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Sinus lifting

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Sinus lifting

What is a Dental Sinus Lifting?

A sinus lift is surgery that adds bone to your upper jaw in the area of your molars and premolars. It's sometimes called a sinus augmentation. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the artificial bone, the sinus membrane has to be moved upward, or "lifted." A sinus lift usually is done by specialists who are referred to as oral and maxillofacial surgeons.

A sinus lift is done when there is not enough bone in the upper jaw, or the sinuses are too close to the jaw, for teeth implants to be placed.

There are several reasons for this:

Many people who have lost teeth in their upper jaw — particularly the back teeth, or molars — do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw.

Bone may have been lost because of periodontal (gum) disease.

Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.

The maxillary sinus may be too close to the upper jaw for implants to be placed. The shape and the size of this sinus varies from person to person. The sinus also can get larger as you age.

Sinus lifts have become common during the last 15 years as more people get dental implants to replace missing teeth.


How is Sinus Lifting Done in Turkey?

You will need X-rays taken before your sinus lift so the dentist can study the anatomy of your jaw and sinus. You also may need a special type of computed tomography (CT) scan. This scan will allow the dentist to accurately measure the height and width of your existing bone and to evaluate the health of your sinus.
Your surgeon will cut the gum tissue where your back teeth used to be. The tissue is raised, exposing the bone. A small, oval window is opened in the bone. The membrane lining the sinus on the other side of the window separates your sinus from your jaw. This membrane is gently pushed up and away from your jaw.

Granules of artificial bone-graft material are then packed into the space where the sinus was. The amount of bone used will vary, but usually several millimetres of bone is added above the jaw. Once the bone is in place, the tissue is stitched closed.

1)Open Sinus Raise

This is the classic method that dentists use the most. The entire operation of open sinus lifting proceeds under local anesthesia, after the introduction of which the gum is cut in the lateral part of the upper jaw, pushed aside, in the sinus region, and an inlet is made on the bone. Then, through this hole, the doctor comes to the mucous membrane that covers the sinus inside, it is also called Schneider's membrane. After that, using special surgical instruments, the dentist carefully so as not to damage the Schneider's membrane, lifts the sinus mucosa and pours bone material there. When the procedure is completed, the wound is sutured and it will be necessary to wait about 4-6 months until the complete formation of bone tissue, then install the implant.

Open sinus lifting is in many situations the only method of bone augmentation in the upper jaw.


Closed Sinus Raise Surgery

The closed sinus lifting technique is less traumatic as there is no need to make special incisions on the gums. During this operation, all manipulations pass through the hole intended for the installation of the dental implant. With the help of special surgical instruments, the doctor lifts the Schneider's membrane, creates an air cushion inside that prevents tears and then fills the formed space with bone material.

The undoubted plus of the closed sinus lifting is that if your initial bone volume was 3-4 mm, then the implant can be installed on the same day, immediately after the augmentation operation. In addition, in contrast to the open one, the closed sinus lifting practically does not leave behind bruises and swellings, and the recovery process is much easier and faster in general.


What Complications Can Occur After Sinus Lift Procedure in Turkey? 

Sinus lifting surgery is a serious and invasive surgical procedure. Complications are not common, but you should be aware of the following risks regardless:

Inflammation of blood vessels (thrombophlebitis)

Infection of the surgical sites

Injury to facial or oral cavity nerves

Permanent numbness in parts of the mouth from anesthetic used

Injury to adjacent teeth

Jawbone fracture

Sinus penetration

Bone grafting material not fusing as intended

Allergic or unusual reactions to medications used during surgery

Failure of the jawbone to heal properly afterwards

Certain lifestyle habits, such as smoking, or preexisting diseases, like diabetes, could increase your risk for side effects or complications from the procedure.

As a patient, you should be aware that sinus lifting procedures sometimes fail. That is, the bone graft doesn’t work as intended. If this happens with you, your dentist will recommend another or a different procedure.


How Much Does Sinus Lift Cost in Turkey?

The average cost of sinus lift procedure in Turkey is £400. However, the cost of sinus lift may differ significantly according to clinics in Turkey


What Should Be Considered After Sinus Lift in Turkey?

