Sinus lift

If the patient has lost teeth in the upper jaw and is planning prosthetics, it is important to have sufficient jaw bone volume for installing dental implants. If the volume is insufficient, a sinus lift operation is performed. The technique allows adding bone mass to the front of the jaw.
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What is sinus lift?

A missing tooth is the reason for insufficient load on the base of the jaw. As a result, bone tissue atrophies and decreases in size. Implantation is an advanced method for restoring missing teeth. For treatment, it is important that the artificial root is stably strengthened in the bone.

In the case of atrophy, the installation of dental implants is impossible, so scientists have developed a technique that helps increase bone tissue and restore its normal density. The principle of sinus lifting is based on the transplantation of osteomaterial into the problem area, resulting in the formation of one's own bone tissue.

What is sinus lift?

Types of sinus lift

There are two techniques for increasing the volume of bone tissue: open and closed. Each of them has its own characteristics and differs in the methods of implementation.

Open sinus lift

The method is indicated for significant reduction of bone tissue in the anterior dental apparatus (less than 5 mm), which makes it impossible to install dental implants. The procedure begins with creating access to the sinus through the side wall. Through a small incision, the surgeon lifts the sinus membrane. The raised bottom of the sinus is filled with bone material, after which the doctor sutures the incision. The price of an open sinus lift is higher than for a closed operation, which is due to the large number of manipulations.

In the postoperative period, the patient must follow the recommendations for dental care, including rinsing with antiseptic solutions and taking antibiotics. It is important to avoid physical activity and smoking for at least 2 weeks. Healing takes 4 to 6 months, during which the bone material integrates with the natural bone.

Closed sinus lift

The technique is used in cases of moderate bone loss (5-7 mm), when it is necessary to add 2-3 mm of bone to install a dental implant. This procedure is performed minimally invasively through the alveolar foramen, without creating a lateral window. The surgeon makes a small puncture in the gum and gently lifts the membrane, increasing the pressure, after which he introduces a small volume of bone material to support the dental implant.

The recovery period after this type of intervention takes less time. The patient is advised to avoid physical activity and smoking for 1-2 weeks, maintain oral hygiene, including regular rinsing with antiseptic solutions. Complete healing takes 3-4 months.

General information about the procedure

Pros and Cons of the Technology

The advantages of the procedure include:

  • Bone augmentation. Bone augmentation surgery increases both the height and volume of the bone structure in the anterior jaw area, which is essential for the placement of dental implants.
  • Increased stability. Increased bone volume allows for more secure placement of dental implants, reducing the likelihood of them shifting or falling out.
  • Increased functionality and appearance. Bone augmentation helps restore full chewing function, while dental implants help maintain the natural contours of the face.

The dentist augments bone mass, ensuring long-term stability and durability of the installed dental implants. Sinus lifting reduces the need for additional surgical interventions and provides a higher probability of successful osseointegration.

Despite many advantages, the technology has a number of disadvantages. Among them:

  • Possibility of damage to the dental apparatus
  • Possibility of puncture of the maxillary sinus
  • Postoperative negative consequences (inflammation, infection)

The disadvantages of the procedure also include the risk of bleeding and swelling in the area of the operation. Rehabilitation includes taking antibacterial drugs, limiting physical activity, avoiding hard foods and regularly rinsing the teeth with antiseptic solutions to prevent infection.

Advantages and disadvantages of the procedure

The main advantage of the procedure is the strengthening of tooth enamel. It has no specific disadvantages. However, high doses of fluoride can negatively affect thyroid function. This is due to the fact that fluoride interferes with the absorption of iodine - the production of thyroid hormones depends on it.

Lack of iodine leads to a decrease in the production of these hormones. Against this background, hypothyroidism develops (a condition in which the thyroid gland does not produce enough hormones).

You should not choose and buy fluoride-containing powders and carry out the procedure yourself. Using fluoride-containing products at home without proper supervision can also contribute to excess fluoride.

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Stages of surgical intervention

The procedure is carried out in several stages:

  1. Administration of anesthesia. Local anesthesia is usually used. The drug blocks nerve and pain signals in the surgical area without affecting vital organs
  2. Creating access to the maxillary sinus. The implant surgeon makes access through the side wall or through the bed of the dental implant
  3. Introduction of bone material. The doctor peels off the bottom of the maxillary sinus and adds the required amount of material to increase the volume of the bone

To make an appointment for a consultation at the K+31 clinic, use the feedback form. The doctor will describe in detail the stages of which the turnkey sinus lift consists, and will answer all your questions.

