist network meta-analysis. Int J Oral Maxillofac Surg. 2020;49(1):107-20.

Jivraj S, Corrado P, Chee W. An interdisciplinary approach to treatment planning in implant dentistry. Br Dent J. 2007;202(1):11-7.



How to Cite

Sugio, C. Y. C. ., Garcia, A. A. M. N. ., Alves, P. H. M. ., Almeida, A. L. P. F. de ., Porto, V. C. ., Soares, S., & Nepplenbroek, K. H. (2022). Surgical restoration of interocclusal space and maxillary sinus floor elevation for prosthetic purposes: a case report. Arquivos Em Odontologia, 58, 192–198.