The most common side effects of sinus lift
Sinus lift surgery, also called sinus augmentation or sinus bone grafting, is a procedure to increase the amount of bone in the sinus cavity to make room for dental implants. While this surgery can help patients with weak upper jawbones receive dental implants, the complications of a sinus lift should not be overlooked. In the case of open sinus lift, complications of sinus lift include perforation of Schneiderian membrane during osteotomy, which occurs in 20-25%. Apart from complications related to oral surgery (such as swelling or hematoma), there are certain complications in open sinus lift procedures that may occur less often (chronic rhinosinusitis, bleeding or ostium obstruction with overfilling), but nevertheless, sinus lift complications may jeopardize the survival of grafts or implants and cause considerable discomfort to patients. **Video of sinus lift surgery for implant implantation - Amitis Dentistry**
A closed sinus lift is a less invasive surgery that allows for transcrestal placement of implants in cases where there is sufficient residual bone height. However, it may also be associated with sinus lift complications, including perforation of the membrane, dizziness, and displacement of the implant into the sinus cavity. - **
Perforation of the sinus membrane:** One of the main side effects of a sinus lift is that the sinus membrane may be torn or perforated. This problem occurs if there is too much pressure during the jaw bone graft or if there is a need to properly assess the anatomy of the sinuses. If the sinus membrane is perforated, it causes problems such as sinusitis or movement of graft material into the sinus canal, which requires further surgery. To reduce this risk and depending on the size of the tear, an absorbable membrane or sutures are applied. If the wound is very large, the help of an otolaryngologist should be sought. Taking antibiotics is essential. - **
Sinus infection:** There is a possibility of getting sick after sinus lift surgery, like any other surgery. Even if sterile procedures are used, bacteria may still enter the surgical site and cause disease in that area or throughout the body. Sinus infection is one of the most common complications of a sinus lift. This condition manifests itself with various symptoms: the appearance of mass in the palate and nostrils, nasal obstruction, edema, loss of cranial nerve function, pain, numbness or loss of sensation. For treatment, a complete examination by a doctor is necessary, and antibiotics are prescribed (taking amoxicillin for 5 days). > Read more: The price of sinus lift surgery, the new price list
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graft failure :** Integration of the bone graft material with the existing bone is very important for sinus lift surgery. However, if there isn't enough blood flow, or if the surgery isn't done properly, or if the patient does something like smoke, doesn't control their diabetes, bone graft failure can occur. Additional grafting treatments may be needed to achieve the desired bone volume. - **
Implant failure:** One of the worst side effects of sinus lift is implant failure. Although sinus lift surgery allows the placement of dental implants, they are likely to fail after the surgery. Very low bone mass or failure to properly integrate the implant with the added bone can decrease its stability and shorten its lifespan. - **
Chronic sinus problems:** Some people may have long-term sinus problems after sinus lift surgery. Complications of sinus lift in this case appear in the form of sinus congestion or pain. By carefully studying the structure of the sinuses and performing the surgery with great care, the risk of sinus lift complications after the surgery can be reduced. > Read more: Difference between open and closed sinus lift
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Wound opening :** This complication rarely happens. When the dentist does not have enough skill in applying sutures, the sutures may open. The result is the loss of the filler. To reduce sinus lift complications, the patient is advised not to use his temporary prosthesis. Open wounds often allow air to pass between the nose and mouth. In this case, recovery is difficult and causes sinus infection. - **
Rejection of bone graft material:** The main risk during bone augmentation is rejection of graft material. When it comes to material taken from the patient's body, the risk of transplant rejection is lower. - **
Sinus epithelial cyst:** The onset time of this complication is very variable. It varies between 6 months and 50 years. This cyst can be fully recognized through panoramic photography and appears in a specific way. - **
Color change under the eyes:** This is one of the side effects of sinus lift that your eyes may show after surgery. But don't worry, it's not dangerous enough and your doctor will be able to fix it. Discoloration is caused by blood pooling from damaged blood vessels during surgery. - **
Migration of the graft to the sinus:** After the surgery, especially in the first weeks, the transplanted material can move towards the sinuses. This displacement occurs during sneezing. In the first weeks, it is recommended to avoid allergenic areas and certain pollutants that can cause sneezing. The migration of materials to the sinus is one of the most important side effects of a sinus lift. How to reduce the complications of sinus lift surgery
Most patients experience only minor discomfort after a sinus lift, and it is normal to have some swelling. Some people may have slight bleeding from the nose or mouth in the days after surgery. To reduce sinus lift complications, you should avoid finning after the operation. Sneezing is difficult to control, but you should avoid anything that makes you sneeze because it can move the bone graft material and may loosen the stitches, so be careful. > (In case of jaw and bone analysis, the dentist may use bone graft for dental implant.)