Effectiveness of bone grafting

Analysis shows that the success rate of dental implants after bone augmentation reaches 90-95%. Patients report a noticeable increase in chewing function and an improvement in facial appearance, which has a positive effect on their overall health. The use of high-quality materials for bone replacement and the use of protective coatings (membranes) improve the integration and stability of dental implants.

Indications for sinus lift surgery

The operation is necessary if there is less than 10 mm of bone tissue left between the maxillary sinus and the oral cavity. This is revealed using 3D computed tomography of the teeth. The procedure is also performed if the bottom of the maxillary sinus is low. Replacing molars (2 pairs of the widest teeth) and premolars (chewing teeth) in the posterior sections of the upper apparatus often requires additional bone volume.

Contraindications to bone grafting

Doctors distinguish 2 groups of contraindications for sinus lifting: general and local. General ones include:

  • Serious diseases of internal organs
  • Immune disorders
  • Diseases of the bone and endocrine systems
  • Diseases of the nervous system
  • Malignant tumors
  • Blood diseases
  • Active tuberculosis
  • HIV
  • Pregnancy
  • Smoking

Local contraindications are divided into dental problems (cysts, tumors, periodontitis, bite problems, dental bruxism) and nasal pathologies (inflammation of the sinuses, cysts, obstruction of the nasal passages, benign and malignant tumors). Absolute contraindications include significant sinus deformities, chronic recurrent sinusitis with polyps.

Answers to popular questions

Dentists from the K+31 clinic shared the secrets of successful bone augmentation.

How long should I avoid tilting my head after a sinus lift?

Avoid tilting your head for 2 weeks after surgery. This will prevent increased pressure in the operated area, bleeding, or displacement of bone material.

What complications can occur after a sinus lift?

Complications of the surgery include inflammation, infection, bleeding, perforation of the maxillary sinus, and rejection of bone material. If you follow the doctor's recommendations and properly care for your oral cavity, the risk of negative consequences is minimized.

Is a sinus lift applicable to the lower jaw?

The procedure is not applicable to the lower jaw due to its anatomical structure.

How long does a sinus lift procedure last?

The duration of the procedure depends on the complexity of the clinical case and the method of implementation. On average, the intervention takes from 1 to 2 hours.

What alternatives are there to a sinus lift?

Alternatives to bone augmentation include the use of mini dental implants, which require less bone tissue. It is possible to use inclined dental implants, which are installed at an angle. This eliminates the need for surgical intervention. Additionally, it is possible to transpose the mandibular nerve or use the patient's own bone (autologous bone harvesting).

What do K+31 doctors think about the timing of air travel after sinus lifting?

Doctors at the K+31 clinic believe that you can fly on an airplane after the procedure at least 1.5 months. In the first two weeks after the procedure, there is an increased risk of complications due to pressure drops. Want to know how much a turnkey upper jaw sinus lift costs or get advice on other services? Call us at any time!

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
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Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
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Natalya Victorovna
Dentist-surgeon, implantologist, therapist
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Evgeniya Sergeevna
Dentist-surgeon, periodontist
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Omar Makhachevich
Dentist-therapist, pediatric
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Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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Reviews 10

As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
Lerskaya Nadezhda Evgenievna
Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
I am very pleased with the work of Dr. Irina Yuryevna Nikolaeva, she is an excellent dentist. She dealt with my caries quickly and without any pain. An attentive, kind, professional attitude towards the patient captivates and forces you to reciprocate with a review)
12.07.2024
Nikolai Igorevich
My daughter had a sharp toothache and we urgently had to look for a pediatric dentist. They chose Anastasia Eduardovna. Examination revealed pulpitis. There were 2 options, removing the tooth or trying to save it. The doctor said that of course it’s better to try to save it. We treated our tooth in two visits. At the first appointment, everything was cleaned, a temporary filling was placed, and then we were observed for 2 weeks to ensure there were no complications. After 2 weeks we went to the doctor and got a permanent filling. We are very pleased with the attitude and quality of Anastasia Eduardovna’s work.
12.07.2024
Olga Yurievna
I went to Sergei Olegovich to remove my eights. The case was difficult: they did not erupt, grew strictly horizontally, sat deep in the gums, and even very close to the nerves. I was terrified of deleting them. First, I came to Sergei Olegovich for a consultation. He looked at my picture, immediately described all the nuances of the extraction, and advised me to remove the teeth under sedation, which I am very happy about. At the second appointment, I was put to sleep and I woke up without teeth and without memories of the operation. Sergei Olegovich described all the “side effects” of rehabilitation by day, when what will hurt and how, when there will be swelling and what to do in these situations. Everything happened exactly according to the timing that he predicted. Within a week, all the swelling went down and everything went away. I definitely recommend this doctor.
12.07.2024
Inna
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