Sinus lift the upper jaw tooth implant. What is it, a video, the transaction price, complications, reviews

Dentists are able to restore the lost teeth and upper jaw return chewability via an operation such as sinus lift. It will help those people who have exhausted its own jaw bone and there is no way to put the implant.

What is a sinus lift

Sinus lifting the upper jaw - an operation that required those in which there is a lack of bone in the upper part of the jaw. The shortage of this tissue, as well as atrophy occurs in those cases where due to lack of teeth there is no load on a certain part of the jaw.

As a result of tooth removal procedure may occur resorption of alveolar bone, and then it is almost impossible to put the implant, which would become a full-fledged replacement for a tooth.

Sinus lifting helps to return the patient's ability to chew food properly. The operation involves building up bone tissue, followed by the return of all functions. The procedure is not possible if the bone tissue is depleted too far.

The principle of operation is as follows - the new "foundation" built up on the site of the depleted tissue, which in the future will be installed implant. This is a very serious operation, and it requires a professional approach, so to the hospital to be treated the selection very seriously.

Sinus lift can be performed under general or local anesthesia. The operation is performed only on the upper jaw, which is a mucosal surface is connected to the nasal tissues.

types of operations

Sinus lift is 4 types, which differ from each other:

• Open - the most difficult and the volume operation aimed at restoring the functions of the upper jaw.
• Closed - a more gentle procedure. It is assigned to the case where the patient's own bone height of 7 to 9 mm.
• Bladder - the method is somewhat similar to closed. In this kind of a plus - the implant can be installed immediately after the operating activities. Filling the bone mass occurs through the catheter with a balloon filled with a special liquid.
• Ultrasonic bio-lifting - the technique of today. This type of sinus lift is improved, only natural substances used therein. The operation is performed gentle way.

Each of the different types of cost, complexity, and the way of performing.

Use in implantation

Sinus lift is performed in cases when a person, for whatever reason, there is no tooth weakens and thins bone tissue. Together with this lowered bottom wall of the maxillary sinus. Because of this, install the implant becomes problematic - without building artificial bone can damage the sinuses.

Is implantation possible without the sinus lift

Such an operation as a sinus lift when it is proper and professional execution gives a really good result. Of course, there is another way of implantation - is the construction of the zygomatic implants (basal).

However, such a procedure is suitable in cases where the jaw was very badly damaged, for example, as a result of any injury. resection may be required in these cases.

Such a method is also preferred by those who are not so important appearance. Then malar implants may be appropriate, but it is worth noting that it has special indications. Sinus lift, in contrast to this method gives a more aesthetically pleasing result.

Indications and contraindications

Sinus lifting the upper jaw is recommended primarily for those who have no teeth. This takes into account only the absence of the upper jaw.

Other indications for surgery include:

• absence of posterior teeth of the maxilla, which led to a decrease in alveolar bone and "resorption" bone;

  

• anatomical features (maxillary sinuses location near the mouth), which may not be associated with atrophy;
• lack of bone tissue;
• a small quantity of bone, because of which the implant can not be set, since it is impossible to fix on anything;
• when the diagnosis showed that the patient's bone depleted by more than 10 mm.

Survey results are available in advance maxillofacial surgery. After considering them, he concludes, whether to carry out the operation capacity of bone or not. Such an operation as sinus lift, also has its contraindications.

Occupational therapists will never carry out the operation, if available, as it can only exacerbate the situation and harm humans.
Contraindications are divided into those that the patient can remove, and then try again, and those under which operation is impossible.

For quite quickly eliminate contraindications include:

• lack of hygiene of the oral cavity, the presence of plaque and caries;
• gum disease;
• cysts;
• infection.

These problems can be resolved, and then re-apply to the doctor and have sinus lift.

But there are also reasons for the surgeon refuses to perform the procedure:

• poor blood clotting (caused by illness or medication intake);
• violation of regeneration in the body;
• During treatment of cancer (chemotherapy, radiotherapy and others);
• recent myocardial infarction, and other heart disease;
• swelling in the neck and head;
• AIDS;
• idiosyncrasy of medicines, including anesthetics.

