Minimally invasive implant surgery with and without sinus floor elevation

The minimally invasive (MI) implant surgery is based on two innovations: the endoscopic approach to the implantation procedure and the endoscopy-friendly smart implant. The proper changes in the construction of the dental implant may solve three problems, i.e., (1) to reduce risk of complications; (2) to improve the maxillary sinus lifting procedure; and (3) to secure proper management of inflammatory diseases, bone loss, and low-density bone. Having these three problems in mind, we developed the dynamic implant valve approach (DIVA) for the dental implant procedures that uses an implant with an inner sealing screw (Upheal Dental Ltd. Netanya, Israel). This innovation was combined to the previously used endoscopic assistance during the dental implant placements and revolutionized the maxillary sinus lifting procedure itself. The innovation was put to test more than 7 years ago, and this chapter describes the results that we obtained and provides general instructions to use DIVA in the dental implantology.