The
procedure of surgically raising the sinus floor to increase the amount of bone
that decreases in order to implant is called sinus lifting.
Maxillary Sinus is the name given to the
anatomical cavities located on the upper jaw, close to the molars. The task of
these gaps is to provide noise generation and reduction of head weight. In
cases where the sinus cavities hang down, loss of bone volume occurs. These
bone losses can be seen as a natural physiological process, but if implant
treatment is planned, it can cause problems when sufficient bone height cannot
be achieved.
Sinus grafting is used to fill the sagging
sinus cavities and apply implant treatment to toothless areas. If implant
treatment is to be applied to a patient who has a decrease in bone volume due
to sagging of the sinuses, Sinus Lifting surgical intervention is applied
first. Sinus Lifting procedure is performed professionally in our Side Dental
Center clinic.
Open sinus lifting (sinus lifting, lifting) is
a procedure that is often performed in the dentist's chair under local
anesthesia. The sinus area to be removed is accessed through a small window
opened through the mouth over the gum in that area. After the sinus membrane
covering the inside of the sinus is raised to the desired level, bone powder
and grafting are applied to the created space and the area is closed with
stitches.
Sinus lifting is a painless, painless procedure
that takes about 45 minutes with local anesthesia. In cases with sufficient
bone volume, the implant can be applied in the same session and this procedure
extends the time by 10-15 minutes.
Closed sinus lifting technique is applied in
cases where the bone height in the jawbone is 4-5 mm or less. Under local
anesthesia, the sinus floor is broken with special tools called osteotomes and
the sinus is raised, and bone powder is placed in this cavity. Nowadays, this technique
can be applied more safely by using a device called magnetic malet instead of
osteotome. Even with this new device, magnetic malet, the closed technique has
become applicable even in 2-3 mm bone thickness. Generally, implants are placed
at the same time as this surgery. With the closed sinus lifting operation,
which allows implants to be placed at the same time, the treatment process can
be shortened by 6 months.
If implant treatment is to be applied to a patient
who has a decrease in bone volume due to sagging of the sinuses, Sinus Lifting
surgical intervention is applied first. With this process, sufficient volume is
created for the length and width of the implant that needs to be fully inserted
into the bone. After obtaining sufficient bone volume, implant application is
started. In implant treatments that require sinus lifting, it is extremely
important to perform the treatment of maxillofacial surgeons, who are experts
in the subject.
Sinus lifting is performed with local
anesthesia and general anesthesia. After this operation, which lasts for about
half an hour, mild pain may occur that can be relieved with painkillers. After
the completion of the procedure, the desired bone tissue is expected to form in
the area for a period of 4-5 months.
ü Since sinus lifting surgery is a
very sensitive and more complicated treatment than implant surgery, patients
should take extra care after this operation.
ü It is recommended that patients do
not smoke for at least 10 days, avoid situations such as sneezing and coughing,
and never close their mouths during this time.
ü After the operation, sports such as
running, football, volleyball and active activities such as dancing should be
avoided for a certain period of time.
ü Doing diving and getting on an
airplane should be avoided for at least 1 month, as it will cause pressure in
the sinuses.
ü Oral hygiene should be observed, and
the cleanliness of the operation area should be considered. Straws should not
be used in liquid beverages.
ü Spitting function should not be done
for 24 hours. This function will create negative pressure and cause bleeding.
ü After a sinus lift, it is
recommended that the patient does not bleed heavily and does not get water in
his nose.
ü Excessive heat and direct sun should
be avoided.
ü Teeth can be brushed 24 hours after
the operation.
Implants can be placed during the sinus lifting
operation, or implant placement can be done with a separate operation 3-6
months after the sinus lifting procedure. This selection determines the amount
of bone lost as a result of detailed examination, the amount of bone placed,
the sinus lifting surgery technique, the length of the area to be loaded, the
number of implants, length, and diameter.
