What Types Of Bone
Several different types of bone-grafting materials can be utilized with sinus lift surgery.
- The patients own bone may be used , such as that taken from another location in their mouth or else from other bones . While the most difficult/inconvenient to obtain, this is considered the gold standard of grafting materials.
- Prepared bone purchased from a tissue bank is a frequently used option. The grafting material source may either be from another human or another species .
- Another alternative involves the use of synthetically derived graft material , such as hydroxyapatite.
How Common Are Sinus Problems After Dental Work
Sinus problems rarely occur after dental work. Bone grafts used before an implant are a successful way to minimize the likelihood of infections and inflammation. Complications can arise if post-care instructions are not followed, but this is largely preventable.
In the case of a problematic implant, removing the implant allows a dentist to start fresh with the patient. It might be that not enough bone was grafted into place before the first implant surgery.
After removing the affected implant, a dentist can perform a bone graft or sinus lift. Once the grafted bone is firmly in place, a new implant can be positioned. This should solve the patients problems. Preventing sinus problems is often easier than fixing them after the fact. If youre missing a tooth in your upper arch and are concerned about how the placement of an implant would affect your sinuses, contact Dr. John Paul Gallardo in Miami, Florida. Our dental specialists can walk you through all the options to help you decide which course of action is best for you. Our dental professionals expertise can not only restore your smile but also provide long-lasting and comfortable results. To schedule an appointment, call 305-547-8687 today.
How Is A Sinus Lift Surgery Done
Now, we’ll go over what you can expect in surgery so that you’re fully prepared and confident as you go into your sinus lift. Here’s a general sequence of events that take place during sinus lift surgery:
In about 4-12 months after your sinus lift surgery, your dentist will place your implants. This time in between gives the new bone time to merge correctly with your existing bone. The amount of time between your surgery and getting your implants placed depends on how much bone you needed. Your dental professional will let you know when they’ll be able to place your implants.
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What Is The Purpose Of A Sinus Lift
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.
What Are The Risks
Some patients have thin sinus membranes or bumpy sinus floors making the release of the membrane more likely to cause a delay in treatment. The main risk of a sinus lift is that the sinus membrane could tear or develop a hole. If the membrane is torn during the procedure, the dentist will either suture the tear or place a membrane over it. If the repair is not successful, your dentist may stop the procedure and give the hole time to heal.
Your dentist can redo the sinus lift once the membrane has healed. This usually takes a few months. A healed membrane tends to be thicker and stronger, which means a second attempt at a sinus lift is likely to be successful. However, other factors also affect success.
Infection is a risk of any surgical procedure. However, this rarely occurs after sinus lifts.
On rare occasions, the existing bone does not integrate with the bony graft material, and the grafted area does not develop a blood supply. If this happens, any implants placed in this area will fail because there is no live bone for them to attach to. If this happens, you can have the sinus lift procedure repeated.
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What Is A Sinus Lift And How Do I Prepare For It
While most people are familiar with cavities, braces and root canals, there are many other different types of dental and oral maxillofacial procedures that people could benefit from. It is important to understand what these options are so that people can make educated decisions. One example of a commonly overlooked procedure is called a sinus lift.
While the words may sound intimidating, it is vital to understand what a sinus lift is so that people dont overlook a procedure that could be beneficial to their oral and overall health. Below are some important information that everyone should understand before visiting their oral health professional.
Patient Reviews & Testimonials
The receptionist and dental nurse are always really welcoming, friendly and helpful. The emphasis is on putting the patient at their ease so that the whole experience is made as pleasant as it’s possible to make it. The dental surgeons take time with the patients. They are kind and gentle and consult the patient constantly for preferences. It is possible to get the full range of treatments you would wish, along with advice and discussion. You never come away feeling you have been talked into something. Alternatives and prices are discussed up front before the course of treatment has begun. It’s this very personal approach as well as the skills of the dentists that make this the very successful surgery it obviously is. I leave each appointment with the knowledge that my teeth are in the very best of hands!
Lynda Brown | 10/06/2017
Excellent !! was extremely nervous but made me feel very relaxed lovely staff and great service highly recommend.
T Milner | 09/06/2017
Excellent service! LS1 Dental is a highly professional team made by approachable and friendly people. They will explain in simple word what you need, and will help you carry on with your oral hygene at home. Very very happy!
Leire | 08/26/2017
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Early Dental Implant Failure And Problems
Problems or complications from dental implant surgery can happen shortly after the procedure or years later. Early dental failure occurs within the first three to four months of the procedure.
Keep in mind that youll experience some degree of pain or discomfort after surgery, which you can manage with pain medication. Even so, speak with your surgeon if pain doesnt improve after five to seven days. It takes between three and six months to completely heal.
While pain and swelling are common after surgery, keep an eye out for complications that may develop:
Surgical Strategy For Removal And Sinus Bone Graft With Simultaneous Implant Placement
A 63-year-old man who complained of pain on the left cheek area was referred from local dental clinic for removal of a displaced dental implant which was placed 3 years ago. Panoramic radiograph, cone beam computed tomography scans disclosed a dental implant in the left maxillary sinus with mucosal thickening maxillary sinusitis . The operation was done under local anesthesia. The surgical intervention began with elevation of full-thickness mucoperiosteal flap. After exposure of lateral wall of the maxillary sinus, the bony window was marked by ditching with a round bur. The size of bony window was vertically wider than usual bony window in maxillary sinus elevation. The upper portion is for removal of the displaced implant, while the lower portion is for lifting of the maxillary sinus membrane . Following exposure of the sinus membrane and removal of the bony window, a horizontal incision is placed at the upper portion of the bony window. Through this opening, the implant is removed using dental suction. Then, the sinus membrane is lifted, starting from the lower edge of the bony window. The perforated sinus membrane is covered with absorbable collagen membrane, and the new implant is placed simultaneously with sinus bone grafting using a mixture of graft from the maxillary tuberosity and allograft .