Your dentist may give you a saline spray to keep your nose moist. Prescribe medications to prevent congestion and inflammation. Timely and regular use of painkillers, antibiotics, and antimicrobial mouthwash is particularly important to relieve and prevent infection. Comprehensive pre-operative examinations include examination of the patient's medical records, sinus anatomy and bone quality. Advanced imaging techniques, such as cone beam computed tomography (CBCT), make it easier to accurately plan treatments and reduce the risk of complications during surgery. Only a skilled and experienced oral surgeon or dental specialist should perform sinus lift surgery. Attention to detail reduces the possibility of problems such as opening of the sinus membrane and ensures the correct placement of the graft. Educating patients and emphasizing issues such as smoking cessation, maintaining oral and dental hygiene, and follow-up visits increase the likelihood of success and reduce the risk of sinus lift complications. > English text:
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> "Infections and rejections from bone grafting are the main risks. And this is no small matter. This rejection can occur almost immediately after the transplant and even several years after. The consequences can be serious and lead to the death of the patient."
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> Farsi translation:
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> "Infections and rejection of bone graft are the most important risks of this method and this issue cannot be ignored. Graft rejection may occur immediately after surgery or even years later. Its consequences are very serious and in rare cases lead to the death of the patient."
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> quoted from anveli site
Effective factors in sinus lift side effects
Sinus lift may have long-term complications for the patient, but several factors and strategies affect the incidence of sinus lift complications. The influencing factors can be classified into three groups, which include preoperative evaluations, surgical technique, and postoperative care, which we explain further below:
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Preoperative evaluation:** A careful evaluation of the patient's medical history is very important to identify risk factors such as bleeding disorders, uncontrolled diabetes or immune system deficiency. Only patients with healthy sinuses should undergo this surgery. Identifying sinus diseases and problems before surgery (for example, chronic sinusitis) and solving them plays an important role in reducing complications. Sufficient bone density and volume is necessary to perform a sinus lift operation. The dentist should use advanced imaging techniques (such as CBCT) to assess the bone structure. In addition, smoking increases the risk of membrane perforation and infection. Patients should be advised to quit smoking before surgery. - **
Surgical technique:** The use of a sterile cover, adherence to infection control protocols and antiseptic solutions before surgery (such as chlorhexidine) minimizes the risk of infection. The high skill of the dentist in gently moving the tissues, the precise design of the flap and the use of piezoelectric surgery reduce the risk of perforation of the sinus membrane and bleeding. The more experienced the surgeon is and the faster the surgical procedure goes, the less likely complications such as bleeding are. > Read more: Care after sinus lift
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Post-operative care by the patient:** It is important to take prescription drugs such as antibiotics to reduce infection. In addition, the use of nonsteroidal anti-inflammatory drugs or prescribed pain relievers, cold compresses, and keeping the head elevated will help control swelling and discomfort. In 48 hours after the surgery, maintaining oral and dental hygiene by using prescribed mouthwashes helps to reduce complications. Reducing physical activities, using soft and watery foods, not lifting heavy objects, not swimming and not smoking are among the most important ways to reduce sinus lift complications. > If you face bone problems after sinus lift, full maxillary implant surgery can be a good option for jaw reconstruction.
Does a sinus lift change your voice? no Sinus lift surgery is performed in the upper part of the upper jaw and does not have any contact with the pink fibers. In some people, a change in voice may occur due to nasal congestion, which is also temporary, does not require treatment, and is resolved. > English text:
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> "With a success rate of up to 90%, sinus lifts rarely fail, which brings the failure rate to a 3-6% probability."
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> Farsi translation:
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> "The sinus lift has a success rate of up to 90% and rarely fails. The probability of failure reaches 3 to 6 percent."
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> Quoted from the site myimplantdentist
final word
In summary, although sinus lift surgery is a common procedure that significantly improves the success of dental implant placement, potential long-term side effects such as sinus infections, gingivitis, and more can still occur. The quality and quantity of bone in the patient's jaw, the location of the sinus lift surgery, the type of materials used during the procedure, and most importantly, the skill and experience of the surgeon, all affect the success rate of the procedure. Following the surgeon's recommendations, maintaining oral and dental hygiene, having a healthy lifestyle, and follow-up examinations help prevent and manage sinus lift complications.
