The Use of the Buccal Fat Pad as a Pedicle Graft
This case highlights the use of the buccal fat pad as a pedicle graft for maxillary sinus closure.
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Length: 14
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1 Video
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About this video
In this case, two failed dental implants had migrated into the maxillary sinus, resting within its cavity. Access to the sinus was achieved via a lateral wall approach, allowing for the removal of the displaced implants. To close the sinus and repair the perforated area, the buccal fat pad was mobilized by releasing it through the buccinator muscle and utilized as a pedicle graft. This technique provides structural volume, enhances vascularization, and ensures effective protection of the surgical site.
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A pedicle grafting technique using connective tissue to correct soft tissue width deficiency.

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Implant Placement Lateral or Lingual to the Mandibular Canal
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Implants are strategically positioned buccal or lingual to the neurovascular bundle, secured within the cortical bone at the base of the mandible.

Repair of Ruptured Schneiderian Membrane During Maxillary Sinus Augmentation with Simultaneous Implant Placement
Repair of Ruptured Schneiderian Membrane During Maxillary Sinus Augmentation with Simultaneous Implant Placement

This technique demonstrates the repair of a perforated Schneiderian membrane during sinus augmentation via the lateral window approach, performed concurrently with implant placement.