What is the elevator sinus?
Open sinus lift surgery is the classic procedure that dentists use the most. The entire sinus lift procedure is performed under local anesthesia, after which the gum is cut on the lateral side of the upper jaw, pushed aside in the sinus area, and an entry is made on the bone. Then, through this hole, the doctor reaches the mucous membrane that covers the inner sinus, which is also called Schneider's membrane. After that, using special surgical tools, the dentist carefully lifts the sinus mucosa and pours bone material there without damaging Schneider's membrane. After the operation, the wound is sutured. It is necessary to wait about 4 to 6 months until the bone tissue is completely formed, then the implant is installed. > English text:
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> "The most commonly used material used in sinus lifts is called Bio-Oss. This artificial sterilized bone comes from cattle and is treated to make it safe for use in humans."
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> Farsi translation:
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> "The most common material used in sinus lift is called Bio-Os. This sterilized artificial bone is obtained from cows and undergoes a special process to make it safe for use in humans.
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> quoted from cuh site
Types of open sinus lift surgery and how to perform it
**(open sinus lift surgery video and implant placement in Amitis Clinic)**
Osteoplastic surgery of the maxillary sinus floor is a common procedure for dental implants. After a clinical evaluation, your dentist will tell you whether you need open sinus lift surgery or not. 3D CBCT scan is necessary to evaluate the condition of the jaw. Sinus lift surgery can be performed depending on whether the operation is performed on one side or on both sides of the jaw at the same time. (Humans have two sinuses: left and right). In case of complete edentulism (loss of all teeth), a double sinus lift is performed. The appropriate type of surgery is chosen by the dentist, who considers individual cases and characteristics. > After open or open sinus lift surgery, you may need bone for grafting, in which case the dentist uses (ramus bone graft) in the surgical site. Sinus lift surgery is performed with special instruments after careful medical examination, removal of contraindications and preparation, which includes treatment of oral and dental diseases and professional hygiene. The corresponding jaw area becomes numb. Local anesthesia is used more often than general anesthesia or sedation. Open sinus lift surgery is performed by separating the gum in the maxillary sinus protrusion area and carefully separating the soft tissues. Using special tools, a small hole is made in the bone. The doctor gently lifts the lining of the sinus in the middle and places a bone biomaterial. A special membrane is inserted or else the area is filled with an osteoplastic material. Then the soft tissues are sutured. Advantages and disadvantages of open sinus lift surgery
### In what cases is open sinus lift surgery required? Open sinus lift surgery is used to strengthen the maxillary sinus before implant placement in patients who have experienced sinus pneumatization (increasing the volume or filling the sinuses with air) due to premature extraction of upper molars. In cases where the length of the remaining bone is from 0 to 6 mm, it is not suitable for placing the implant and it is not enough for the initial stability of the implant, so it is necessary to perform sinus lift surgery and strengthen the sinus with different bone grafts (alloplast, allograft, autogenous). ### Cause of bone loss and open sinus lift surgery
The most important reason for open sinus lift surgery is bone atrophy and insufficient bone height for successful implant placement. Bone atrophy, or bone loss, which is the inevitable result of tooth loss, is common in most people. > Short base implant can be a suitable alternative for those whose jaw and sinus conditions are not suitable and who are afraid of sinus lift surgery.
When chewing is not done and the jaw is not pressed to the required extent, the bone thinning process dominates the bone formation. For this reason, patients are advised to undergo prosthetic restoration immediately after tooth extraction. The causes of bone loss and the need for open sinus lift surgery are:
- Premature loss of molars
- Lack of bone in the posterior area of the jaw
- Traumatic injuries (happens as a result of physical damage to the head). - Oral diseases that the person has experienced in the past (osteomyelitis, periostitis, tumors). - Individual anatomical features
The recovery period of open sinus lift surgery
After the sinus lift procedure, your gums may be swollen for a while and you may have bleeding from your nose or mouth. Pain is controlled with simple pain relievers such as ibuprofen and acetaminophen. The swelling is at its worst after two days. You experience bruising on the cheek and its spread to the lower jaw. > In patients who suffer from a decrease in bone height due to complete maxillary edentulousness, performing a sinus lift is the first step to prepare the jaw for *(full maxillary implant)*
The dentist will prescribe you antibiotics to prevent infection and anti-inflammatory drugs for swelling. A week later, the stitches will be removed and the dentist will check your healing progress. You will feel better within 10 days after the stitches are removed. You will be back to normal after two to three weeks. > English text:
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> "Depending on the material used in your sinus lift, it usually takes between four to nine months for the bone graft to integrate with your jawbone. Once the gum has healed, you'll be ready to have your implants placed."