  • You must not eat for two hours after the surgery. It is also prohibited to use spicy, hard, hot foods and drinks. You must not drink liquid through a straw;

  • After each meal, rinse your mouth with a special antiseptic solution;

  • It is strictly forbidden to puff out your cheeks, sneeze with your mouth closed, and also blow your nose after the operation, since in this case the membrane may break and all the bone material will be able to come out;

  • Avoid smoking, flying, swimming, and diving if possible. Avoid overheating and hypothermia;

  • If you have removable dentures, try not to use them for the first 2 weeks after surgery.

Frequently Asked Questions

Is Sinus Lift Surgery Safe?

The sinus lift procedure is a safe and straightforward procedure. A sinus augmentation is generally performed at the oral surgeon’s office


How Long Does Swelling Last After a Sinus Lift?

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag (or a plastic bag or towel filled with ice) on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 48 hours. Swelling generally reaches a peak in 48–72 hours and then subsides over the next 3–5 days.

What Causes Sinus Sagging?

As a result of early tooth loss in the posterior regions of the upper jaw, bone resorption begins in this region. Therefore, bone resorption in this region causes the maxillary sinus to sag downwards. Another reason for sinus sagging may be congenital anatomical factors.

How Painful is a Sinus Lift Procedure?

Thanks to the use of local anesthetics, you will not experience any pain while the sinus lift procedure is being performed. 

Can a Sinus Lift and Implant Be Done At The Same Time?

Typically, the sinus lift is performed before the implant for one crucial reason: for the bone to heal. Many studies indicate bone grafts take about three months to heal fully. Because the post is being inserted into the bone, it makes sense to let the bone graft heal before inserting a titanium rod into it. There are a few other circumstances in which a sinus lift and implant should not be done at the same time:

  • If there is a sizeable infection present

  • If bone scans and pre-surgery exams indicate that there might not be enough stability to perform the implant immediately

However, depending on the size of the bone graft and the individual circumstances of a patient, a sinus lift, and an implant can be done at the same time. Each case must be examined individually by the dentist before this decision can be made.

How Long Does a Sinus Raise Take To Heal?

A full recovery from a sinus lift takes a minimum of 6 months for the sinuses to heal and the bone to be strong enough to support dental implants.


What is The Difference Between a Sinus Lift and a Bone Graft?

Bone grafts and sinus lifts are somewhat different, but are used to accomplish the same basic task. These treatments are used to provide a solid, strong platform upon which a dental implant can be placed.

A bone graft utilizes a piece of bone from an animal, donor tissue, or from elsewhere on your own body, which is placed into the gumline in a brief surgical procedure, then allowed to heal.

A sinus lift is similar but is used on the upper teeth. An opening is made in the gum tissue, the sinus membrane is lifted, and bone powder is packed into the area. This bone will integrate with the surrounding tissue over time to strengthen it.


What Are The Benefits of a Sinus Lift?

The principle benefit of a sinus augmentation procedure is that it enables dentists to carry out a dental implant procedure. Meaning patients in the Crystal Lake and Huntley area, who have a missing tooth or need an extraction can have the tooth replaced with a functional and attractive prosthetic. However, this isn’t the only advantage that can be enjoyed by patients who undergo sinus augmentation.

Other important benefits include:

  • Prevention of loss of teeth due to the bone graft carried out during a sinus augmentation creating further support for existing teeth

  • Replacement of bone loss due to periodontal disease

  • Added bone to the upper jaw can help improve the appearance of the facial structure and give the patient an increased definition


How Do I Know if I Need a Sinus Lift?

A sinus lift is necessary if there is not enough bone in your upper jaw to accommodate a dental implant. Without adequate bone volume, an implant could end up penetrating the sinus and lead to complications. A few reasons why you might not have enough bone for a dental implant include:

  • You have naturally large sinuses

  • You are somewhat up in years (the sinuses tend to enlarge with age)

  • Your tooth loss occurred a long time ago, and your body has resorbed part of your jawbone, causing it to become thinner

  • Periodontal (gum) disease has damaged the bone


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