2. Dr. Angelo C. Trödhan International Congress German Society of Implantology (DGZI) Austrian Society of Oral Surgery and Implantology (OEGOI) Swiss Society of oral Implantology (SGOI) 29.November – 1. December 2007 Hofburg - Vienna

3. Dr. Angelo C. Trödhan Center for Facial Esthetics Vienna Clinic OA Dr. Angelo C. Trödhan Dr. Izabela Schlichting www.kieferchirurgie.at INTRALIFT The Replacement of Open Sinuslift procedures by a new atraumatic ultrasound based hydrodynamic sinus-Floor-Elevation Technique featuring scaleable Augmentation volumes of any size Troedhan A., Vienna/Aut Kurrek A., Ratingen/Ger Wainwright M., Dusseldorf/Ger

4. Dr. Angelo C. Trödhan Classic Procedures Open sinuslift with lateral approach: Advantage: Augmentation of any size and volume Disadvantages: Time consuming High Danger of Rupture Post-surgical voluminous swelling Summers-Technique with Crestal Approach: Adavantage: Minimal invasive Disadvantages: High Danger of Rupture Only small Augmentation volumina possible

5. Dr. Angelo C. Trödhan Experimental study Pneumatic and hydraulic pressure necessary to Loosen the sinus-floor-membrane from ist bony Surface. Experimental study on 100 half sheep Heads.

6. Dr. Angelo C. Trödhan Results Average pneumatic Pressure: 30 Mbar +/- 6 Average Hydraulic Pressure: 20 Mbar +/- 6

7. Dr. Angelo C. Trödhan Prototyping the Tools for INTRALIFT on the basis of the ultrasonic surgical device Piezotome (Satelec- ACTEON) TKW-RESEARCH-GROUP Technical University Vienna SATELEC - ACTEON Intralift – prototypes

8. Dr. Angelo C. Trödhan Experimental setup In Vitro Tests of INTRALIFT-Tips and Evaluation Of different Flow-rates of the integrated NaCl-Pump

9. Dr. Angelo C. Trödhan Basic difference classic Techniques Vs. INTRALIFT

10. Dr. Angelo C. Trödhan Results

11. Experimental Setup Comparison of Rupture lengths of the sinus-floor Membrane after experimental Perforation (1mm):

12. Dr. Angelo C. Trödhan Surgical Protocol

13. Dr. Angelo C. Trödhan In Vivo Results

14. Dr. Angelo C. Trödhan Int´l Clinical Study Patient numbers: 132 INTRALIFT through 6mm Gingivapunch: 114 INTRALIFT with crestal Flap: 18 Anesthetic: 4–6 ml Post-OR-Swelling: zero:90% moderate:10% Strong: 0% Post-OR-Dolor:zero:85% Moderate:15% Strong: 0% Achieved Augmentationsvolumina: 1–6 Ml Complications: 1 (Breakage of TKW1: Design immediately changed)

15. INTRALIFT PROCEDURE (1) INTRALIFTclinicalPROCEDURE

16. FlapTECHNIQUE

17. Extraction on 16

18. Radio Sinus cavity membrane

19. Site Opening

20. TKW1

21. TKW2, 3, 4

22. sinus membrane

23. TKW5

24. Packing of filling material and immediate loading

25. Suture

26. Pre-operative Post-operative

27. 3 months Post-operative

28. IntraLift: faster Osseo-integration After 6 weeks After 6 weeks (Cerasorb M )

30. Insertion of a collagen sponge

31. TKW5 Packing of filling material

33. Onlay Onlay + suture

35. Clinical case preoperative

36. Intraoperative (after 1.0 ccm Rebone)

37. Clinical case Postoperative (after 2.0 ccm Rebone)

38. Dr. Rosen, USA Case sent in from Study-Group-Center USA

39. Dr. Angelo C. Trödhan Dr. Rosen, USA

40. Dr. Angelo C. Trödhan Dr. Rosen, USA

41. Dr. Angelo C. Trödhan Dr. Rosen, USA

42. Dr. Angelo C. Trödhan Dr. Rosen, USA

43. Dr. Angelo C. Trödhan Dr. Rosen, USA

44. Dr. Angelo C. Trödhan Dr. Rosen, USA

45. Dr. Angelo C. Trödhan Dr. Rosen, USA

46. Dr. Angelo C. Trödhan Dr. Rosen, USA

47. Dr. Angelo C. Trödhan Dr. Rosen, USA

48. Dr. Angelo C. Trödhan Dr. Rosen, USA

49. Dr. Angelo C. Trödhan Dr. Rosen, USA

50. PUNCHTECHNIQUE

51. Dr. Angelo C. Trödhan Augmentation Volumina >6 ml / >14 mm

52. Dr. Angelo C. Trödhan Augmentation Volumina >6 ml / >14 mm

53. Dr. Angelo C. Trödhan Augmentation Volumina >6 ml / >14 mm

54. Dr. Angelo C. Trödhan Augmentation Volumina >6 ml / >14 mm

55. Punch Procedures

59. 6 mm 14,5 mm

60. Dr. Angelo C. Trödhan

69. What do patients want ? the „BIG“ or the „BETTER“ SURGEON ? ?

70. INTRA-Lift by TKW & Satelec-Acteon Dr. Angelo Trödhan Dr. Andreas Kurrek Dr. Marcel Wainwright

71. Dr. Angelo C. Trödhan Intralift – For difficult cases

72. Dr. Angelo C. Trödhan

73. INTRALIFT – Next Generation Sinuslift

74. Dr. Angelo C. Trödhan INTRALIFT – Next Generation Sinuslift

75. Dr. Angelo C. Trödhan Thank You for Your Attention Dr. Angelo T rödhan Dr. Andreas K urrek Dr. Marcel W ainwright