Sinus lifting, also known as sinus elevation, is a procedure performed when the maxillary sinus membrane in the upper molar region tends to sag following tooth loss in that area. This process involves elevating the sinus floor, which is then supported with bone grafts to create a stable foundation for implant placement.
Sinus lifting involves placing bone grafts, commonly referred to as bone powders, between the jawbone and the elevated sinus floor. The procedure is performed under local anesthesia and can be carried out using two techniques: open sinus lifting and closed sinus lifting.
Open Sinus Lifting:This method is preferred when a greater amount of bone formation is required, typically in cases where bone height is less than 4 mm. Under local anesthesia, a small opening is made through the gum, bone graft material is placed, and, if deemed suitable, the implant is inserted during the same session. In cases of extreme sinus sagging, the sinus floor is elevated, grafting is performed, and the procedure is completed, with implant placement scheduled for a secondary operation once sufficient bone density has been achieved.
Closed Sinus Lifting This technique is used when there is more than 5 mm of existing bone. The implant is placed during the same session, offering a time-saving advantage. Under local anesthesia, the sinus floor is carefully elevated in a block-like manner using devices called osteotomes.
After a sinus lifting procedure, avoid eating or drinking until the effects of local anesthesia have completely worn off. To prevent sensitivity in the treated area, refrain from consuming hot food and beverages for the first 24 hours. It is crucial to take any prescribed medications as directed by your doctor to ensure a smooth and pain-free recovery process. Avoid actions that may exert pressure on the operated area.
Refrain from smoking entirely for the first 24 hours, as nicotine in cigarettes constricts blood vessels, potentially hindering blood flow and tissue healing in the surgical area. In the longer term, limit smoking to no more than five cigarettes per day. Applying cold compresses can help manage swelling in the affected area. Maintain your regular oral hygiene routine consistently to support the healing process.
