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Sinus Lift (Sinus Augmentation

A sinus lift is a common surgical procedure to provide sufficient bone under the maxillary (upper jaw) sinus for dental implant placement.

Ridge Augmentation:

Socket Preservation:

Sinus Lift (Sinus Augmentation)

Sinus Lift:

Elevates the sinus floor to create additional bone space in the upper jaw.

Sinus Augmentation:

In many cases, the upper back jaw lacks sufficient bone in both quality and quantity to support dental implants. This is especially true in instances of:

How It Works:

The sinus is gently lifted, and new bone is added to make the area stronger.

Healing takes 4–12 months, but implants can sometimes be placed at the same time.

Why It’s Great: This simple step ensures your implants stay secure and last a lifetime, all with little discomfort.

Ridge Modification:

Bringing the Jaw Back to Life

Why It’s Needed:

Bone loss from gum disease, dentures, or injuries can make it hard to place implants and affect your smile.

How It Works:

The gums are carefully opened, and the area is filled with bone material to rebuild the jaw.

Healing takes 4–12 months, but sometimes implants can be placed right away.

Why It’s Worth It:

It restores your natural look and ensures your implants are strong, functional, and built to last.

How can a sinus lift procedure help?

Many people who have lost the back teeth in their upper jaw do not have enough bone for implants to be placed. Sinus lift procedures offer the possibility to create sufficient bone under the sinus to place dental implants towards the back of the upper jaw. The bone is added between your jaw and the sinuses. The timeframe from this procedure to dental restoration varies from six to 12 months, but can be longer.

The sinuses in the upper jaw are air-filled spaces lying next to the nose, above the upper premolar and molar teeth, and below the eye. The bone inside the sinuses is lined by a thin membrane. This lining is raised or ‘lifted’ in sinus lift procedures to create space for bone and dental implants. Sinus lifts are performed either before or at the same time as implant placement.

What types of sinus lift procedures are available?

There are two main groups of procedures based on the amount of existing bone at the planned implant site:

1a) External approach without existing bone

Grafting material will be added from the cheek side of your sinus to raise the membrane. The dental implant will not normally be placed until the bone has healed, and you will need another surgical procedure for this.

1b) External approach with some existing bone

Grafting material will be added from the cheek side of your sinus to raise the membrane. Your dental implant can be placed at the same time.

2) Internal approach with some existing bone

Your sinus will be raised by gently tapping through the implant preparation site in your mouth. Grafting material might be pushed through the implant preparation site and your dental implant will be placed at the same time.

 

What grafting materials are used in sinus lift procedures?

Bone grafting materials from yourself, other human, animal, and synthetic sources are available. The graft material creates a scaffold for your own bone to grow into. This process may take four to 12 months.

What are the risks of sinus lift procedures?

In normal healing, you should expect:

pain to be controlled with simple painkillers such as ibuprofen and paracetamol

bruising over the cheek and spreading over lower jaw

to feel better after stitches are removed in 10 days’ time

swelling to be at its worst after two days

to feel back to normal after two to three weeks

Problems that may happen straight away

Problems that may happen later

Problems that are rare, but serious

Minimising the risks

What will happen if I choose not to have a sinus lift procedure?

Conventional dental implants may not be possible towards the back of the upper jaw. Sinus lift surgery is completely elective and, after considering the possible alternatives (see below) the decision to proceed is entirely yours. Your dentist will discuss all the options to replace your missing teeth again including a denture or a bridge, and the option of no tooth replacement, so that you can decide how to proceed.

What alternatives are available?

The most common alternatives to sinus lifts include the following.

A shorter implant

  • This requires enough bone to be available without needing a sinus lift.
  • The risk of implant failure increases as the implant length decreases.
  • Multiple short implants might be an alternative.
  • Although the success rates are good, the risk of complications is potentially higher with shorter implants compared to those with longer implants placed in sinus augmented sites.
01

Fewer implants which are placed further forward

  • This either replaces fewer teeth on a bridge fixed onto the implants, or replaces teeth on a removable denture that clips onto the implants.
  • The sinus lift is avoided but you may need grafting around the other implant sites.
  • Fewer implants usually mean more biting and chewing forces happen through the implants, which can potentially lead to more frequent complications of both the bridges/dentures and implants. This can be particularly difficult if you have a heavy bite or clench or grind your teeth.
  • Angled implants might be placed next to your sinus to avoid a sinus lift and can be restored with removable dentures or fixed bridges in your mouth.
  • These implants have similar survival and success results compared with conventional implants after five years.
02

Bridges fixed on adjacent teeth

This approach includes either gluing directly onto the adjacent tooth or teeth (resin bridges), or filing down the adjacent tooth/teeth for crowns (conventional bridges). The decision is based on the length of the span, the quality of available tooth structure on the adjacent teeth, the bite, and the root canal/pulp status. Usually only one or two teeth can be replaced on a bridge.
03

Dentures

If implants and bridges won’t work for you, your missing teeth can be replaced on a removable denture. Dentures should be removed after eating for cleaning, and should not be worn overnight.
04

Zygomatic and pterygoid implants

These are placed into facial bones that lie behind the upper jaw. They are long and angled so that they enter the mouth for restoration on either removable dentures or fixed bridges. The surgery is more complicated compared with conventional dental implant placement and not all surgeons can provide it.
05

No tooth replacement

If there are sufficient functional teeth in the mouth it might be better to accept the gap.
06

How should I prepare for sinus lift procedures?

Eat and drink as normal before procedures with local anaesthetic and sedation.

Take your usual medications.

Take the same painkillers you would take for headaches, e.g. Ibuprofen, before the sinus lift.

Bring any retainers your dentist gave you to wear during your scan before the sinus lift.

Arrive by your allotted appointment time.

Most sinus lift procedures are performed with you awake using local anaesthesia to numb the area. Sedation with local anaesthetic, or use of general anaesthetic, are used only when surgery will be difficult or when multiple procedures are required.

The procedure may take 45 minutes to two hours to perform depending on the complexity. We might give you antibiotics just before the sinus lift. You will not need to arrange an escort to take you home unless sedation or general anaesthetic is used.

Asking for your consent

We want to involve you in all the decisions about your care and treatment. If you decide to go ahead with treatment, by law we must ask for your consent and will ask you to sign a consent form. This confirms that you agree to have the procedure and understand what it involves.

Staff will explain the risks, benefits and alternatives before they ask you to sign a consent form. If you are unsure about any aspect of your proposed treatment, please do not hesitate to speak with a senior member of staff.

What happens during a sinus lift procedure?