What is a Sinus Lift?
Insufficient bone volume in the upper jaw is one of the conditions that complicates implant treatment. Sinus cavities sag and thinning of bone tissue are common, especially in the posterior upper jaw, where the molars are located. In such cases, a sinus lift is a surgical procedure performed to create sufficient bone thickness for implants.
The goal of this procedure is to elevate the floor of the maxillary sinus cavity in the upper jaw and place a bone graft underneath. This rebuilds the bone volume required for the implant. The procedure is usually performed under local anesthesia using either an open or closed technique. The method chosen depends on the patient’s existing bone structure.
This procedure, which is extremely safe when performed by experienced hands using advanced technology, plays a significant role in increasing implant success. It also contributes to the long-term preservation of dental health.
What Causes Upper Jaw Bone Loss?
The loss of bone tissue in the upper jaw over time can occur for a variety of reasons. This can be particularly accelerated after tooth loss. Below are the main factors that influence this process:
Osteoporosis after tooth loss
Natural teeth create constant pressure and stimulation on the jawbone. This stimulation maintains bone tissue’s vitality. However, when a tooth is extracted, this stimulation is eliminated, and the bone tissue begins to resorb over time due to lack of use. Bone loss can reach significant levels, especially if the missing tooth remains untreated for an extended period.
Enlargement of the sinus cavities over time
The maxillary sinuses, located at the back of the upper jaw, have spaces that can expand with age. As the sinus cavity sags, the bone height required for implant placement decreases. This can hinder implant planning and necessitate a sinus lift.
Staying without implants for a long time
Prolonged absence of implants after tooth loss leads to further weakening of the bone tissue. As bone volume decreases, there is insufficient support for the implant. This makes surgical intervention in the sinus area inevitable. Unless intervention is initiated early, the procedure can become more complex, both in terms of bone density and sinus position.
In Which Situations Is Sinus Lift Required?
This procedure becomes necessary if, during implant planning, sufficient bone volume is not determined in the posterior region of the upper jaw. This can be particularly true in areas where molars are missing, leading to insufficient bone height due to the sagging sinus cavities. In this case, the sinus cavity must be elevated and a bone graft must be performed to ensure implant stability and longevity.
Additionally, sinus lifts may be necessary in cases where implants have been previously placed but lost due to osteoporosis. This provides a suitable basis for a second implant placement. Radiological imaging and three-dimensional tomography allow precise measurements of bone volume, and the appropriate technique is determined.
How is a Sinus Lift Performed?
This surgical procedure is performed in cases with insufficient bone volume in the posterior region of the upper jaw. The goal is to elevate the floor of the sinus cavity and place bone graft in this area. The procedure can be performed using either an open or closed technique. The preferred method depends on the patient’s bone thickness and the position of the sinus.
Open sinus lift (with surgical window)
This method is preferred in cases with very little bone height. A small window is created in the sinus area by opening the gum. The sinus membrane is gently lifted through this window. A bone graft is placed in the opened space. If necessary, an implant is placed a few months after this procedure. When performed correctly, long-lasting and successful results can be achieved.
Closed sinus lift (at the same time as implant)
This method is preferred if the bone volume exceeds a certain level and is thick enough to ensure implant stability. The sinus membrane is accessed through the implant slot and the membrane is pushed upward. Both the graft and the implant can be placed simultaneously. This technique is less invasive and has a shorter recovery time.
Adding volume to the sinus floor with bone graft
The primary goal of both techniques is to elevate the sinus floor and fill the space with bone graft to encourage new bone formation. The graft materials used can be natural or synthetic. These materials are absorbed by the body over time, replacing natural bone tissue.
The procedure is performed under local anesthesia and typically takes 45–90 minutes. After the procedure, healing begins and the bone matures, creating a suitable environment for the implant.
Who is a Sinus Lift Suitable For?
This surgical procedure is particularly suitable for individuals requiring implants in the posterior region of the upper jaw but with insufficient bone volume. If a tooth has been lost for a long time and the sinus cavity has sagged, this procedure can allow for implant placement.
Additionally, individuals who previously wanted implants but had to postpone treatment due to bone insufficiency can also benefit from this method. Open surgery can be considered for cases with bone density below 4 mm, while closed surgery can be considered for those with higher bone density.
High success rates are achieved in individuals who are in good general health, have no systemic diseases that could impede bone healing, and are able to limit their smoking. A detailed radiological evaluation is essential before treatment.
Recovery Process After Sinus Lift
After surgery, the body begins converting the implanted graft material into new bone tissue. This process varies from person to person, but is generally completed within four to six months. By the end of this period, the area has sufficient bone volume to accommodate implants.
