Tuesday, May 17, 2022

Dental Implant And Sinus Lift

How Long Does Sinus Lift Procedure Last

Sinus Lift and Dental Implants

The sinus lift surgery takes 1-2 hours, depending on the patients jaw structure, incision size, etc. The healing period takes 3-4 days. You are invited to a delayed appointment with your dental professional 7-10 days after the operation. However, you cannot get your implants before six months since you need to wait for your bone graft to be part of your existing bone structure. This period can reach 12 months for some patients.

Is A Sinus Lift Necessary For Implants

A sinus lift is often done before a patient gets dental implants on their upper jaw. If there is significant bone loss, a bone graft may be needed, and sinuses need to be lifted for this to occur. Placing a dental implant when theres little bone support increases the risk of sinus perforation as well as implant failure.

Most people who have lost teeth in the upper jaw, especially molars, dont have enough bone for implants to attach. Others may experience bone loss because of gum disease

In most cases, tooth loss often leads to bone loss because once the tooth is gone, the body begins to reabsorb bone. If the teeth have been missing for long, very little bone will be left behind. The sinuses may be so close to the upper jaws that implants cannot be placed without the sinuses being lifted. The shape of the sinus floor varies from one person to another and usually becomes more significant with age.

Sinus Augmentation Surgery & Bone Grafting

The sinus system has several components, with the maxillary sinuses closest to our teeth. This is why you might get toothache if you have a bad cold pressure on the sinuses transfers to tooth roots in the upper jaw.

The sinus lift procedure involves raising the maxillary sinus membrane to make space for a bone graft. Thats why its medically known as maxillary sinus floor augmentation.

Anaesthetic options for a sinus lift include local anaesthesia, general anaesthesia, and intravenous sedation or nitrous oxide sedation .

The procedure usually takes 90 to 120 minutes and entails:

  • Making an incision in the gum, where your teeth used to be.
  • Lifting gum tissue to expose the bone.
  • Opening a small area in the bone.
  • Moving the membrane that lines the sinus upwards and away from the jaw.
  • Placing bone graft material where the sinus was.
  • Closing the tissue with stitches.

Implants are usually inserted months later to allow the graft to combine with the natural bone. The length of time depends on the amount of additional bone required.

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How We Can Help

Our practice incorporates state-of-the art-imaging and various sedation options to help ensure that your restorative dentistry procedure is as accurate and comfortable as possible. Our doctors are also able to provide comprehensive dental services from any necessary preparatory procedures to the placement of your restorations, saving you time and money without having to visit multiple specialists for your treatment.

Why Might I Need A Sinus Lift

Sinus lift

A sinus lift is performed when there is insufficient bone height and bone thickness in the upper jaw, or if the sinuses are too close to the upper jaw, to support a dental implant. This ensures a solid and stable foundation for the dental implants.

Whilst dental implants will fuse with the natural jawbone during a process called osseointegration, successful implant placement requires a certain quantity of bone to be present prior to the procedure.

Factors that can cause insufficient bone include:

  • Bone recession due to tooth loss:When the back teeth in the upper jaw have been missing for some time, the natural jawbone deteriorates and resorbs over time. This also causes an enlarged sinus cavity.
  • Bone structure may have been lost due to periodontal disease.
  • Because of the anatomy of the skull, the back of the upper jaw naturally has less bone than the lower jaw.
  • You naturally have a thin jawbone.
  • Your maxillary sinuses are naturally too close to the upper jaw area. The shape and sizes of sinuses do vary from person to person, and they can also grow larger as we age.

Video: Example of bone recession and expansion of the maxillary sinus.

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Who Needs A Sinus Augmentation

Over the last 25 years, dental implants have become quicker offered, making them a significantly common dental procedure. As more individuals get dental implants to change missing teeth, sinus lifts likewise have actually ended up being more typical.

A sinus augmentation might be required if you are missing out on teeth and jawbone in the back of your jaw, near your sinuses. Jawbone and teeth in this area could be lost due to abnormality, gum disease, cancer, other medical conditions, or just the natural recovery procedure. A sinus lift can likewise be used if your sinuses are too close to your upper jaw and you require more area to put the implant.

So Its A Win/win Situation Then

Well it isnt always that simple because in the past, studies have shown that short implants arent always as strong as standard dental implants and have also been associated with lower survival rates . However more recent studies are beginning to show comparable rates of success with standard dentures. So theres clearly some contention over their comparability.

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Why Would You Need A Sinus Lift

When upper back teeth are extracted, the sinus generally tends to enlarge downwards, which can mean that following tooth extractions you may end up with insufficient bone to place an implant.

If that is the case, the lost bone can be replaced by means of a bone grafting procedure called a sinus lift.

We can place some artificial bone into the very lowest part of the sinus and then over a period of 6 months that bone will begin to develop into your own bone. Finally, we can put an implant into that.

Whats The Success Rate Of Implant Sinus Lift Procedures

What is a dental implant sinus lift bone graft?

In its discussion of this subject, a study by Yoon states that the reported survival rates for implant placement associated with sinus lift procedures range from 92 to 97%. .

Its important to state that there can be a host of factors involved with implant failure.

