MIAMBE Support

On this page you will find support information and documentation for our product, the MIAMBE kit

.

MIAMBE is an innovative technique, facilitating minimally invasive antral membrane balloon elevation for posterior maxillary region and implant placement in a single sitting (in cases of primary stability). The technique is atraumatic for the patient, with minimal discomfort. The procedure can be conducted by dentists after a short training.

Click on the required language buttons at the top of the page  or go to IFU page to read the instructions for use.

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Where to buy

MIAMBE kit is currently available by ordering directly from our headquarters. If you wish to order a kit, please contact us. Our representatives will then contact you to coordinate a delivery of your MIAMBE trial kit.

Where to buy

MIAMBE kit is currently available by ordering directly from our headquarters. If you wish to order a kit, please contact us. Our representatives will then contact you to coordinate a delivery of your MIAMBE trial kit.

Miambe kit

The MIAMBE Support and Education Center

The MIAMBE support and education center is dedicated to advancing the knowledge of dentists using the MIAMBE technique. In this site you will find research articles, case studies and success stories about sinus floor augmentation. You can also train to become MAIMBE certified. In a short training session you will learn to conduct a safe sinus floor lift with the MIAMBE balloon.

If you are a periodontist or a dentist who performs implant insertions, we invite you to attend the upcoming MIAMBE training program. Learn how to use the innovative balloon sinus lifting technique.

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periodontist FAQ

Troubleshooting

1How far does the balloon-harboring device advance into the sinus floor?

The balloon-harboring device can advance up to 1 mm beyond the sinus floor in the center of the alveolar crest.

2What could cause the barometric pressure rise?

The barometric pressure continues to rise when the balloon is concealed within the metal sleeve. Once the balloon emerges, the pressure drops dramatically to 0.5 bar. If the pressure rises above the primary inflation phase during balloon inflation in the oral cavity, there is a bone obstacle blocking the balloon progress.

3What could cause the barometric pressure to drop to zero bar?

This is a very rare occurrence, but if it happens, it’s highly likely that the balloon has been punctured by a tiny bone fragment. To resolve it, drill with the following bar and use a new balloon.

4After the balloon inflation, how would I assess the integrity of the sinus membrane?

The integrity of the sinus membrane can only be verified after the balloon has been removed. You can engage in direct visualization by using the suction syringe.

Blood movements are visible within the osteotomy during inspiration and expiration.

The Valsalva maneuver is not recommended. It can tear the membrane because of high pneumatic pressure .

5What should I do if the membrane has been perforated?

In the case of Schneiderian membrane perforation, you abort the procedure. But before you close the flap, place a small piece of collagen membrane above the osteotomy. You can reenter after about 5-6 weeks.

6How high will the antral membrane be raised with the balloon?

On average, about 1 ml of fluid will raise the membrane by 11 mm of vertical height.

7What should you do if the bone height is 6 mm?

If the bone height is 6 mm, you can drill with the 3 mm MIAMBE kit bars until the sinus membrane is exposed. Next, use the MIAMBE curette to disconnect the membrane around the osteotomy and inject the bone substitute and proceed with implant placement. (No need for balloon use.)

8How much bone material should I insert?

The amount of bone matter will be two thirds of the volume (cc) that is used during balloon inflation.

9How do I remove the balloon?

WARNING! Never pull the balloon when it is inflated!
Deflate the balloon. Next, withdraw the balloon harboring device from the osteotomy. .

10When is the implant placed?

.An implant can be inserted only when good primary stability is achieved.

11What should I do if a larger diameter implant is required?

In this case, you have to enlarge the osteotomy diameter. This must be conducted only in the cortex part of the ridge with the final drill, then insert the implant.

12What should I do if there is no oro-antral bone dehiscence?

In this scenario, make a horizontal palatal full thickness incision followed by two full thickness vertical incisions along the alveolar ridge 2 mm beyond the dehiscence. This is followed by partial thickness flap to expose the bone defect (the oral mucosa is still attached to the antral membrane).

Use the MIAMBE curette with the 2.8 mm edge to disconnect the tissue from the bone until entering the sinus cavity.

Next, insert the metal sleeve 1 mm beyond the sinus floor. Depending on the defect diameter, you may need to hold the balloon harboring device (less than 3 mm, conduct regular procedure). .

13Where can I get more information about using MIAMBE?

You are invited to read our IFU documents and watch our video guide on the Support page.

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