Sinus lift surgery, types, advantages and disadvantages

Sinus lift surgery is one of the procedures that may be necessary before dental implants. This surgery increases the height of the upper jaw and prepares the conditions for the implant. Sinus lift surgery is needed only in some patients, and for this reason, the condition of the person's mouth and teeth should be checked to make a decision about it. In the rest of this article, we will discuss what sinus lift surgery is and how it is performed.

> *"A sinus lift, also known as sinus augmentation, is a surgical procedure that increases bone volume in the upper jaw (posterior maxilla) to facilitate the placement of dental implants. This is achieved by elevating the sinus membrane and inserting bone graft material into the space created. > The procedure is particularly beneficial for patients who have experienced bone loss due to factors such as tooth loss, periodontal disease, or anatomical variations, ensuring sufficient bone height for successful implant placement.“*

> *"Sinus lift surgery, which is also known as sinus augmentation, is a surgical procedure that is performed to increase the bone volume in the upper jaw (the back part of the jaw or the back of the maxilla) in order to provide the possibility of dental implants. > In this method, the sinus membrane is raised and bone graft material is placed in the created space. > This surgery is suitable for people who have decreased bone height due to tooth loss, gum disease or certain anatomical features, so that the implant can be successfully placed in the jaw.»* > > *Source: ScienceDirect*

What is sinus lift surgery?

Sinus lift is one of the types of dental surgery that is used to increase the height of the bone in the area between the upper teeth and the opening of the nose or the sinus. The sinus in the upper jaw is located next to the nose, under the eyes and above the premolar and upper molar teeth and is considered a place full of air. In sinus lift surgery, the surgeon makes an incision in the gum using special tools and increases the height of the bone by creating a window in the sinus bone and filling it with special materials. This method is needed by people who do not have enough bone to do implants or who have lost their upper jaw back teeth.

Why is sinus lift surgery necessary?

Several reasons make a surgeon consider sinus lift necessary. Among these reasons, the following can be mentioned: **Lack of bone in the upper jaw:** Due to bone loss after tooth extraction, gum disease or aging, a person may have a lack of bone in the area. **Large maxillary sinus in some people:** In this case, the sinuses are naturally large and do not leave enough space for the implant. **Bone loss due to gum diseases (periodontitis):** Severe gum diseases can lead to bone destruction. **Jaw reconstruction after injury or surgery:** People who have lost their jawbone due to an accident or previous surgery may need this procedure. **Increase the success of implant placement:** Sinus lift creates a stronger base for dental implants and increases the probability of implant success.

Types of sinus lift surgery

### Open sinus lift surgery In this method, the dentist first creates a deep cut in the gum and then creates a window in the posterior wall of the maxillary sinus. Then, the dentist moves back a part of the inner layer of the sinus and fills the resulting space with bone powder. Finally, the sinus membrane is returned to its place and the incision site is sutured. This method is suitable for those who have lost more than 5 cm of bone. It takes about 4 to 6 months to do the implant in the desired area. ### Closed sinus lift surgery This method is recommended when the patient's jaw bone is too depleted and there is less than 2 cm of bone in the jaw. In this method, the surgeon makes a hole under the sinus using a drill and then fills it with bone powder. Finally, this hole is covered with an artificial membrane and then the gum tissue is sutured. This surgery requires the high expertise of the dentist; Because any mistake can cause sinus rupture and the need for surgery.

The difference between open lift sinus and closed lift sinus

Many people may wonder which type of sinus lift surgery is the most suitable. In answer to this question, the difference between these two methods should be mentioned:

Types of materials for sinus lift

Bone graft materials that are used to increase the height of the jaw bone can be obtained from various sources, which are as follows: **Patient's own bone (autograft):** Bone from any part of the body such as lower jaw, pelvis or skull can be used for bone grafting. This type of link is the best choice; Because the probability of accepting bone graft material increases. **Donated bone (allograft):** Another person's bone is used for this transplant. Donated bone is usually obtained from bone banks and must be tested for health and safety. Artificial materials (xenograft): ** Other types of bone grafting materials are artificial materials, which include bone powders, bone gels, and bone sponges. These artificial materials are usually obtained from minerals such as calcium phosphate and hydroxyapatite.

How is sinus lift surgery performed?

These steps are done as follows: - Initially, local anesthesia or anesthesia is used so that the patient does not feel pain during the surgery. - In the next step, the surgeon creates an incision in the gum tissue of the upper teeth so that he can access the jaw bone. - Then the gum tissue is raised and the surgeon creates a small circular incision in the bone so that he can gently pull up the membranous membrane of the sinus floor. - After pulling up the bone part of the sinus cavity, the resulting cavity is filled with bone graft material that has been prepared in advance. - After completing the previous steps, the incisions are stitched by the surgeon.

What are the steps before sinus lift?

Among the actions before the sinus lift are the following: ### Consultation with a doctor In the first meeting, the person should talk to his dentist about the necessity of this surgery. The surgeon examines the person's oral and dental condition and medical records and then provides the patient with the necessary information about the surgical method, the type of bone graft material, and the necessary care for before and after the operation. Also, in this session, the risks and side effects of sinus lift are fully explained to the patient, which are usually very mild and controllable. ### Conduct the necessary tests The doctor may find it necessary to prescribe a blood test to check the health status of the person. This blood test can include complete blood test, kidney function test and liver function test. ### Deciding on the use of medicines If the person is taking certain medications, the surgeon may ask the person to stop taking some of these medications before the surgery. These include non-steroidal anti-inflammatory drugs, blood thinners, and anticoagulants that can increase the risk of bleeding.

What are the advantages and disadvantages of sinus lift?