  • In those cases involving sinus lift procedures, a lack of stabilization of immediately placed implants seems to be a common issue.

    Another issue may be the type of bone grafting material used and its resistance to sinus pneumatization .

  • However, for all implants, factors such as inadequate patient oral hygiene habits or a habit of smoking or bruxism may be the underlying cause.

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Who Is A Candidate For A Sinus Lift

We may suggest a sinus lift if you:

  • Are missing a single tooth in the back of your jaw
  • Are missing multiple teeth in the back of your jaw
  • Are missing substantial bone mass in the back of your jaw
  • Are missing teeth due to a congenital defect or condition
  • Are missing most of the maxillary teeth, and thus need support for dental implants

Case Selection And Clinical Considerations

Saving compromised multirooted teeth with root amputation can often be successful, but the technique is sensitive and complex. Proper case selection is essential, and considerations include the following:

  • There is sufficient bone support around the remaining roots along with sufficient coronal tooth structure .
  • Proper periodontal surgical removal of amputated root, including beveling of furcated area to improve soft-tissue adherence and plasty/polishing of the remaining root to prevent a nidus for plaque accumulation .
  • Proper endodontic therapy of remaining roots before or after root amputation is a requirement.
  • Full-coverage restoration with proper occlusal considerations and limited lateral interferences will increase success rates.
  • Proper hygiene follow-up and attention to periodontal recare visits will increase the long-term success rate of treated teeth .
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    Who Needs A Sinus Lifting

    Implants have been one of the most common treatments recently. However, we cannot say that a dental implant is a simple procedure. As you might already know, dental implants are placed in the jawbones. Unfortunately, some people dont have a healthy jawbone due to teeth loss or bone loss. Those people are advised to have a sinus lift before getting their implants placed. By sinus lifting, the surgeon opens some more space for bones to be worked on. Hence, your bones can support the implants more strongly and comfortably.

    If you have lost teeth in your upper jaw and your bone has been reabsorbed in your body, you might need a sinus lift operation before getting dental implants abroad. The good news is that not all cases of tooth loss end up with a lack of bone, so you dont need to be worried about that very much. However, there are some more factors resulting in bone loss. One of the most common ones is periodontal gum disease. Although you are not losing any teeth, you might have bone loss inside your jaw if you are suffering from periodontal gum disease.

    What Is The Purpose Of A Sinus Lift

    SINUS LIFTS OR SINUS BYPASS

    A sinus lift, also referred to as a sinus augmentation, is performed by an oral surgeon to add bone mass to the upper portion of your jaw. This procedure is often necessary for patients who have decided on dental implants, but do not have enough bone mass in the jaw above the molars and premolars to support an implant.

    What makes the sinus lift so revolutionary is that it makes it possible for many patients to have dental implants, when they previously had no other choice besides tolerating loose dentures. The surgeons at Innovative Implant and Oral Surgery, located in Newtown and Feasterville, Pennsylvania, are highly skilled in performing dental sinus lifts. We offer this comprehensive guide to better inform our patients about the procedure.

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    What Is Sinus Lift

    A sinus lift, also known as sinus augmentation or sinus graft, is a surgery to make dental implants easier and stronger. To understand what sinus lifting is, it is better to understand the relation between sinus lift and implant. Although you dont hear them together in a regular conversation, you should know that not every implant is carried out smoothly and easily. Unfortunately, it is not easy or somehow not even possible to get implants for some people.

    It is crucial to learn about a potentially needed sinus surgery before getting implants. Then, you can refer to your dentist to understand whether you need it or not. However, when it comes to the surgery, the sinus lift procedure is performed by specialized dentists such as oral surgeons or periodontists.

    When Should You Call A Professional After A Sinus Lift

    Although healing after a sinus lift is usually straightforward, there are some cases where you may need extra support. After a sinus lift, you should contact your surgeon if:

    • Swelling or pain increases over time.
    • Bleeding continues after 1-2 days or is bright red and continuous.
    • The bone-graft material has dislodged after sneezing or blowing your nose.
    • You have a fever

    If you have a sinus lift coming up, you now know what to expect throughout the surgery process. Your dentist or surgeon will need to take an X-ray of your mouth to determine what they’ll need to do during the procedure. Once it takes place, you’ll get the support you need to recover from your surgeon, which may include pain medicine, antibiotics, and or a rinse. Remember that it will take some time before your dental professional can place your dentures. You’ll also need to see them for a check-up a week or so after the sinus lift. If you notice anything severe like pain, bleeding, or if you have a fever, call your surgeon right away. We wish you a speedy recovery in your sinus lift and know that with all of these questions answered, you can feel confident as you go through the procedure. Be well.

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    A Sinus Lift Is A Surgical Procedure That Is Sometimes Needed Before Getting Dental Implants Which Is Performed To Increase The Amount Of Bone To Strengthen The Implant Area

    In occasions where there is bone loss, the sinus must be moved up in order for a bone graft procedure. A sinus lift for dental implants is needed when the implant area is on the upper jaw. If the jawbone needs a bone graft, the doctor will likely need to move the sinus up. Without the extra support from the bone graft and sinus lift, a dental implant is more at risk of failing, and can also cause a perforation of the sinus membrane.

