Doctor insights on:
Sinus Lift Complications
In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more
Definitely, yes: Sinus Lifts are common, routine procedures. It's sometimes called a sinus augmentation. ...Read more
Not our call: It is hard to advise you as to what to do, considering we don't know why the graft failed, if it was a difficult case, or your other options/feelings in replacing your missing teeth. I assume that without the graft you cannot place implants. A discussion with your surgeon and dentist is in order... They know best the answers to the above questions. ...Read more
Possible discomfort: After a sinus lift procedure, you can expect some pain and swelling and possibly some brusing. You may also experience some sinus congestion. Your dentist will most probably prescribe medication to control all these possiblities. ...Read more
Trained dentist only: A sinus lift augmentation is performed by an appropriately trained dentist or dental specialist like periodontist or oral surgeon. ...Read more
Personally, I don't: Think that a regular tooth extraction would affect the sinuses at all. If in doubt, get a second or third opinion. Save that $$$. ...Read more
Individual variance: It's amazing how different we all are. Whether it's the removal of a wisdom tooth, periodontal surgery, a sinus lift, or placement of a dental implant, some patients take no pain medication and do not swell while others need strong pain medication, swell and turn black and blue. Everyone is different. I can't predict how you will do. You and your own dentist can predict things better. ...Read more
Sinus Lift: As we age, it is not uncommon for bone to disappear in the upper jaw, especially in the regions below the maxillary sinus. As a way to rebuild this bone, a sinus lift procedure is performed. There are 2 ways to do this procedure: osteotome method and lateral wall method. There are advantages and disadvantages to both. Having a consult with an experienced implantologist is important. ...Read more
Either way: Both procedures can be done at the same time or as separate procedures. That would depend upon the preference of the surgeon, you, and the individual circumstances at the time. ...Read more
Which is the more invasive and uncomfortable of the 2 dental procedures if there ever were a choice of either: internal or external sinus lift?
Internal: An external sinus lift is considered to be the more invasive of the two procedures. It is a larger incision. Both are effective ways of increasing bone volume for the placement of implants. Pain is very subjective to an individual and is difficult to predict but it can be managed and minimized by your surgeon. I would chose the internal sinus bump if it met your restorative goals. ...Read more
Sinus lift: A sinus lift is an intraoral procedure to raise the floor of the sinus in order to establish more room for a dental implant. See an oral surgeon or a periodontist who routinely performs that procedure for more detail regarding the actual surgery, prognosis and what to expect postoperatively. ...Read more
Resubmitted: what could have happened in the tooth extraction process that resulted in my need for a sinus lift?
Bone thickness: To build on the previous answer, if the natural bony wall separating the sinus and mouth is too thin, it can't support an implant properly. A sinus lift procedure thickens this bone in preparation for an implant and it really is unrelated to any extraction procedure. Sometimes during an extraction if the bone is thin there can be a communication from the mouth to the sinus but that is different. ...Read more
I had a dental sinus lift that needed about 12 deep needle injections to keep the area numb. How can this many be avoided next time? Thank-you.
Injections or: Unfortunately sometimes this happens. Because so many injections were needed this past time does not mean that would always be the case. There are lots of factors that could have required multiple injections. Another option, although I do not recommend it unless essential is the possibility of oral or IV sedation if available. Discuss all options with your doctor. ...Read more
My very invasive dental sinus lift required a hammer and chisel to do. Suggestion was for 5 to 10 days at home for trauma effect. Time period usual?
Which type of dental specialists would be able to diagnose the need, or not, for an upper molar sinus lift?
A dental sinus lift may be in my future. What will happen if I do not have it done? Also, will it result in post nasal drip, etc., ?
Why you need it.: Usually a sinus lift is actually opening the bottom of the sinus and adding bone to fill in part of the sinus. This is frequently done prior to placing implants if there is not enough sound bone available to hold the implant in place. There could be other reasons as well. If the area is sealed properly after surgery, then there should not be any communication from the sinus and your mouth. ...Read more
Does a dentist know through a regular digital dental X-ray that a person needs a sinus lift or is there a more reliable image method?
Yes...but: If a regular digital x ray shows the need for a sinus lift for implant placement that is not going to change with a 3d image. The height of the bone will be the same and either there is sufficient height or there is not. A 3d image helps in angulation of the placement of the implant and determining the thickness of bone. These are not usually as much of a concern for upper back tooth area. ...Read more
Oral Surgeon; Periodontist, etc. #: Is iRaise, a minimally invasive sinus lift procedure, available to patients in the United States, at this time?
Absolutely: A sinus lift operation performed with CAT scan control and knowing the anatomy of the maxillary sinus can be performed not only by oral surgeons, periodontists, but also by may general dentists who have taken multiple courses for this operation. I am surprise at the question because there are thousands of well trained dentists who perform a sinus lift for implant surgery. ...Read more
In general, is very invasive dental surgery like an apicoectomy as difficult on a patient, post op, like a sinus lift?