No doctor is also not to agree to any operation when the patient is in a state of alcohol or drugs, then there is insane. When carrying out an operation such as sinus lift, it is important to remember about the cleanliness of devices, facilities and implants. In the mouth it is very easy to carry infection, and the consequences will be very grim.

What is the difference of open and closed sinus lift

What type of operations apply - open or closed - it depends on the degree of bone depletion in the place where it will have to increase. If the thickness is 7-8 mm and the method is used indoors.

It is more accurate and painless. The liquid, which will replace the bone is moved inside through a small incision, there will also be installed implant. Then thicken the bottom of the maxillary sinus.

When the thickness of the bone in a certain place less held open surgery. And the gum is cut from the side of bone mass is introduced by lifting the cut parts. After the procedure closed with stitches and the patient goes through the recovery period.

Materials used

When it comes to artificial increase appears that the material used in the procedure will not be accepted by the body and will soon be cut off.

For a sinus lift it is especially important, as it comes to the patient's jaw and restore chewing ability. Therefore, physicians use the patient's own bone during surgery, tissue sinuses, and as incremental material may be used as follows:

• own bone of the patient, which is taken from the chin or mandible;
• bone taken from a dead person, and having undergone;
• bovine bone which has passed the processing and purified from the protein and organic substances;
• a synthetic material similar to the bone tissue.

In addition these materials are used mineral complexes.

preoperative

Sinus lift - the operation on the upper jaw, in front of which inspection and put assays must be performed. This is to ensure that the operation went well, did not cause any complications, and the material has not been cut off. Qualitatively conducted a survey guarantees the effectiveness of the procedure.

visual inspection

Dentist holding a visual examination of the patient. First, he drew attention to the condition of the teeth and oral cavity in general. Also examination includes assessment of lymph nodes cervical and sublingual card, color, which can give some diseases, mucous.

X-ray examination

An X-ray prior to sinus lift is required.

Snapshot maxillary helps determine the features of its structure, but also consider the maxillary sinus for pathological conditions.

In addition, with the help of X-rays is determined by the general condition of the bone.

laboratory examination

For the operation of sinus lift necessary to hand over a blood test.

With the help of a laboratory blood test can determine whether or not flows in the body inflammation, if all is well with clotting, infection if available.

Also mandatory is the determination of blood Rh factor, levels of sugar (diabetics operation is carried out a little differently, so it is important to clarify in advance whether it is possible at all of the procedure), and the presence of AIDS hepatitis A. Through analysis, the presence of syphilis.

All of these tests are needed to determine the condition of the patient, if he normally undergo surgery.

As extends maxillary surgery

Sinus lift the upper jaw can be performed in several ways. All of them are carried out under general or local anesthesia.

Private method

Closed sinus lift is performed as follows:

1. In the spot where the implant will then be set to make a small incision shaped like a cylinder.
2. The wall of the maxillary sinus is moved down with the surgical devices.
3. The hole injected prepared bone material, and then the implant.

In the closed method seams are not used.

Public method

Complicated operation, which takes place in several stages:

1. Desna incision, and under it constitute a cavity, where then will also be a small detachment of the bone.
2. Using surgical instrument change sinus wall - it is lifted.
3. The resulting hole is filled with bone mass through-cut the gum.
4. Delamination bone returned after the operation.

The operation ends with sutures to the gum-cut.

bottled method

Somewhat similar to the private method is carried out as follows:

1. Place for the implant form a special drill bit with limiter. For further manipulation through tissue and bone directly to the maxillary sinus is done opening.
2. At the appropriate place and the balloon catheter is inserted and pressed to the bottom wall of the maxillary sinus.
3. Introduced balloon filled rengenokontrastnym material. When the balloon is inflated, the mucosa of the upper jaw is peeled, thus freeing space for the bone mass.
4. The hole mass is introduced.

As with the closed method, immediately after the introduction of bone substitute implant inserted.