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> Farsi translation:
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> "Depending on the material used in the sinus lift procedure, it usually takes between four and nine months for the bone graft to integrate with your jawbone. "Once the gums have healed, you will be ready to place your implants."
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> Quoted from the bupa website
### What activities are not allowed after open sinus lift surgery? - **Fining:** After the operation, do not fin, because in this case the membrane may tear and all the bone material can come out. - **Avoidance of some activities and activities:** If possible, avoid smoking, flying by plane, swimming and diving. Avoid overheating and hypothermia. - **Not playing with the mouth:** Puffing out the cheeks, sneezing with the mouth open, etc. is strictly prohibited. - **Observe these tips for 2 weeks:** Activities such as sauna or hot water bath, physical activities, blowing balloons with mouth and drinking with a straw are not allowed for 1 to 2 weeks after sinus lift surgery. Complications of open sinus lift surgery
All the doctor's recommendations must be followed carefully, otherwise there is a risk of complications. Tissue swelling and pain are the body's natural reactions to surgery. These reactions appear after the anesthesia wears off, intensify on the second or third day, and finally disappear. To eliminate these reactions, the doctor prescribes an effective medicine. If the symptoms worsen after three days and do not subside, it can be a sign of inflammation or a developing complication. > Sinus lift is performed to provide a suitable bed for implantation (*types of dental implants)* like long base implants
Complications include wound inflammation on the gums, pus formation, bleeding, suture rupture, maxillary sinusitis, high fever, bone graft rejection. Serious complications are very rare. If you experience unpleasant symptoms or signs that your doctor has not warned you about, you should visit the clinic for an examination. The formation of a small amount of fluid in the sinus is normal. Wound healing is associated with the formation of secretions. This can cause mild rhinitis and sinus congestion. There is no need to worry about these symptoms, but you should inform your doctor. Other possible side effects of open sinus lift include:
- Possibility of perforation of Schneiderian membrane
- Chronic rhinosinusitis
- Reduction of sinus volume
- The need for multiple surgeries
- Unpredictable results
### Which people should not do open sinus lift surgery? These people should not do sinus lift surgery. Performing this procedure is postponed during pregnancy, breastfeeding, acute viral and bacterial diseases. Care after sinus lift surgery
- You should not eat anything for two hours after the operation. It is also forbidden to consume spicy, hard and hot foods and drinks. You should not drink liquids through a straw. - After every meal, wash your mouth with a special antiseptic solution. - If you have removable dentures, try not to use them in the first 2 weeks after the operation. - During the first days, place your pillow a little higher than the body level to prevent bleeding. - Take the drugs prescribed by the doctor (anti-inflammatory, anesthetic and antimicrobial drugs). - Touching the affected area is not allowed. The recovery period lasts about two weeks. In the post-surgery period, it is necessary to follow the doctor's and dentist's recommendations to reduce the risk of complications and to recover faster. cost
The cost of an open sinus lift depends on the complexity of the operation, the size of the graft required and the type of material used. After reviewing a treatment plan, your dentist will provide you with detailed treatment costs. On average, the cost of sinus lift surgery is between 10 and 15 million Tomans. > Since sinus lift surgery is often considered part of the implant process, many patients have questions about *(implant payment with additional insurance)*. You will get answers to your questions by referring to this link. **final word**
An open sinus lift is a surgical procedure used to build bone tissue in the upper jaw in the area of the posterior teeth. This surgery is performed in cases where the patient needs an implant, but the jawbone is not thick enough. This procedure increases the bone for the placement of the implant base. A dentist and implant specialist is the best person to determine whether you need a sinus lift or not. After surgery, it is necessary to follow the doctor's instructions to minimize complications and speedy recovery.
