Surgical Techniques and

Grafting Protocol for Sinus Floor Elevation

This Decision Tree assists in providing clinical decision guidelines for choosing the surgical techniques
and grafting protocol for sinus floor elevation procedures

Antrophic posterior maxilla

Favorable interarch relationship
Insufficient bone height for standard implant placement

Vertical bone height: ≤ 6 mm or oblique sinus floor Vertical bone height: > 6 mm and horizontal sinus floor

SFE using Transcrestal SFE

the lateral window with simultaneous
technique implant placent

Primary implant stability achievable Primary implant stability not achievable

Grafting with
Simultaneous praticulated Grafting with
autogenous bone bone substitute Prosthetic loading
implant placement after 3 months
(alone or combined material alone
with a bone substitute
material)

Prosthetic loading
Implant placement Implant placement
after 3 to
after 4 to 8 months after 9 to 12 months
6 months

Prosthetic loading Prosthetic loading

after 3 months after 3 months

This Decision Tree is taken from: S. S. Jensen. Guidelines for choosing the surgical
technique and grafting protocol for sinus floor elevation. ITI Treatment Guide, Vol. 5,
Chapter 5: Pg 62. Quintessence Publishing: Berlin; 2011