Sinus lift

A sinus lift is a surgical procedure performed to increase bone volume in the upper jaw in the area of the back teeth (molars and premolars) where there is not enough tissue thickness for implants. The surgery involves lifting the bottom of the maxillary sinus (sinus) and adding bone material to the resulting space.

Sinus lift: types and features

There are two types of sinus-lifting, each of which has its own features:

• open;
• closed.

Open sinus lifting is the most common type of procedure. During the surgery, the doctor makes an incision in the gum, accesses the bone, and lifts the bottom of the maxillary sinus through the hole created. In doing so, a sinus bone lift allows more bone material to be added and provides better visualization of the surgical field.

In the second option, the sinus lift and implantation are performed at the same time. The surgeon inserts the implant by raising the bottom of the sinus, which creates space for the addition of bone material. This procedure is less invasive, the recovery period is shorter, and it is possible to implant one tooth at a time with a sinus lifting.

A qualified dentist will be able to choose the most suitable option and ensure a successful treatment result.

Sinus lift surgery: indications

The indications for the operation are:

• significant bone deficiency in the area of the posterior teeth of the upper jaw, which makes it impossible to install implants, — the reason for the lack of tissue may be the natural anatomical structure of the jaw and its genetic features, age-related changes;
• consequences of tooth extraction in the form of bone atrophy — without load it quickly weakens and decreases in volume;
• pathologies of the dento-mandibular system (cysts, periodontitis);
• calcification of the sinus;
• preparation for implantation (creation of sufficient bone volume for reliable fixation) — if the thickness of the tissue does not meet the requirements for implant placement (less than 4 mm), sinus lift becomes a necessity;
• lack of bone height in the area of molars and premolars for implant placement.

It is up to the dentist to determine if a sinus bone lift is necessary.

Sinus bone lift: contraindications

Like any surgical intervention, sinus lift surgery has a number of contraindications that make it impossible or risky for the patient:

• acute inflammatory processes in the maxillary sinus area — surgical intervention can aggravate the infection and lead to complications;
• chronic sinus diseases — complicates tissue healing;
• oncologic diseases — any surgery is contraindicated;
• diseases of the cardiovascular system (severe hypertension, ischemic heart disease) — there are increased risks during and after surgery;
• blood clotting disorders and taking anticoagulants — there is an increased risk of bleeding;
• immune diseases (HIV, immunodeficiency) — the patient is at high risk of developing infections and delayed recovery after surgery;
• osteoporosis and bone disease — may make it difficult to integrate the bone graft;
• alcohol abuse or smoking — there is a risk of complications after surgery.

In some cases, there are age restrictions on surgery, especially for serious medical conditions. Serious mental disorders are also a risk factor.

It should be noted that a sinus lift in dentistry has the same general contraindications as bone augmentation, another type of plasty.

Sinus-lifting of teeth: the main stages

The operation is performed according to the following main stages:

1. Preoperative diagnostics — examination of the condition of the maxillary sinuses, the volume of available bone tissue and the general condition of the patient.
2. Anesthesia — local anesthesia for a comfortable procedure. In some cases, if the patient is very anxious or the complexity of the surgery is high, sedation or general anesthesia may be offered.
3. Incision of the gum to access the bone where the implant is planned to be placed.
4. Creation of a hole in the upper jaw bone to elevate the maxillary sinus membrane.
5. Raising the membrane to create a space for bone material.
6. Filling the resulting space with bone graft — this can be the patient’s own material or from a donor, as well as a synthetic biocompatible option.
7. Suturing the incision.

After surgery, the process of healing and integration of bone material begins, which can last several months. During this time, a solid base for the implant is formed.

How much does a sinus lift in the clinic “Dr. VatanoV” in Odesa

To understand the exact cost of sinus-lifting surgery, you need to consult with a doctor. The clinic “Dr. VatanoV” in Odesa has experienced qualified dentists who will analyze the condition and outline a treatment plan. This will help to understand the rates, taking into account the materials used and all the necessary studies. For more information, please use our website. Here you will find general prices for sinus lifts and an appointment button.