Advanced Implantology Course with Dr. Inseong Jeon

Title: Strategic approach to upper premolar to molar area including sinus surgery

Abstract

The treatment strategies of upper premolar & molar area are different from the treatment methods of the lower jaw. The reason is that there is a powerful structure called maxillary sinus as well as bone density.Of course, there is a slight concavity in the premolar buccal area, but this can be easily completed by adjusting the angulation and torque control during surgery.The treatment strategies of the upper jaw, premolars and molars can be summarized as J753 rule. J is the front of my family name and means the approach according to the amount of residual alveolar bone height.
There are a wide variety approaches according to residual bone height, and there is a classification of simultaneous or delayed placement depending on the time.
J7 rule: When the residual bone height is about 7 mm
J5 rule: When the residual bone height is about 5 mm
J3 rule: When the residual bone height is less than 3 mm
In each case, you need to understand the classification of implant and delayed implantation immediately after normal bone conditions and tooth extraction, and at the same time master the complete understanding and access of the space called maxillary sinus to complete implant treatment.
Surgery in the maxillary sinus can be divided into a technique for bicortical anchorage, a crestal approach, and a lateral approach, and there are many considerations in each case.And complications that may occur during maxillary sinus surgery should be sorted out. I have 26 years of clinical experience and data that I have summarized a lot of the above in one story line, which I am sure will provide some kind of insight for many dentists. I hope it helps you a lot.