Fort Worth, TX
A 36-year-old male asked:
Having tooth extraction and bone graft/"sinus bump" on monday and i'm terrified. what should i expect?
18 doctor answers • 32 doctors weighed in

Dr. Gary Sandleranswered
Dentistry 56 years experience
Ask the surgeon: This is best answered by the surgeon who knows you, your medical and dental history, and your specific circumstances. Generally speaking you should be completely numb for the procedure and therefore not feel anything. Again, generally speaking, as with any surgical procedure there should be some discomfort and possibly slight bleeding which is easily handled with medications. Call the surgeon.
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5.4k viewsReviewed >2 years ago

Dr. Larry Gottliebanswered
Dentistry 43 years experience
No pain: I am sure you are going to have anesthesia. Expect no pain during the procedure. If you think you are feeling something tell the dentist so he or she can make you comfortable. After you canhave some discomfort and swelling. You should be given instructions after you are done along with medications for any pain.
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5.4k viewsReviewed >2 years ago

Dr. Jack Binderanswered
Specializes in Dentistry
Headache: Generally, the worst part of the procedure is when the "bump-up" occurs, that is, when the lower border of your sinus is pushed up to create space for the bone graft. This is usually done by tapping an instrument up against the lower bony border. Often, patients complain of a headache later on. The dentist who is doing the procedure should be able to answer all you questions and concerns.
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5.4k viewsAnswered >2 years ago

Dr. Matthew Hydeanswered
Dentistry 43 years experience
Minor discomfort: Most of our patients says that the sounds are really worse than the procedure. Mostly you will just feel the pressure of the movement of the procedure if you have proper anesthesia (as long as there isn't a major infection). The little "sinus bump" may feel a little strange but should not hurt. If you are really "terrified" ask about premeditation or about"twilight sleep" availability.
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Dr. John Thaleranswered
Prosthodontics 43 years experience
Depends: All depends on what the "sinus bump" is. If it is an osteotome technique, then you will feel tapping pressure as the bone is used to reshape the sinus contour in the area. The instrument confines the bone and compacts it as it pushes the bone upward into the sinus area, bringing the lining with it. Expect to be very numb. The extraction socket is usually then filled with some kind of graft.
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5.4k viewsAnswered >2 years ago

Dr. Robert Tupacanswered
Specializes in Prosthodontics
Take it easy: With an extraction and graft, you can expect some postoperative pain and may want to take it easy for a couple of days before resuming normal activity. Be sure to follow the instructions of your surgeon.
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5.3k viewsAnswered >2 years ago

Dr. Cary Ganzanswered
Prosthodontics 51 years experience
Don't be concerned: Not exactly sure what you mean by sinus bump. If you are having a sinus lift after the extraction in order to better prepare the site for an implant, this should be a relatively simple procedure. Normally the post op is not all that uncomfortable. Be prepared for a day or so of discomfort but basic pain meds should easily take care of it.
Nothing to be afraid of. It always sounds worse than it i.
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Dr. Armen Hartooniananswered
Specializes in Prosthodontics
May need antibiotics: You might need antibiotics due to localized infection. Go back to your doctor and get it checked.
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5.3k viewsAnswered >2 years ago

Dr. James Vitoanswered
Prosthodontics 39 years experience
Swelling and pain: Tis is a surgical procedure. So you can expect some swelling and some slight discomfort. You should be aware that you can also experience a nose bleed which can occur when you enter the sinus with an implant procedure.
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Dr. Roya Arbabanswered
34 years experience
Ask for sedation.: You should have this procedure done by a well trained and reputable specialist. If you are nervous, they can sedate you. The procedure should be done a-traumatically, as to be kind to the remaining bone and grafted area. So by definition the surgery needs to be very meticulously performed to avoid trauma and infection . You may be swollen and tender in the region for a week or so.
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Dr. Yatin Khannaanswered
Prosthodontics 21 years experience
Don't be Terrified: It sound's more scary than it really is. Let the clinician know that you would like the dental assistant place her right hand flat on your forehead and left hand fingers pinching your bridge of the nose near the eyes when he starts to lift the sinus. This takes the sting off from the procedure. From what you wrote it seems that the provider is gonna carry out the lift using osteotomes.
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5.3k viewsAnswered >2 years ago

Dr. Louis Sterlinganswered
Prosthodontics 39 years experience
Don't worry: I've had a similar procedure myself. You'll have some soreness. Nothing more. I had my procedure at 10 am and was in my office, seeing patients by 2 pm! you might need some ice for a couple of hours and maybe an otc analgesic (like advil) for the soreness.
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Dr. Richard Reinitzanswered
41 years experience
Not much: If you are very nervous ask about being sedated. What you are having done souns like a sinus lift procedure which is done to grow bone to eventually place a in implant. Absent sedation you will hear noises but you can wear headphones and listen to music to block that out. Speak to your dentist about sedation and make your concerns known so you will have a better experience.
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Dr. Ronald Achonganswered
Oral &Maxillofacial Surgery 20 years experience
YOu will be fine: Usually the procedure is routine for an oral surgeon. Often patients may have some discomfort for a day or 2. We perform such procedures often in our office and patients do very well. However, I do understand your anxiety. If so, consider sedation for the procedure and this will make everything easy and simple. Good luck.
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5.2k viewsReviewed >2 years ago

Dr. Tony Menendezanswered
39 years experience
Mild discomfort: Surgeon will be very careful to extract the tooth atraumatically, least amount of force necessary. The bone graft should healnicely and be uneventful.
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Dr. Joseph Greenberganswered
Specializes in Prosthodontics
Depends: Depends on the expertise of the operator. Is this a specialist who has done many of these before or is it a general dentist who does this "once in awhile"?
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Dr. Andres Carbunaruanswered
Dentistry - Prosthodontics 26 years experience
Not as bad as you th: It should not be as bad as you think, there is going to be some swelling, and discomfort maybe for 1-2 days, but controlable easy with pain medication. Do not worry.
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Dr. Kevin Owocanswered
Dentistry - Prosthodontics 21 years experience
Easy as Pie !: The procedure is very simple, predictable, and painless. After the tooth is removed, the surgeon will gently 'tap' the floor of the sinus, creating space for a small amount of bone to be added. The implant will be placed and you'll have a couple stitches. You'll be numb, comfortable, and have minimal post-op discomfort. Keep smiling !
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4.9k viewsReviewed >2 years ago
Similar questions
A 47-year-old member asked:
How long does a tooth extraction and bone graft take?
1 doctor answer • 1 doctor weighed in

Dr. LaMont Geeanswered
Dentistry 53 years experience
extraction: If you are asking how long it takes to do the procedure, assuming it is uncomplicated, then the answer is somewhere around an hour give or take a little. If you are asking about how long the healing takes then there are two answers. The gum tissue heals quickly, about two weeks and the bone filling in underneath takes about 3 - 4 months, sometimes longer.
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4.8k viewsAnswered >2 years ago
A 43-year-old member asked:
Are there any risks from a synthetic bone graft after tooth extraction?
3 doctor answers • 7 doctors weighed in

Dr. Jake Richardsanswered
Dentistry 14 years experience
Not much: Mostly just chance of rejection of the graft but even that is not much. Talk to your provider. It is done to maintain bone structure and can be very helpful if an implant is planned.
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5.7k viewsReviewed >2 years ago
Last updated Apr 15, 2019
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