Ultrasonic bio sinus lift

Ultrasonic operation performed as follows:

1. In the operated producing blood samples and isolated therefrom regenerating substance.
2. When a substance has been allocated, it is concentrated.
3. Incised gingiva of the upper jaw, thereby obtaining access to the maxillary sinus.
4. In this place it is introduced bone mass and concentrated regenerating compound derived from human blood.

After the implant procedure set immediately.

Whether sinus lift is dangerous and whether to do it

The operation is dangerous if it conducts a layman. Also, damage may be caused during the operation itself, since any surgery - is always a risk. Hazards include contraindications, which were not accounted for, the presence of incompatible with diseases operation.

By itself, the sinus lift is safe, beneficial from an aesthetic point of view, makes it possible to deliver the implant immediately. In this operation, sufficient advantages and the important thing is what doctor will conduct it.

Possible consequences

Even if the sinus lift by highly doctor who knows about the peculiarities of the patient's body, and all the necessary studies have been performed, there may be complications. But the risk of their occurrence is relatively small. Complications may occur during the surgery itself.

These include:

• mucosal damage (rather easily corrected, this may occur when not enough good review);
• entering infection (occurs when a surgeon is not enough experienced);
• structural features from the patient, which hamper the smooth conduct of the operation.

Other complications manifest themselves after the surgery:

• appearance of rhinitis or chronic sinusitis;
• swelling of the maxillary sinuses;
• Breakthrough mucosa;
• liquid withdrawal defect of the sinuses, sinusitis rarely develops;
• nosebleed;
• purulent appearance in the oral cavity and maxillary areas as a result of inflammation;
• the mobility of the implant.

If you notice any unpleasant consequences you must immediately contact the doctor who performed the surgery. This must be done within the first 2 days, a second operation will be carried out otherwise.

Recommendations after sinus lift

The recovery period will be easier and faster if you accept all the recommendations of the attending physician in mind. Particular attention is paid to the reception of medicines that prevent the penetration of infection, accelerates regenerative processes.

In addition they may be required to use disinfecting ointment and pain relievers. Course duration and dosage prescribed by doctors, and they must be observed.

Other recommendations include:

• purification of the operated portion disinfecting means after a meal;
• compulsory oral hygiene (important only use a brush with soft bristles);
• medication prescribed by a doctor.

If you suspect the occurrence of complications, you should immediately seek medical attention.

When sutures are removed

Wound healing after sinus lift occurs approximately 6-7 days after surgery. Patient fully recovered after 3-4 weeks.

There are 3 types of sutures, which is applied to the gum dissected:

• single seam;
• supports;
• continuous.

edema can also occur at the operated site, which is kept from 7 to 10 days.

Do I need a re-sinus lift and when it is done

Sinus lifting the upper jaw can be repeated no earlier than 5-6 months. after operation. If suddenly the patient was the rejection of the implant, surgical intervention can make ahead of time, but such cases are very rare.

Before re-operation of the patient is also being examined (analyzes, X-ray, and others). With the help of X-rays is determined whether there is a person of pathological processes, and assess the bone in the right place.

What not to do after surgery

There are a number of things that you should not do after sinus lift:

• of flying;
• play sports (this applies to all types);
• eliminate sudden movements;
• not sneeze and cough with a closed mouth (mouth must be held ajar, gently covering a handkerchief or tissue, it is done in order to offset did not occur);
• do not eat hot and cold food;
• take small sips of liquid, do not use a straw.

To avoid bleeding and unpleasant consequences, it is important to listen to the recommendations of experts.

cost of

The cost of operation will depend on the type and the materials used:

View	Price
Closed	15000-30000 rubles.
Open	35000-60000 rubles.

The price includes the cost of the sinus lift, survey and the materials to be used.

Sinus lift - quite an expensive procedure to restore the maxillary teeth, but effective, suitable for almost everyone. However, it should not be the result if you do not take care in advance about the choice of clinics and specialists.

Registration of the article: Mila Friedan

Video of the sinus lift

How to make the sinus lift: