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Minimally invasive sinus elevation techniques in implant dentistry (Review)

  • Authors:
    • Arathi Shenoy
    • Nina Shenoy
    • Rahul Bhandary
    • Deepa G. Kamath
    • Richik Chakraborty
  • View Affiliations / Copyright

    Affiliations: Department of Periodontology, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka 575018, India, Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Mangalore, Karnataka 575001, India
    Copyright: © Shenoy et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 66
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    Published online on: May 21, 2026
       https://doi.org/10.3892/wasj.2026.481
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Abstract

Implant placement in the posterior maxilla is often complicated by reduced vertical bone height due to alveolar resorption and maxillary sinus pneumatization. Traditionally addressed by the lateral window sinus lift, this invasive approach has evolved with the advent of minimally invasive sinus elevation (MISE) techniques aimed at reducing surgical trauma and enhancing patient outcomes. The present review discusses contemporary MISE methods, including osteotome‑based, hydraulic, balloon‑assisted, piezoelectric and guided techniques, highlighting their clinical indications, protocols and comparative advantages. With residual bone heights of 4‑8 mm, these methods enable safe, predictable sinus membrane elevation, while often permitting simultaneous implant placement. Enhanced by technologies such as cone‑beam computed tomography imaging, endoscopic guidance and dynamic navigation systems, MISE provides precision and safety in anatomically or medically complex cases. By integrating digital planning and biologic adjuncts, these techniques align with the goals of patient‑centered, minimally invasive implantology. A comprehensive literature search was conducted using the PubMed, Scopus, Web of Science, and Google Scholar databases, covering articles published between 2010 and 2025. Relevant studies were identified using key words related to minimally invasive sinus elevation, crestal approach and implant placement in the posterior maxilla. Overall, MISE techniques are becoming a critical component of modern implant practice, providing predictable clinical outcomes with reduced morbidity, improved patient comfort and enhanced surgical precision. Their integration with digital planning and biologic adjuncts is expected to further expand treatment possibilities in anatomically challenging posterior maxillary cases
View Figures

Figure 1

Decision tree illustrating the
selection of sinus elevation techniques based on RBH and key
anatomical considerations. CBCT assessment guides the choice
between implant placement without augmentation, crestal approaches,
or lateral window techniques, with additional factors influencing
technique selection. RBH, residual bone height; CBCT, cone-beam
computed tomography.

Figure 2

Illustration of minimally invasive
sinus elevation approaches. (A) Pre-operative view before sinus
elevation; (B) osteotome sinus lift technique; (C) hydraulic
pressure-assisted sinus lift; (D) balloon-assisted sinus lift.
View References

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Shenoy A, Shenoy N, Bhandary R, Kamath DG and Chakraborty R: Minimally invasive sinus elevation techniques in implant dentistry (Review). World Acad Sci J 8: 66, 2026.
APA
Shenoy, A., Shenoy, N., Bhandary, R., Kamath, D.G., & Chakraborty, R. (2026). Minimally invasive sinus elevation techniques in implant dentistry (Review). World Academy of Sciences Journal, 8, 66. https://doi.org/10.3892/wasj.2026.481
MLA
Shenoy, A., Shenoy, N., Bhandary, R., Kamath, D. G., Chakraborty, R."Minimally invasive sinus elevation techniques in implant dentistry (Review)". World Academy of Sciences Journal 8.4 (2026): 66.
Chicago
Shenoy, A., Shenoy, N., Bhandary, R., Kamath, D. G., Chakraborty, R."Minimally invasive sinus elevation techniques in implant dentistry (Review)". World Academy of Sciences Journal 8, no. 4 (2026): 66. https://doi.org/10.3892/wasj.2026.481
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Spandidos Publications style
Shenoy A, Shenoy N, Bhandary R, Kamath DG and Chakraborty R: Minimally invasive sinus elevation techniques in implant dentistry (Review). World Acad Sci J 8: 66, 2026.
APA
Shenoy, A., Shenoy, N., Bhandary, R., Kamath, D.G., & Chakraborty, R. (2026). Minimally invasive sinus elevation techniques in implant dentistry (Review). World Academy of Sciences Journal, 8, 66. https://doi.org/10.3892/wasj.2026.481
MLA
Shenoy, A., Shenoy, N., Bhandary, R., Kamath, D. G., Chakraborty, R."Minimally invasive sinus elevation techniques in implant dentistry (Review)". World Academy of Sciences Journal 8.4 (2026): 66.
Chicago
Shenoy, A., Shenoy, N., Bhandary, R., Kamath, D. G., Chakraborty, R."Minimally invasive sinus elevation techniques in implant dentistry (Review)". World Academy of Sciences Journal 8, no. 4 (2026): 66. https://doi.org/10.3892/wasj.2026.481
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