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Sinus Complications and Solutions: From Pathology to Surgical Precision
Practical solutions for real clinical complications — led by internationally recognized implant experts.
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Giuliano Garlini
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Omid Termechi
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Marco Tallarico
Course details
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7 lessons (5h 5min)
4 CE Credits

English
Access to the record for Membership period
Description
Sinus augmentation is one of the most delicate and complication-prone procedures in implant dentistry. This course brings together three leading voices in sinus and implant surgery — Dr. Guliano Garlini, Dr. Marco Tallarico, and Dr. Omid Termechi — to provide a comprehensive clinical pathway for managing sinus-related complications.
From the risk of graft or implant migration into the sinus to diagnosing and treating post-surgical sinusitis, every critical stage is covered with a focus on real-world practicality.
During the course, you will learn:
— Step-by-step diagnosis and treatment of sinus pathology
— Principles and execution of minimally invasive sinus elevation
— Evidence-based protocols to enhance safety and precision during maxillary sinus surgeries.
Lesson 1.Managing Graft Dispersion in the Sinus
— Importance of rehabilitating the atrophic posterior maxilla and the survival rates of dental implants
— Instrumental tests for evaluating respiratory capacity
— Identification of obstructions at the osteomeatal complex (COM) level
— Surgical techniques for maxillary sinus elevation:
- Lateral approach
- Crestal approach.
— Accidental passage of bone graft into the sinus cavity
— Management of complications in lateral sinus elevation
— Protocols for managing graft dispersion in crestal sinus elevation.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 2.Implant Dispersion into the Sinus During Maxillary Elevation: Management Strategies
— Differences in risk between lateral and crestal approaches
— Assessing respiratory capacity and identifying obstructions at the COM (Osteomeatal Complex) level
— Factors contributing to accidental implant migration
— Recognizing the complication intraoperatively and postoperatively
— Strategies for retrieval based on the access approach (lateral vs. crestal)
— Multidisciplinary approach for safe implant removal
— Surgical and prosthetic considerations to prevent future occurrences.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 3.Sinusitis Management: Practical Guidelines for Clinicians
— Sinus infections after maxillary sinus elevation
— Complications from implant placement and extractions
— Preventive measures for dental interventions
— Non-surgical and surgical treatment options
— Referral criteria for ENT specialists
— Multidisciplinary approach for safe implant removal
— Management of complications in lateral sinus elevation
— Protocols for managing graft dispersion in crestal sinus elevation.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 4.Minimally Invasive Sinus Approach: Diagnosis, Planning, and Surgical Techniques
— Historical approaches: Lateral vs. Crestal techniques
— Evolution of the crestal approach (Summers 1994 and later modifications)
— When to choose a crestal vs. lateral approach
— Step-by-step procedure for crestal sinus elevation:
- Overview of the "Crestal Approach to the Sinus" kit
- Minimally invasive drilling protocol
- Hydraulic membrane elevation technique
- Localized graft augmentation.
— Managing sinus membrane perforations:
- Common causes of perforation
- Techniques for prevention and repair.
— Prevention and treatment of complications:
- Identifying risk factors before surgery
- Strategies to minimize intraoperative and postoperative complications
- Long-term success and clinical predictability.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 5.Sinus Pathology: Diagnosis and Management
— Sinus pathology and radiographic examination
— Analysis of maxillary sinus membrane thickness (SMT) and morphology
— Management of endo-antral syndrome (EAS)
— Diagnosis of odontogenic sinusitis and management protocols
— Contraindications to sinus augmentation
— Implant survival rate after sinus perforation repair.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 6.Sinus Membrane Perforation and Repair: Clinical Strategies for Successful Management
— Management of:
- Schneiderian membrane perforation
- Sinus bleeding
- Sinus infection
- Ecchymosis.
— Step-by-step protocols for flap elevation
— Piezo vs. conventional approach
— Protocols for lateral wall elevation
— Classification of sinus membrane perforations and their repair
— Step-by-step analysis of clinical cases on complication management protocols.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 7.Sinus Lift Complications: From Elevation to Implant Placement
— Protocols for augmentation techniques
— Protocols for implant placement with sinus elevation
— Indications for lateral maxillary sinus augmentation
— Management of common complications, including: infection, delayed healing, bleeding, insufficient graft material quality or quantity
— Step-by-step analysis of clinical cases: from sinus elevation and complication management to implant placement.
Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Course includes next lessons:
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43min
Lesson 1
Managing Graft Dispersion in the Sinus
Giuliano GarliniShow lesson program
0:01
Introduction and objectives of sinus elevation
9:08
History and long‑term outcomes of sinus elevation
15:28
Sinus elevation approaches overview
20:06
Lateral approach techniques
26:37
Transalveolar techniques, clinical cases and evidence
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34min
Lesson 2
Implant Dispersion into the Sinus During Maxillary Elevation: Management Strategies
Giuliano GarliniShow lesson program
0:01
Overview of Sinus Elevation Complications
1:27
Schneiderian Membrane Perforation — Incidence and Consequences
4:28
Management of Small and Large Membrane Perforations
9:49
Clinical Cases: Implant Stability and Immediate Loading
16:00
Transcrestal Sinus Elevation: Radiographic Patterns and Risk Factors
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41min
Lesson 3
Sinusitis Management: Practical Guidelines for Clinicians
Giuliano GarliniShow lesson program
0:01
Accidental Implant Penetration into Maxillary Sinus
7:51
Clinical Presentation and Early Complications (Sinusitis, Oral‑Antral Communication)
14:46
Surgical Removal: Caldwell‑Luc and Lateral Intraoral Approaches
24:03
Case Reports and Long‑Term Follow‑Up of Displaced Implants
31:04
Endoscopic (FESS) Management, Preoperative Assessment, and Take‑Home Messages
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1h 12min
Lesson 4
Minimally Invasive Sinus Approach: Diagnosis, Planning, and Surgical Techniques
Marco TallaricoShow lesson program
0:01
Introduction and Maxillary Sinus Anatomy
13:36
Sinus Augmentation: Indications and Approaches
23:32
CAS Kit (Crestal Approach to the Sinus): Components
28:57
Crestal Technique: Drilling, Hydraulic Lift and Grafting
40:36
Clinical Case Examples, Endoscopy and Outcome Studies
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