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05.07.2015
Bone Grafts and Sinus Lift for Dental ImplantsWhat is a Bone Graft or Sinus Lift for Dental Implants?Dental implants are essentially artificial tooth roots that are placed into your jaw by Dr. A sinus lift is performed when the floor of the sinus is too close to an area where the implants are to be placed. There are a variety of techniques to enter the sinus cavity and elevate the membrane to enable implant placement. The sinus in entered from the side of the jaw, where a window is created and the membrane surrounding the sinus cavity is elevated and particulate bone is placed underneath it.
This technique is used when patients have at least 5 to 6mm of bone remaining between the ridge crest and the sinus floor. The benefit of this technique is that it provide an immediate implant, avoiding the 9 month waiting period required by the Lateral Approach. Expert periodontist serving Methuen, Lawrence, Lowell, Andover, and Haverhill, MA, along with Salem, Manchester, and Southern New Hampshire. For recently lost upper molar replacement where little bone grafting is needed, it’s possible that sinus lift and implant insertion can be performed at the same time. The most common reason for a sinus lift or other bone replacement procedure is for a dental implant. The key to a successful and long-lasting dental implant is the quality and quantity of jawbone to which the implant will be attached. In the most common sinus augmentation procedure, a small incision is made on the premolar or molar region to expose the jawbone. If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. A sinus augmentation is generally under local anesthesia with or without IV sedation or general anesthesia. Loss of posterior teeth may result in excessive forces being placed on your remaining teeth. A simple procedure allows the sinus floor to be repositioned, creating enough space to properly place an implant. Sinus augmentation procedures are highly predictable, with studies reporting over 95% success. The American Academy of Pediatric Dentistry recommends the first check-up with a dentist between the age of six to twelve months, with follow-up visits at every six months to monitor dental development and prevent dental disease. When upper posterior implants need to be placed the quantity and quality of bone is key for the success. Sinus augmentation has been shown to greatly increase your chances for successful dental implants that can last for years to come.


When bone volume has been lost, either due to wearing ill-fitting dentures, trauma, developmental defects, injury or periodontal disease, a ridge augmentation procedure may be necessary at the time of or prior to placement of dental implants. The scope of this procedure depends on the amount of bone needed, the size of the defect to be repaired, and the overall aesthetic demands. Advances in bone augmentation materials and procedures have resulted in significant improvements in success as well as significant reductions in complications and patient discomfort. If you are interested in more details on Dental Implants & Bone augmentaion , please click on the links below to download patient brochures in pdf-file. Tsai during a small surgical procedure, but they do require a certain amount of healthy and strong bone in order to be successful.
The sinus is an air filled cavity surrounded by a thin layer of tissue called the Schneiderian Membrane. Should you wish to get a dental implant, there may be insufficient bone to secure the implant screw. Otherwise the dental implant must wait until your own bone has sufficiently regrown; this can take up to 8 months. Dental implants require a strong and stable foundation to securely function just like a natural tooth. If bone loss has occurred due to injury or periodontal disease, a sinus augmentation can raise the sinus floor and allow for new bone formation.
If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Fortunately, the use of dental implants and crowns allow you to replace these missing teeth. Various grafting materials are used to encourage your bone to grow more quickly into the area, helping to stabilize the dental implant.
When possible, the bone remaining under the sinus floor is gently a€?pushed upa€?, thus lifting the floor of the a€?droppeda€? sinus. Following sufficient healing of a sinus augmentation (6-10 months), implants are placed in a predictable and successful manner. To achieve this, a child requires proper diet, consistent home care, and regular check-ups beginning at an early age. Traditionally this has been one of the most difficult areas to successfully place dental implants due to extensive bone loss and the close proximity to the sinus cavities.
The procedure(sinus lift) will allow raising the sinus floor, stimulating the growth of the patent’s bone and obtaining adequate bone height to successfully place the dental implants. Any recommended augmentation procedures are discussed thoroughly with the patient prior to surgery.


Not everyone has sufficient bone, as it can be lost due to disease, or may simply have been reabsorbed if the teeth were extracted quite some time ago.
Our dental professionals can asses your situation and give you an approximate timeline for your specific case. A sinus lift is one of the most common bone grafting procedures for patients with bone loss in the upper jaw.
The underlying space is filled with bone grafting material, either from your own body or from a cadaver.
Once the graft has matured, the implants can be placed.The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option besides wearing loose dentures. However, the position of the sinus in the upper posterior areas may be too low for proper placement of dental implants. It is important to realize that if the sinus augmentation procedure does not result in enough bone for implant placement, additional bone may be regenerated through a second sinus augmentation procedure at the time of implant placement.
This is allowed to heal and a waiting period should be established before restoring the implants. However, many times these procedures are critical to both a functional and aesthetic success. Some people may have healthy bone, but the shape and size of their jaw could mean there is not enough bone to support the implant.
9 months after, implants #2 & #3 were placed followed by abutment and crown 3 months later. A sinus lift quite literally ‘lifts’ the sinus cavity membrane and fills the resulting space with grafting material, thus increasing the height of the bone. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. 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. As dental implants have gained in popularity over the last decades, a sinus lift is now a commonplace procedure. By strengthening and growing bone in this location, dental implants can be placed and secured in the new bone growth. After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.



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