Dr. Ashish Shah

Sinus Lift Surgery

Sinus Lift Surgery

**Understanding Sinus Lift Surgery**

Sinus lift surgery, also known as sinus augmentation, is a common dental procedure used to create additional space in the upper jaw when there isn't enough bone to support dental implants. This surgery is crucial for patients seeking implant-supported restorations in the upper back teeth region. Here's an informative article presented in point form to help you understand sinus lift surgery:

**1. Indications for Sinus Lift Surgery:**
- Insufficient Bone: The surgery is necessary when the bone in the upper jaw is too thin or too close to the sinus cavity to support dental implants securely.
- Missing Teeth: Patients with missing upper back teeth who desire dental implants often require sinus lift surgery.

**2. Types of Sinus Lift Procedures:**
- Subantral or Traditional Sinus Lift: Involves lifting the sinus membrane to create space for bone grafting material, typically done through a small window created in the jawbone.
- Osteotome Sinus Lift: A less invasive technique that involves compacting existing bone to lift the sinus floor, reducing the need for additional grafting material.

**3. Benefits of Sinus Lift Surgery:**
- Implant Placement: Enables secure and stable placement of dental implants in the upper jaw.
- Improved Aesthetics: Helps restore a natural-looking smile and facial structure.
- Enhanced Function: Restores the ability to bite, chew, and speak effectively.
- Long-Term Solution: Dental implants supported by adequate bone can last a lifetime with proper care.

**4. Preoperative Assessment:**
- A thorough examination, including dental imaging (X-rays, CT scans), is conducted to evaluate the patient's bone structure and sinus position.
- Medical history is reviewed to ensure the patient is a suitable candidate for the surgery.

**5. Sinus Lift Procedure:**
- Sedation & Local Anesthesia: The procedure is typically performed under sedation &  local anesthesia to ensure patient comfort.
- Sinus Membrane Elevation: The sinus membrane is carefully lifted, and bone grafting material (often synthetic or donor bone) is placed in the newly created space.

**6. Dental Implant Placement:** In our Practice, 99% of the time Implants are placed Simultaneously at the time of the Sinus Lift Procedure.

- Healing Period: Patients are advised to allow several months for the graft material to integrate with their natural bone.

**7. Postoperative Care:**
- After the surgery, patients are provided with post-operative instructions.
- Pain and swelling are common and can be managed with prescribed medications.
- Patients should avoid activities that could disrupt the surgical site during the initial healing period.

- **8. Long-Term Maintenance:**
- Good oral hygiene practices and regular dental check-ups are essential to maintain the health of dental implants and the surrounding tissues.
- Patients should follow their dentist's recommendations for long-term care.

In conclusion, sinus lift surgery is a specialized procedure that plays a crucial role in enabling patients with insufficient upper jaw bones to receive dental implants. By creating additional space and providing stability for implant placement, this surgery restores both function and aesthetics to the smile, ultimately enhancing the patient's quality of life. If you are considering dental implants in the upper jaw, consult with an experienced oral surgeon or periodontist to determine if sinus lift surgery is necessary for your case.

Sinus Lift Surgery is done when the bone available is inadequate to place Implants in the posterior part of the Upper Jaw.

This patient visited us with a complaint of pain in the upper left tooth. On examination, it was seen the 2nd Molar was badly carious.

A CBCT was performed to check the availability of Bone. After a thorough examination, it was decided to extract 27 and perform Sinus Lift Surgery for 26 & 27.

The patient's own blood was drawn to create a Fibrin Membrane[PRF]and growth Factors[PRGF] These were mixed with bone graft to make a very bioactive bone graft.

2 Implants were simultaneously placed. This reduces the treatment time considerably and the bone generated is of a very high quality.