In the first few days, you may experience mild swelling, nasal congestion, runny nose, or a feeling of facial tension. These symptoms are temporary and will quickly be brought under control by following your doctor’s recommended medication and care instructions.
During the first week after surgery, caution should be exercised when cleaning the nose, and pressure-producing activities such as blowing the nose should be avoided. It is also recommended to avoid hot drinks, strenuous exercise, and smoking.
Is Sinus Lift Surgery Painful?
Surgical procedures often evoke anxiety due to the fear of pain. Because this procedure is performed under local anesthesia, the patient feels no pain during the procedure. Because the treated area is numbed, only mild pressure may be felt. In some cases, mild pain may persist for a few days after the procedure.
This condition typically occurs during the initial phase of soft tissue healing and resolves quickly. Simple painkillers, as recommended by your doctor, are sufficient for pain management. With proper surgical technique and appropriate care, recovery can be quite comfortable.
Is Sinus Lift a Permanent Solution?
This procedure, applied to areas of the upper jaw that lack sufficient bone volume for implants, provides a long-term solution. During the procedure, the sinus cavity is elevated and a bone graft is placed underneath. This bone is then absorbed by the body and transforms into natural bone tissue.
Once healing is complete, the area becomes suitable for implants, and a permanent prosthesis can be placed. However, maintaining the bone volume also depends on the individual’s oral hygiene, smoking habits, and overall health. With proper care and regular checkups, this is a highly durable treatment.
Sinus Lift Reviews and Before-After Experiences
The majority of individuals who experience the procedure report experiencing mild facial swelling and nasal congestion afterward. These symptoms typically subside within a few days. Patients who adapt to the healing process can proceed with implants without any post-procedural complications.
Experience shows that this procedure offers a life-saving solution, especially for individuals who have been edentulous for a long time and who have insufficient bone for implants. Adverse experiences are often related to non-compliance with post-procedure guidelines or systemic diseases affecting the healing process.
Sinus Lift Prices 2025
Treatment costs can vary depending on whether the procedure is performed using an open or closed technique, the type of graft material used, the surgeon’s experience, and the complexity of the procedure. In some cases, implant placement may be combined with the procedure, so the total treatment cost is assessed as a combined total.
Exact pricing information can only be provided after a personalized consultation and consultation. Contact us today for sinus lift pricing.
Can Implants Be Placed Immediately After Sinus Lift?
The same procedure may not be applicable to every patient. In some cases, the healing process is expected to be complete after the procedure. This period typically ranges from 4 to 6 months. However, if the existing bone volume is sufficient and the closed technique can be used, implants can be placed in the same session as a sinus lift.
The physician makes this decision based on the results of the radiological evaluation. Both methods can yield successful results with appropriate patient selection.
Will There Be Nose Bleeding After Surgery?
The sinus area is closely connected to the nose. Therefore, it’s normal to experience a light nosebleed or bloody nasal discharge after the procedure. However, if you experience heavy, prolonged, or clotted bleeding, you should definitely consult a doctor.
In the first few days, any nasal cleaning should be done gently, and forceful blowing should be avoided. Direct pressure on the nose should also be avoided.
What Happens If the Sinus Membrane Ruptures?
Rupture of the sinus membrane during the procedure is a rare but possible complication. In this case, the ruptured membrane is repaired or the surgery may be postponed. Grafting can still be performed after the membrane is repaired, but in some cases, the procedure may be postponed until a second appointment.
If the membrane ruptures, the graft material may pass into the sinus cavity, increasing the risk of infection. In such cases, the doctor will closely monitor the process and take the necessary precautions.
Can Sinus Lift Be Applied to All Patients?
Not every patient is a suitable candidate for this surgical procedure. This procedure may not be recommended for individuals with sinus disease, active infection, advanced bone loss, connective tissue diseases, or systemic health problems. Smoking can also negatively impact the healing process.
A detailed clinical examination and radiological evaluation must be performed before deciding on treatment. The dentist determines the most appropriate method based on the patient’s general condition and oral structure.
What Should Be Considered After Surgery?
Hot drinks and foods should be avoided in the first 24 hours, and cold compresses should be applied.
The head should be kept high, sudden movements and bending forward should be avoided.
Do not blow your nose forcefully; sneezing should be done with your mouth open.
Smoking and alcohol consumption are strictly not recommended.
Hard and grainy foods should not be consumed, a soft diet should be preferred.
While brushing your teeth, you should be careful about the surgical area and avoid applying excessive pressure.
Medicines prescribed by the physician should be used regularly and check-ups should be attended on time.