WHAT IS SINUS LIFTING?
There are some conditions required for a healthy completion of the operation in implant applications for the renewal of the teeth in the upper jaw. It is one of these conditions that the bone structure starting from the end of the jaw should have sufficient volume and density. In cases where this hard tissue does not meet the necessary conditions, the operation of dental implants cannot be started directly. Sinus lift sometimes called a sinus augmentation, should be applied in order to achieve success in the process.
Sinus Lift; It is a technique used to intensify existing bone in the jaw by surgical means or to provide new bone formation in places where it is seen missing. What is aimed with this technique is to create the bone with the required density and volume that will allow the dental implant to fully adhere. In other words, sinus lift procedure a must in some cases for the implant to be long-lasting and healthy.,
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What is the procedure?
It is a surgical intervention performed in a standard dental chair in a room, usually under local anesthesia. The sinus area is lifted at the desired level and made accessible by a small window opened from the mouth. After the desired increase in the sinus membrane covering the inside of the sinus is achieved, bone powder and grafting are applied to the created space, stitching and closing the area. By doing so, teeth in the upper jaw can be accessible for any dental implants with a high success chance.
There are two major types of sinus lift procedures that can be applied with desired conditions. The main point in determining what kind of procedure should be initiated is determined by the bone volume of the patient. If the bone in the jaw volume is above 4mm, a Closed Sinus Lift Operation preferred rather than an Open Sinus Lift Operation which is applied to the patient who has not bone volume above 4mm in their jawbone.
Open Sinus Lift Operation
It is preferred in patients who currently do not have a bone volume of more than 4 mm, only after that, the bone should be expected to reach sufficient density in order to perform implant application. Although this period may vary from patient to patient, it can be said that it takes an average of 6 months. After 3-6 months of waiting, if the Sinus Lift operation is successful, the bone structure is ready to accept the implant.
Closed Sinus Lift Operation
Closed Sinus Lift operation is preferred if the patient already has a minimum bone volume of 4 mm. Since it requires less bone grafting, the waiting time decreases in direct proportion. If there is no complication, implant application can be started after removal.
Difference between Closed and Open operation
Although they are applied under certain conditions that vary from patient to patient, the main difference between them is the time to wait until dental implant treatment. While it should take 3 to 6 months after the open procedure, this period is very short in the closed operation and days later or even hours later, the treatment can be started.
When Open Sinus Lift Cannot Be Performed?
Serious bone resorption is observed in patients with teeth withdrawn because of not performing implant treatments after years. This melting significantly reduces the amount of bone volume in the vertical or horizontal direction. After the removal of the teeth, the sinus cavity hangs down and extends to the top of the bone. In cases where the height of the upper jaw decreases, it is impossible to place an implant in the area where the sinuses sag. An open sinus lift procedure is not available for this application. Implants should be placed after 6 months.
First of all, a scan took place which will allow the doctor to accurately measure the height and width of your existing bone and to evaluate. After anesthesia, the gingiva is incised and the dental set flap is removed. The specialist dentist must have a good view and a comfortable working area in order to achieve success. In the jaw bone, a window is opened in accordance with the sinuses, which is the lateral wall of it. After the window is opened, the sinus membrane is stretched precisely before tearing and then lifted upwards.
The very thin sinus membrane may be subject to tears. To avoid this undesirable situation, the bone powder is placed in the cavity. The bone powder placed turns into bone within 6 months. The soft texture is closed with stitches and the bone height in the region is measured for sinus lift operation in the remaining bone in the upper jaw. For bone heights greater than 4-5 mm, the procedure is completed in the same session.
The aftermath of the Sinus lift
After this application, a tampon with serum should be bitten with teeth for 20 minutes to prevent bleeding. Plenty of care should be taken not to open the teeth. Gargle with salt water frequently. Hard and hot foods should be avoided and excessively hot baths should not be taken. If you had a closed sinus lift, your implant placement should be initiated without any delay.
Care and hygiene
It is very important to pay attention to the hygiene of teeth and oral health after sinus lift surgeries. The use of antibiotics, the use of drugs, ice application should be done as recommended by your physician. Pressure applied from the nose after the operation will also affect the sinuses. This pressure can put the transaction at risk. For up to 10 days, it is important that the patient behaves in a way that does not create pressure in the nose while sneezing or cleaning his nose. By doing that, gum tissue can be protected from any further complications.
What should be paid attention to after sinus lift?
After the sinus lift operation, food should be eaten with the other party for the first 24 hours in order to protect the wound site. After the procedure, you should not eat or drink anything for 2 hours, and then warm and soft things should be eaten. After the sinus lift operation, nose cleaning with pressure should be avoided and the mouth should be sneezed open. You should not smoke for at least 12-24 hours in order to protect the teeth. Afterward, a regular appointment should be arranged with required x-rays with the dentist to protect oral health and gums
Is it normal to have bleeding after sinus lift?
It is natural to have bleeding or pain in the form of leakage in 48 hours, the smell of blood, or taste blood in your mouth especially in gum, but consult your dentist in any suspected case. It is normal to have swelling after the surgical method also. In the first 24 hours, a cold compress should be applied to the operation zone from the outside via an ice pack. The medications recommended to you by your dentist should be used on time, without delay, and as described. Sutures should be removed on the 7th day following the operation. Any blood thinners should not be used, including aspirin. Consult your doctor in case of unexpected bleeding, swelling, and pain after the operation. Give some time to heal, and you will be just fine.
What are the points that people with permanent discomfort should pay attention to?
The most important factor in this matter is that the patient is under the doctor’s control. Apart from the dental cure, factors affecting the patient’s own quality of life should definitely be under the control of their own dentist. However, if these sufferers do not go to their regular check-ups, if they do not have their tests regularly, if they do not use their medicines regularly and if they do not brush their teeth regularly, it is already a problem for them.
Role of Smoking in Sinus Lift procedure
Smoking poses the main risk in terms of other problems in the recovery period and in gum problems that may occur later. It is recommended that people do not smoke if they care about their gum, especially during the recovery period. Afterward, the success rate is higher in non-smoking clients than in smokers. Moreover, smoking is known for its risk to damage bone structure and dental implants in teeth, so it should be avoided at any cost.
What should be considered when choosing an institution in applications?
It is a surgical operation more than anything. It is a more difficult operation than regular dental implants application. It is absolutely necessary to have an experienced, self-developed physician and skilled dentists. It can be costly due to the operation of surgery, though nothing can be compared to the health and oral health overall.
The efficiency of Sinus lift in Dental Implants.
Sagging develops due to factors such as anatomical factors and edentulism. Certain bone thicknesses and sizes are required for dental implants care. When there is prolapse, there may not be enough structure where the dental implants will be applied. In such situations, a surgical operation should be used to increase the bone. Sagging in the cavity and the condition of the bones can only be diagnosed with x-rays taken from the patient. It is not possible to determine the quantity of bone in the zone to be treated without x-rays. Thus, it is highly efficient in order to strengthen dental implants and recover any missing teeth situations.