    WHAT IS THE PROCESS OF GETTING A SINUS LIFT?

    First, a series of x-rays are taken to get a better idea of the current state of the jaw to indicate whether or not sinus lift surgery is the right decision. Incisions are made in the gums by the dentist to expose the jawbone. The dentist then can cut a hole into the bone, which allows the dentist to push the sinus slightly upwards enough for a successful future procedure. The bone graft material is then packed into the bone . The gums are then stitched closed. The sinus lift is a procedure that takes 90 to 120 minutes and 2 to 3 days of healing time.

    HOW PAINFUL IS A SINUS LIFT?

    WHAT IS RECOVERY LIKE FOR A SINUS LIFT?

    You will be sent home with all necessary information on recovering from a sinus lift. Youll receive information on when you will be able to blow your nose, managing pain, and other helpful tips to keep you comfortable in the days following surgery.

    Possible Reasons For Sinus Lift Procedure

    What is a sinus lift?
    • Not enough room to place an implant due to small jaw size
    • Large sinus, resulting in little room for dental implant
    • Bone loss, commonly occurring in regions where teeth have been extracted, which require build-up of bone to stabilize implant
    • Bone damage or pathology, such as tumors or cysts
    • Anatomical considerations, such as location of sinuses, nerves, blood vessels and roots of adjacent teeth

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    Sinus Lift/ Elevation For Implant Placement

    One of the main criteria of implant placement for replacement of the upper back teeth is to prevent damage to the sinus floor. In situations that the floor of the sinus is too low, the sinus floor must be elevated and the space must be augmented with bone graft materials to create enough vertical space between the jaw bone and the floor of the sinus for dental implantplacement. The bone used in a sinus lift may derived from your own body , from animal like pig , or from a cadaver .

    This procedure is called sinus lift/elevation. A sinus lift surgery usually should be performed by an expert specialist such as a periodontist or an oral surgeon. The healing period for conventional sinus lift procedure is at around 7-9 months and additional 4 months should be considered for integration of the implant too.

    Our specialists in Vancouver Dental Specialty Clinic use advanced Guided Bone Regeneration and implant placement at the same time. This procedure eliminates a long healing period required for conventional approach.

    A prefabricated ring of processed allogenic donor bone that is placed press-fit into a trephine drill-prepared ring bed. This is a novel approach for 3D reconstruction of bone and sinus lift allowing a single-stage bone graftand implant placement. The simultaneous implant decreases the surgical steps compared to a usual bone graft, reducing healing time and quicker time-to-teeth. The overall cost and surgical complications will be reduced with this approach.

    Dizzy/vertigo After Sinus Lift Bone Graft For Dental Implant

    Dizziness is a rare complication that can occur in patients that have an internal sinus lift for dental implants in the upper jaw.

    This is called vertigo. More accurately it is called benign paroxysmal positional vertigo BPPV.

    In my private practice over the last 14 years I have had extremely few patients that have developed this short-term, reversible vertigo that makes you feel dizzy and at times nauseated. It is much more common in the elderly patient.

    Refer to these links to learn more about internal sinus lifting and the basics of sinus bone grafting

    If you dont have 10 mm of bone in the upper jaw, the sinus has likely expanded and you will need some type of sinus lift. This will give you an adequate amount of bone height to replace your upper molar teeth.

    The procedure is done by using an osteotome instrument and percussion taps from a surgical mallet. This lifts the bone and creates a tent over the top of the implant. Bone is added through the implant hole. The slight tapping of the surgical mallet while you are laying down in a possibly hyperextended neck position can temporarily throw off balance in part of your ears. Inside your ears there are inorganic particles similar to crystals called otoliths. Your otoliths can be displaced in the fluid of the semicircular canals of your ears. Since our ears are responsible for balance, the temporary displacement of the otoliths can give you this temporary feeling of vertigo.

    Burbank, California

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    C How Is The Sinus Lift Procedure Performed

    The specific technique that a dentist uses can vary. But traditionally this surgery has been performed as follows:

    A sinus lift increases the thickness of bone.

    Lateral window technique.

    • The dentist will make an incision in the patients gum tissue on the cheek side of their upper jaw in the region where the placement of the dental implant is planned.

      After making the incision, the dentist will flap back the patients gum tissue and expose the surface of the jawbone that lies underneath.

    • The exposed bone is cut in a fashion where a trap door of bone is created. This movable section of bone is then pushed gently inward and upward into the sinus cavity.

      The bone movement will carry the sinus membrane along with it, thus lifting the membrane to a new, higher level.

      The empty space underneath the lifted sinus membrane is then packed with bone-grafting material , thus providing the new bone into which a tooth implant can be placed.

    • Once the bone-graft material has been positioned, the gum tissue flap is stitched back in place.
    • In some instances, it can be possible that the dentist will place the dental implant at the same time that the sinus lift is performed.

      In most cases, however, a dentist will allow a healing period of six to nine months before the dental implant is placed. The specific time frame allowed for healing is dependent upon the type of bone-graft material that has been used.

    The bone graft materials are placed through the sinus window opening.

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