Tips and Tricks for Managing Schneiderian Membrane Perforation During Combined Extraction – Sinus Elevation Surgery

A clinical walkthrough of a complex combined-modality case: impacted tooth in the sinus floor extraction with simultaneous sinus elevation, addressing orthodontic considerations, patient age, and wisdom tooth extraction; planning for future implant placement – including management of a significant Schneiderian membrane perforation.

  • Clock Icon Length: 25 Minutes
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About this video

practical tips and tricks for managing a multifaceted combined-modality case involving impacted tooth extraction performed concurrently with sinus floor elevation Management Schneiderian Membrane Perforation, in preparation for future implant placement. Here is a more polished and fluent version: The case demonstrates comprehensive treatment planning based on the overall clinical picture rather than on isolated findings. It highlights key considerations beyond the surgical technique itself, including previous or ongoing orthodontic treatment, the patient’s age in relation to the timing of future implant placement, and third-molar extraction as part of the broader treatment sequence. A central focus of the video is the intraoperative management of a substantial rupture in the Schneiderian membrane, demonstrating techniques for membrane repair and barrier reconstruction while proceeding with sinus elevation in the same surgical session. This case is intended for oral surgeons, periodontists, and implantologists managing complex extraction-and-augmentation cases where membrane integrity, multidisciplinary treatment history, and long-term implant viability must all be weighed together.