Abstract
Objectives The aim of this paper is to examine the advantages associated with use of the circular soft-tissue punch or mucotome with the Summers sinus lift technique (crestal approach) in cases characterized by substantial vertical reduction of an edentulous maxillary crest, which are usually impossible to treat with a crestal approach. Materials and methods The authors describe the Summers technique performed with a mucotome and underline the advantages this method can offer for both the surgeon and the patient. These advantages are illustrated with descriptions of cases selected from a series of 25 patients managed with implant-based rehabilitation of the edentulous posterior maxillary crest. Results The cases presented highlight how use of this circular tissue punch with the Summers technique allows one to correct maxillary atrophy that is normally impossible to resolve with this procedure. Conclusions With the technique proposed by the authors, the possibility of treatment is extended to a larger number of patients. It offers advantages for the patient, in terms of reduced morbidity, and for the operator, in terms of technical management of the intervention.
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