Transcrestal sinus floor elevation with osteotomes: simplified technique and management of various scenarios.

In order to place implants subantrally when there is a reduced amount of bone, some form of bone augmentation is required. A transcrestal sinus floor elevation using osteotomes can increase bone levels and is a highly successful procedure. However, malleting osteotomes can be disconcerting for a patient. Therefore, a simplified technique is presented that minimizes the use of a mallet when executing a sinus floor elevation in medium dense bone. In addition, issues related to performing a transcrestal sinus floor elevation are addressed.