This completely revised and greatly expanded edition offers authoritative recommendations concerning all aspects of sinus bone grafting procedures for rehabilitation of the atrophic maxilla. Written for the uninitiated as well as the experienced clinician, this comprehensive clinical monograph also guides readers through the maze of new materials and techniques that have been introduced to improve upon or even supplant this procedure. It answers questions such as whether autogenous bone is necessary and where best to harvest it; which bone substitutes are most effective in regenerating bone and how safe they are to use; what contraindications exist, and what complications might be expected; what characteristics of size/shape/surface morphology are most important in choosing an implant; and many others. The last section of the book explores the future prospects for genetic engineering and other gene-based therapies that may one day eliminate the need for bone grafting. Contents Biologic, Biomechanical, and Prosthetic Considerations 1 History of Maxillary Sinus Grafting - Boyne 2 Biologic Basis of Sinus Grafting - Watzek, Fürst, Gruber 3 Vital Biomechanics of Bone and Bone Grafts - Frost, Jensen 4 Indications for and Classification of Sinus Bone Grafts - Misch, Chiapasco, Jensen 5 Sinus Floor Augmentation: Simultaneous Versus Delayed Implant Placement - Achong, Block 6 Sinus Floor Augmentation at the Time of Tooth Removal - Fugazzotto, Jensen 7 Prosthetic Management of the Sinus Graft Patient - Zinner, Small, Landa 8 Contraindications for Sinus Graft Procedures - Chiapasco, Rosenlicht, Ruggiero, Schneider 9 Complications of Maxillary Sinus Augmentation - Pikos 10 Sinus Reactions to Invasive Surgery - Malevez Graft Sources and Materials 11 Maxillofacial Donor Sites for Sinus Floor and Alveolar Reconstruction - Misch 12 Tibia Bone Grafting for Sinus Augmentation - Marx 13 Sinus Augmentation with Bone Harvested from the Ilium - Triplett, Schow 14 Sinus Augmentation with Bone Harvested from the Calvarium - Tulasne 15 Safety and Efficacy of Bone Allograft for Sinus Grafting - Langer, Langer, Mellonig 16 Use of Alloplasts for Sinus Floor Grafting - Jensen, Garlini, Bilk, Peters 17 Use of Xenografts for Sinus Augmentation - Froum, Wallace, Cho, Tarnow Technical Variations and Auxiliary Procedures 18 Effect of Surface Morphology on Implant Survival in the Grafted Maxillary Sinus - Tarnow, Cho, Wallace, Froum 19 Use of Barrier Membranes in Sinus Augmentation - Wallace, Froum, Tarnow 20 Le Fort I Downgraft with Sinus Elevation - Jensen, Branca 21 Trans-Alveolar Sinus Elevation Combined with Ridge Expansion - Cullum, Jensen 22 Osteotome Technique for Site Development and Sinus Floor Augmentation - Summers 23 Piezoelectric Bone Surgery for Sinus Bone Grafting - Vercellotti, Nevins, Jensen 24 Le Fort I and Alveolar Distraction Osteogenesis with Sinus Bone Grafting - Jensen, Laster 25 PRP and BMP: A Comparison of Their Use and Efficacy in Sinus Grafting - Marx 26 Zygomatic Implants: A Viable Alternative to the Sinus Bone Graft - Sullivan, Malevez, Henrichson 27 Graftless Rehabilitation of the Atrophied Maxilla Using Tilted and Short Implants and Immediate Function -Rangert, Aparicio, Malevez, Bedrossian, Renouard, Maló, Calendriello Looking to the Future 28 Stromal Stem Cell Preparation from Iliac Bone Marrow Aspirate for Sinus Bone Grafting - Jensen 29 Tissue Engineering for Maxillary Sinus Augmentation - Schimming, Schmelzeisen 30 Use of Tissue-Engineered Bone Cells for Sinus Augmentation with Simultaneous Implant Placement -Ueda, Yamada, Ohya, Hibi 31 Gene Therapy of Growth Factors for Tissue Engineering and Regenerative Medicine - Giannobile, Kimball, Man