Fig. 1
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How Is A Sinus Lift Performed
In this procedure, people will meet with their oral surgeon prior to the day of the operation. The risks and the benefits will be discussed, and individuals will be given the opportunity to ask any questions that they might have. It is important to review all the options before making a decision.
On the day of the procedure, the surgeon will make an incision along the gum line in the area where the rear teeth used to live. Once the incision is made, the tissue is lifted from the surface. This will expose the surface of the bone.
After this, the surgeon will use a special tool to make a small, round window in the bone itself. This window will give the surgeon a clear view of the sinus, which leaves on the other side of the jaw. After this, the membrane of the jaw is gently moved up and out of the way of the jaw bone itself.
Once the sinus has been lifted, a few granules of graft material are placed into the space where the sinus used to be. While the amount of graft varies, it is important because it promotes the growth of bone that will take the place of the sinus. This is where the augmentation part of the procedure comes in.
After the graft material has been placed, the tissue itself will be closed with a few stitches. Then, the bone is given time to heal. A few months later, the implants are placed. Follow-up appointments with the surgeon are necessary to make sure that the growth and healing process are going according to plan.
What Are The Sinus Lift Risks
The primary risk of a sinus lift is that due to the health and thickness of your sinus membrane, it could tear during elevation. In most scenarios where this occurs during the procedure, the surgeon has techniques to repair it. If the repair is unsuccessful, your surgeon may halt the procedure and allow the wound time to heal. Your dentist can then repeat the sinus lift once the tissue has healed, usually in a few months. A healed membrane is usually stronger and thicker, increasing the success rate for a second attempt. Other factors also affect the procedures success:
- Infection, albeit rare, is a risk of any surgical procedure.
- In the event that existing bone does not meld with the graft material, the grafted area will not develop a blood supply and there will be no bone to which attach the implants. If this happens, you can have the sinus lift procedure repeated.
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What Is A Sinus Lift
It’s a surgical procedure which grafts bone to the upper jaw at the position of the molar and premolar teeth. The maxillary sinus membrane is lifted upwards to make space for the additional bone.
The sinus system has several parts but it’s the maxillary sinuses which sit closest to our teeth. You might sometimes get a toothache when you have congestion or a bad cold this is because the pressure on the sinuses transfers to the tooth roots in the upper jaw.
The technical name for this procedure is a maxillary sinus floor augmentation, but you may also hear the terms sinus augmentation and sinus graft used. A specially-trained dental clinician, periodontist or oral surgeon carries out the surgery.
What Are The Side Effects Of A Sinus Lift
The main side effect of a sinus lift is that the membranes of the sinus may be punctured. If this happens during the procedure, the dentist will stitch the place up or put a patch on the area. If this isnt successful, youll need to take some time off for the area to heal before a second sinus lift attempt is made. Infection is another risk after any surgical procedure, but this is a rare occurrence after a sinus lift.
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Why Is A Sinus Lift Necessary
Implants are surgically fused into your jawbone. That means there needs to be enough bone surrounding the implant to allow it to heal properly.
As we age, our sinus cavity increases in size and bone loss occurs. This can also happen after an accident, a difficult extraction, if you have gum disease or if youve had a cyst or tumour removed. This sometimes means there isnt enough bone height for dental implants to be placed in the upper jaw.
Although it may sound daunting, sinus lifts are a fairly common procedure and will only be carried out by an experienced dentist or surgeon. If you feel particularly anxious about the procedure, let your dentist know and they may be able to offer you dental sedation to help you relax.
How Much Healing Time Is Required
Generally speaking, the amount of time allowed for bone graft healing lies on the order of 6 months, with a range of 4 to 8 months being common.
That means in cases where a sinus graft is performed first and then after healing has occurred the implant is placed, the patients total treatment process may encompass 9 months to a year until complete healing and osseointegration has occurred.
Immediate implant placement.
In cases where the bone graft and implant placement procedures are performed during the same appointment, the grafts healing and implants osseointegration will take place simultaneously, thus shortening the amount of treatment time needed for the completion of the patients case.
Factors and considerations.
Studies suggest that in cases involving sinus lift procedures, the amount of original bone thickness needs to lie on the order of 4 to 5 mm .
Thats because this is the thickness of bone that will provide stability for the implant during its healing process. Implant stability is an important factor in its successful osseointegration .
So in cases where the amount of original bone is less than this amount, the treating dentist will most likely utilize a two-step process . If the amount of bone is greater, then it may be possible to perform both procedures at the same time.
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Whats The Success Rate Of Implant Sinus Lift Procedures
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.
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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Sinus Lift Recovery Experience
After the surgery, you may experience a little swelling in the area. You may also bleed from your nose and mouth. Do not blow your nose with force or sneeze because you could force open the stitches. Youll be given nasal sprays to keep your nose moist and some medications to stave off congestion.
Youll also be given medication to help prevent infection. Most patients usually experience little to no discomfort after a sinus lift. If the stitches do not dissolve on their own, youll be back to the dentist after 10 days so they can be removed.