What is a sinus lift?
The maxillary sinuses are behind your cheeks and on top of the upper teeth. These sinuses are empty, air-filled spaces. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed there is often insufficient bone separating the maxillary sinus and the mouth. Dental implants need adequate bone height to hold them in place. When there is insufficient bone height, it is impossible to place dental implants in this bone.
The key to a successful and long-lasting dental implant is the quality and quantity of jaw bone to which the implant will be attached. If bone loss has occurred due to injury, infection or periodontal disease, a sinus augmentation or sinus lift can raise the sinus floor and allow for new bone formation. A sinus lift is one of the most common bone grafting procedures for patients with bone loss in the upper jaw. The procedure seeks to grow bone in the floor of the maxillary sinus above the bony ridge of the gum line that anchors the teeth in the upper jaw. This enables dental implants to be placed and secured in the new bone growth.
Am I a candidate for a sinus lift procedure?
A sinus lift may be necessary if you:
- are missing more than one tooth in the back of your jaw
- are missing a significant amount of bone in the back of your jaw
- are missing teeth due to a birth defect or condition
- are missing most of the maxillary teeth and require support for dental implants
How is a sinus lift accomplished?
Most commonly, an incision is made on the premolar or molar region to expose the jaw bone. A small, oval opening is created into the bone, and the membrane lining the sinus is pushed upward. The underlying space is filled with bone grafting material, most likely from bovine source. After the bone is grafted, the incision is sutured and the healing process begins. After six months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in the newly formed sinus bone.
If enough bone between the upper jaw ridge and the bottom of the sinus is available to sufficiently stabilize the implant, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then, six months after graft maturation, dental implant(s) can be placed.
The sinus graft makes it possible for many patients to have dental implants that previously had no other option besides wearing loose dentures.
A sinus augmentation is generally performed at Dr. Fatehi‘s office, with intravenous sedative medication.