Oral maxillo-facial surgeon says I cannot ever have an implant for a certain missing molar (no walls). He could do a sinus lift. Is this worthwhile?
Generally, which teeth implant most difficult and would need a sinus lift the most and which does not: teeth #11, 12, 13, 14, or 15? Thanks in advance.
Varies: All may be treated without a lift in many patients. The most likely in order of occurance are: 15, 14, 13, 12. # 11 - never seen need, but always possible. The longer the area has been without a tooth, and the further towards the back, the most likely the need for lift. Good luck. ...Read more
Newer technique: The technique is used when the depth of the jaw is enough for placing a stable implant and only little extra bone (1-3mm) is needed in order to prevent sinus opening or perforation. These techniques have been shown to greatly increase the success rate of dental implant placement in the maxilla. ...Read more
The oral maxillo dental surgeon suggests sinus lift for an upper molar. The prosthodontist does not recommend the intensive procedure at all. Hmm?
The best dentistry: Is generally obtained when the entire team of quality dentists agree on the treatment plan. I would do two things. First, have each dentist explain to you in detail why he\she recommends their approach. Have each of them explain to you each option with pros, cons and prognosis. See what makes sense to you. Second, find a surgeon (os or perio) and restorative dentist (gd or pros.) who agree on plan. ...Read more
Which may have more post op pain/recovery time for the patient: a sinus lift or a connective tissue graft of the palate with adjacent tooth regraft?
Upper molars are close to the sinus and sinus floor.
if the sinus is big, then you will need to get sinus lift for the implant placement.
you would need to get an x-ray done to determine.
please send me your x-rays for second opinion
http://my. Setmore. Com/bookingpage/72b8c781-a64f-45c9-9314-934abdd25118 ...Read more
I have blood in mucus for two weeks now after the sinus lift and bone graft. Is this comment problem?
Possible: Depends on the size of the bone graft. However usually after 1 week there should not be any bleeding. You may have some periodic trickling of blood sometimes during the second week. ...Read more
Is a cbct or an x-ray good enough for a dentist to know if there is a need for a sinus lift in prep for dental implants (I'd go for a cbct anyway)?
Depends: Much depends on the individual (you) and the degree of risk you are willing to accept. Also, the experience and training of the surgeon is critical. A 3d scan is optimal, but not always necessary as some panographic images are very revealing when the situation is obvious (significant bone loss). Also, the restorative Dentist must be part of this. See a Prosthodontist for opinion. Good Luck. ...Read more
I will have a sinus lift op. What should I do if I got bleeding in my nose after sneezing? In case bleeding continues, what can my oms specialist do?
Sinus amaze healing: The sinus membrane is very fragile yet has amazing healing potential. Do anything you can to avoid sneezing. Take decongestants and avoid placing "back pressure" into the nose. A small perforation of the sinus membrane can occur during a sinus lift procedure 4 implants. You want to avoid enlarging it and letting the bone graft escape. A few blood drops ok. Lots if blood w-bone chips see doc. ...Read more
When support needed.: Your upper back teeth have a hollow area above them called a sinus. If an implant were place in that area it would be like punching through dry wall. A sinus lift of granular bone, placed from the side, or chased vertically with an implant acts as a back stop between the boney roof of your mouth and the rubber balloon sinus membrane. When healed (6 month) it provides the solid stud 4 implant. ...Read more
All things being so-called equal, whom may be best at doing an upper molar sinus lift--prosthodontist, periodontist or oral surgeon?
Experience: Whoever does the procedure most often. Experience counts. That could be any of the three. ...Read more
What are the risks of having an upper back tooth implant if there no need for a sinus lift and if 3d imaging is used to view area? Consult very soon.
Few to consider: As with any invasive dental procedure, there are many risks of post treatment infection, as the mouth is a wonderful host to bacteria. Proper hygiene and home care are paramount to the long term stability of the implant. Failure rates have dropped considerably over the years, however, it can still happen. 3d imaging is great for evaluation, and it may be found that u need a graft for support. ...Read more
Yesterday, new general dentist said I may need a sinus lift (really?) as part of an implant process. Molar pulled 3 mos. Earlier; no graft could hold.
CBCT 3D imaging: May eliminate any questions or variables, and should be considered to achieve the highest standard of diagnosis and treatment. ...Read more
Need some encouragement with 6 teeth to be alloderm gum grafted at several visits and a sinus lift for a molar after gum grafts heal (had 2nd opinion)?
Procedures: If you need those procedures and are in the hands of a talented surgeon, by all means have it done. I would if I were in your place. If you don't trust or have confidence with the advice and ability of your dentist, try to find one with whom you do. Get some referrals. ...Read more
I have been told by an oral surgeon that I will need a sinus lift for (implant) an upper molar extracted a year ago. Will there be a lot of discomfort?
Not recommended: Forcefully blow your nose for at least two weeks. A nasal decongestant may help prevent the “need” to blow your nose. ...Read more