Among the advantages of sinus lift, the following can be mentioned: **Increasing the height of the maxillary bone:** The most important advantage of sinus lift surgery is that it increases the height of the maxillary bone, thus increasing the life of the dental implant. **Increasing implant stability:** Another benefit of sinus lift is that the added bone makes dental implants stronger and more durable. **Prevention of further bone loss:** Sinus lift prevents further bone loss by strengthening the jaw bone. **Improving chewing performance:** Sinus lift is effective in improving chewing performance; Because failure to do so can cause atrophy of the upper jaw bone and difficulty in chewing food. ### Complications of sinus lift surgery Among the complications of sinus lift surgery, the following can be mentioned: **Long recovery period:** The recovery period of sinus lift can last for several months, between 4 and 9 months, until the transplanted bone is fully fused with the natural bone. **Possibility of causing side effects:** After sinus lift, complications such as bleeding or inflammation, infection and rupture of the sinus membrane may be seen in people. **Damage to adjacent teeth and nerves:** Sinus lift may damage adjacent teeth or nerves during the procedure; However, the possibility of such a problem is minimized if the lift is performed by an experienced specialist. **Sensitivity of teeth:** In some cases, sinus lift may cause sensitivity in a person's teeth.

Risks and side effects of sinus lift surgery

Among the risks of sinus lift, the following can be mentioned: - Possibility of bleeding, swelling or infection - Perforation or rupture of the sinus membrane - The possibility of damage to nearby nerves or teeth - Possibility of teeth sensitivity

Which patients need sinus lift surgery?

Patients need sinus lift surgery in the following conditions: - People with atrophied bone in the upper jaw - People with insufficient amount of bone in the upper jaw - People with an overextended maxillary sinus - Patients with bone loss diseases such as osteoporosis - People suffering from bone loss due to periodontal diseases (gum disease) or previous surgeries - People with damaged upper jaw - People with severe tooth infection or jaw cysts

It is very important that people do not undergo sinus lift surgery in the following situations: - People with severe blood coagulation problems such as hemophilia - People with uncontrolled diseases such as advanced diabetes - People who smoke without intending to quit - People with maxillary sinus infections - People with autoimmune diseases, cancer, HIV or AIDS

The difference between sinus lift and bone grafting

They use sinus lift and bone grafting methods to increase bone volume and density, both of which are performed before dental implant placement Although these two methods are similar in function, they differ from each other in the place of surgery. In bone grafting, surgery is performed inside the jawbone; While in sinus lift surgery is done inside the sinus. In bone grafting, graft material is added directly to the inside of the jawbone; While in the sinus lift, the sinus membrane is moved up and the graft material is placed in the created space.

How long is the recovery period after sinus lift surgery?

The recovery period after sinus lift surgery is of great importance. It is very important for people to know what to expect during the recovery period so that they can control the situation in a better way. In general, the recovery period of sinus lift surgery will last about 2 to 3 weeks and will proceed as follows: ### The first days after surgery In the first days after surgery, the patient will feel pain, swelling and fatigue in the surgical area. Normally, the dentist will prescribe painkillers to reduce pain and swelling, and cold compresses can also be used to reduce swelling. Diet is very important during this period, and people should avoid eating hard foods and eat soft foods such as mashed potatoes, soup, yogurt and other such things. In the first days after surgery, intense activities should be avoided; Because it increases the possibility of infection or bleeding. ### A few days after the surgery After a few days, the pain and swelling of the surgical area will decrease and the person can start their daily activities. However, it is recommended to avoid vigorous activities. ### After a few weeks After a few weeks, the swelling and pain will completely disappear and the person can continue his daily activities as before.

Care after sinus lift surgery

It is very important to take the necessary care after sinus lift surgery so that this surgery is successful. Among the precautions that should be taken into account are the following: - Rest for a week Avoiding sneezing due to the possibility of moving the bone graft material and opening the stitches - Maintaining oral and dental hygiene by using prescribed mouthwashes - Refraining from brushing teeth for 24 hours and not brushing the surgical site after that - Avoiding smoking and tobacco - Reduce bleeding from the site by placing a tea bag in the area

How much does sinus lift cost?

Since the conditions of each person are different, it is better for people to consult their trusted dentist in this regard so that the price of sinus lift can be announced to them according to the individual's conditions.

Free consultation with Dr. Shamshirgar, dental implant specialist in Zafaranieh

Sinus lift surgery should be performed by an experienced surgeon in order to be associated with minimal complications. In the office of Dr. Farin Shamshirgar, dental implant specialist in Zafaranieh, gum lift surgery is performed by a gum surgeon. He is a specialist in dental prostheses in Zafaranieh, and in his office, cases such as sinus lift are performed by the specialist in the best possible way. To use his experience and expertise, you can visit Dr. Shamshirgar's clinics in Zafaranieh. Today, with increasing attention to beauty, especially oral and dental beauty, many people are doing beauty treatments. It is important to choose a dental implant specialist in Zafaranieh who can help increase the beauty of a person with the least damage and the best quality. **final word** Sinus lift is one of the most important procedures for some people before doing implants. People who have low bone density in their upper jaw need a sinus lift before getting implants. Sinus lift is performed in two ways, open and closed, and each of these methods makes the jawbone stronger in a different way. It is very important that this surgery is performed by experienced dentists so that it can have the best result for the person and prepare the necessary conditions for the dental implant.

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What is sinus lift surgery?

Sinus lift is a surgical procedure that provides the conditions for implant placement by adding bone to the upper jaw.

When do we need sinus lift surgery?

When the upper jaw bone is not thick enough or high enough, usually for an implant.

What is done in sinus lift surgery?

The sinus membrane is raised and bone graft material is placed in the created space.

It usually takes 7 to 10 days for the initial healing and up to 4 to 6 months for the bone to be completely ready for the implant.

Does a sinus lift hurt?