PADICE Surgical Implant Program

Sessions 10–12: Maxillary Sinus Grafting & Posterior Maxillary Implant Reconstruction

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INTRODUCTION

Sessions 10, 11, and 12 represent the advanced maxillary phase of the PADICE Surgical Implant Program. These sessions are dedicated to the diagnosis, planning, and surgical reconstruction of the posterior maxilla, the most biologically and surgically demanding region in implant dentistry.

The focus of Sessions 10–12 is on maxillary sinus anatomy, sinus bone grafting, osseodensification, lateral and crestal sinus lift techniques, and complication management. Participants learn to manage patients with pneumatized sinuses, limited residual ridge height, and posterior maxillary pathology, using evidence-based surgical protocols.

Clinicians are trained to select between osteotome, crestal, and lateral wall sinus approaches, perform grafting safely, manage sinus membrane integrity, and design treatment plans for edentulous and partially edentulous maxillary patients.

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PRIMARY CLINICAL FOCUS

• Maxillary sinus anatomy and pathology
• Posterior maxillary implant reconstruction
• Sinus bone grafting
• Osseodensification protocols
• Lateral wall and crestal sinus lifts
• Osteotome-assisted implant placement
• Sinus-related complications and infections
• Treatment planning for edentulous maxilla

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COURSE OBJECTIVES

Upon completion of Sessions 10–12, participants will be able to:

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Foundations of Sinus Implant Dentistry

Understand maxillary sinus anatomy and physiology
Recognize sinus pathology and histologic considerations
Understand wound healing biology in sinus grafting

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Diagnostics, Imaging & Surgical Planning

Interpret CBCT imaging of the posterior maxilla
Assess residual bone height and sinus anatomy
Formulate treatment plans for sinus augmentation and implant placement

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Sinus Grafting Biology & Materials

Understand the biological principles of sinus bone grafting
Select graft materials and membranes for sinus augmentation
Apply pharmacologic principles in sinus surgery

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Treatment Planning & Biomechanics

Design implant treatment plans for the edentulous and partially edentulous maxilla
Select implant positions and loading strategies for grafted sinuses
Apply osseodensification to improve primary stability

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Surgical & Clinical Competence

Perform osteotome sinus elevation and implant placement
Perform crestal sinus grafting with immediate implant placement
Perform lateral wall sinus grafting using piezosurgery
Manage sinus membrane elevation and graft placement

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Complication Prevention & Management

Recognize and manage sinus surgery complications
Diagnose and treat sinus infections
Modify treatment plans based on surgical and biological complications

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CORE TOPICS

• Maxillary sinus anatomy
• Pathology and histology
• Evidence-based principles and wound healing biology
• Biology of predictable sinus bone grafting
• Surgical approach and treatment planning in the posterior maxilla
• Keys to sinus bone grafting
• Sinus graft rationale, pharmacology, and materials
• Sinus surgery complications
• Osseodensification protocols
• Sinus lift – lateral and crestal approaches
• Treatment planning for the edentulous maxilla
• Treatment plan complications and sinus infections

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HANDS-ON TRAINING

Participants will complete the following laboratories and live surgical training:

• CT-based treatment planning
• SA-2 osteotome sinus elevation and implant placement
• SA-3 osteotome grafting with immediate implant placement
• SA-4 lateral wall sinus graft using piezo technique
• Live surgery: implant placement and bone grafting