Sinus Lifting

Sinus lifting is located in the upper jaws, above the back teeth, in cavities called the maxillary sinus. As a result of pulling the upper back teeth, under the influence of gravity, the sinuses melt the bone and sag downwards. In this case, the patient who wants to have an implant may not have enough bone left for the implant. The process of lifting the sagging sinuses up in the treatment of implants in the posterior regions of the upper jaw is called sinus lifting. After the sinuses are lifted up, the bone is supported with biomaterial applications such as bone graft.

According to the patient’s request, bone particles are placed between the jawbone and the sinus mucosa with this operation, which can be performed under local or general anesthesia, and bone formation is expected in the following six months.For this purpose, bones to be taken from the patient’s own body will be used, as well as bone or inorganic materials to be obtained from bone banks can also be used. After the bone formation is completed, routine implant applications are started.

Grafts placed around dental implants provide support to load-bearing dental implants after the recovery period. The graft may fail during fusion and gradually disappear, or it may become a mechanically functional part of the recipient bone. For a successful graft healing, 4 healing phases must be completed successfully. In large size grafts, this healing process takes more time than in small size grafts.

What is Sinus Lifting?

In today’s dentistry, the use of dental implants has become popular to compensate for teeth lost for various reasons. Along with gaining the use area of dental implants, some studies have been conducted to increase the size of resorption crests in the vertical and horizontal direction.With the resorption of the alveolar crest in the posterior region of the maxilla and the growth of the maxillary sinus in this direction, the implant placement process becomes impossible.

In such cases, in order to obtain a sufficient amount of bone in the vertical direction, it is necessary to lift the maxillary sinus mucosa from the sinus floor and ensure the formation of new bone using graft materials in the resulting space. For this reason, it is necessary to perform a surgical procedure at the base of the maxillary sinus in order to be able to place an implant. Sinus lifting procedure is a surgical procedure that allows to increase the bone height, which is insufficient for implant placement, by using various graft materials in the posterior maxilla region.

Especially in implant applications performed for the regeneration of teeth in the upper jaw, there are some prerequisites necessary for the operation to be completed in a healthy way. One of these conditions is that the bone structure starting from the place where the jaw ends should have sufficient volume and density. In cases where this hard tissue does not meet the necessary conditions, the implant operation cannot be started directly. sinus lifting, also known as sinus lifting, refers to the application called sinus lifting.

How is Sinus Lifting Done?

Sinus lifting is a procedure that is often performed on the dentist’s chair under local anesthesia. The sinus area that needs to be removed is made accessible through a small window that opens from the gum mouth in that area. After the sinus membrane covering the inside of the sinus is increased to the desired level, bone powder and grafting are performed into the created space and the area is closed with stitches.

Your implants can be placed during the sinus lifting operation, or the implant removal process can be performed in a separate operation 2-3 months after the sinus lifting operation. This selection determines the amount of bone lost as a result of a detailed examination, the amount of bone bulked, sinus lifting surgery technique, the length of the area to be loaded, the number of implants, length and diameter.

Sinus Lifting Complications

• There is always a risk of infection in all surgical procedures. To prevent it, you need to pay attention to the instructions recommended by your d
• Although rare, integration may not occur due to poor blood supply in the graft applied. In such a case, it may be necessary to repeat the procedure because the implants placed cannot be osseointegrated.
• In addition, the sinus base is adjacent to the bone, or it has a polygonal structure and can be torn during the procedure. In such a case, the dentist may recommend stitching the membrane together or closing the wound area directly to wait for it to heal.
• In cases that are torn and healed, the repaired membrane is usually thicker and stronger. For this reason, the second surgery has a higher chance of success.

If the sinus lifting operation is performed closed, headache may be felt for 14 days due to the pressure caused, this pain varies from patient to patient. Since the open sinus operation is a surgical intervention, it is recommended that the patient does not travel by plane for the next 10 days and does not put a load on the head area.In some cases, the sinus cavities may be filled, if such a condition exists, the ear, nose, throat dentist may first need to clean and empty the area in this sinus, but then a sinus lifting operation may be possible.

After Sinus Lifting

After the sinus lifting procedure, food should be eaten with the other side for the first 24 hours in order to protect the wound location. After the procedure, one should not eat or drink anything for 2 hours, and then warm and soft things should be eaten. After the sinus lifting removal procedure, nasal cleaning with pressure should be avoided and sneezing with the mouth open should be done.

Do not smoke for at least 12-24 hours. it is natural to have bleeding in the form of leakage within 48 hours, to smell blood or taste blood in your mouth, but contact your doctor in any suspected case. It is normal to have swelling after the surgical procedure. A cold compress should be applied to the operation area from the outside via an ice pack within the first 24 hours. The medications recommended to you by your dentist should be used on time, without interruption and as described.