SINUS LIFT NORTH SHORE CHICAGO

SERVING LAKE COUNTY & COOK COUNTY

What is a Sinus Lift?
The maxillary sinuses are behind your cheeks and on top of the upper teeth. These sinuses are empty, air-filled spaces. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.
The key to a successful and long-lasting dental implant is the quality and quantity of jawbone to which the implant will be attached. If bone loss has occurred due to injury or periodontal disease, a sinus augmentation can raise the sinus floor and allow for new bone formation. A sinus lift is one of the most common bone grafting procedures for patients with bone loss in the upper jaw. The procedure seeks to grow bone in the floor of the maxillary sinus above the bony ridge of the gum line that anchors the teeth in the upper jaw. By strengthening and growing bone in this location, dental implants can be placed and secured in the new bone growth.
Am I a Candidate for a Sinus Lift Procedure?
A sinus lift may be necessary if you:
  • are missing more than one tooth in the back of your jaw.
  • are missing a significant amount of bone in the back of your jaw.
  • are missing teeth due to a birth defect or condition.
  • are missing most of the maxillary teeth, but require support for dental implants.
How is this Oral Surgery Accomplished?

In the most common sinus augmentation procedure, a small incision is made on the premolar or molar region to expose the jawbone. A small opening is cut into the bone, and the membrane lining the sinus is pushed upward. The underlying space is filled with bone grafting material, either from your own body or from a cadaver. Sometimes, synthetic materials that can imitate bone formation are used. After the bone is implanted, the incision is stitched up and the healing process begins. After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.

If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed. The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option besides wearing loose dentures.
A sinus augmentation is generally performed at the Drs. at NSOFS office, under local anesthesia. However, some patients also may request oral or intravenous sedative medication as well.

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SINUS LIFT

SERVING LAKE COUNTY & COOK COUNTY

SINUS LIFT
Pre-Operative General Instructions
  • Fill all prescribed medication at least 24 hours prior to surgery. If you have misplaced your prescriptions contact the office immediately. Please allow 24 hours for prescriptions to be called in to your pharmacy.
  • Please remember to take your antibiotic 1 hour prior to surgery (if instructed to do so). Follow the instructions on the label. If you have any questions, please contact the office.
  • Routine medications can be taken, but please confirm this with the doctor prior to your surgery day. If you are taking medications, please bring the prescription bottles with you.
  • If your health changes or your develop a cold, flu, or any other ailment during the week before surgery, please notify us immediately.
  • Please do not wear contact lenses, make up or nail polish on the day of surgery. Wear loose fitting clothes, short sleeve shirt with an open neck.
  • Please notify us immediately if you suspect that you are pregnant.
  • Consult with your medication specialist for more instructions. Click here for medication instructions.
Pre-Operative General Instructions
  • For IV Sedation Patients ONLY: Please DO NOT eat or drink anything 6 hours before your scheduled surgery time. You may take your prescribed antibiotics with up to ½ glass of water.
  • For Oral Sedation Patients ONLY: Please bring the prescribed sedative in the prescription bottle. DO NOT take the medication until instructed by the clinical staff.
  • You must have someone drive you to and from the office. Please have your driver remain in the office while you are undergoing treatment.
  • Your judgment and reflexes may be impaired following sedation or anesthetic. Although you may feel fully alert, you should not operate a vehicle, power tools, or any machinery for 24 hours following your procedure.
  • Make arrangements for an adult to be present with you the remainder of the day.
AFTER SINUS LIFT
The following information applies when upper back jawbone height or width have been lost. The graft is placed to help restore your jawbone in preparation for possible implant replacement of the missing tooth or teeth.
This procedure regains lost bone height in the back portion of your upper jaw. It is an important procedure as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus.
DO NOT UNDER ANY CIRCUMSTANCES BLOW YOUR NOSE OR SNEEZE HOLDING YOUR NOSE FOR THE NEXT FOUR (4) WEEKS.
Do not blow your nose or sneeze holding your nose. Sneeze with your mouth open. Do not drink with straws and do not spit. Scuba diving and flying in pressurized aircraft may also increase sinus pressure and should be avoided. Decongestants such as Dimetapp or Sudafed will help reduce pressure in the sinuses. You may also be given a prescription for antibiotics. Please take these as directed. Anything that causes pressure in your nasal cavity must be avoided. Avoid lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure. Smoking must be stopped. For the first 3-4 nights, sleep with at least 2 pillows (20-30 degree elevation) under your head.
Oral Hygiene
Keeping your mouth clean after surgery is essential to reduce the risk of infection. Start salt water rinses the day of surgery. Use one-half teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least four to five times daily and always after eating for the next five days.
When brushing, be very gentle. When expectorating, also be gentle. Do not use an electric toothbrush during the healing process.
We may prescribe an antibiotic rinse (Peridex) for certain procedures. This rinse should be used in the morning and at bedtime after routine mouth care. Do not eat or drink or rinse your mouth after using the medicated rinse. Using this rinse more than two times a day will cause staining of your teeth.
Smoking
Do not smoke for at least three weeks after surgery, if at all. As discussed at your consultation, smoking dramatically increases the risk of bone graft and sinus augmentation failure.
Wearing your Prosthesis or Nightguards
Do not wear anything that may put any kind of pressure on the surgical site.
Post-Operative Problems or Complications

As with any procedure, unexpected post-operative healing can occur. Please let us know if:

  • You notice the unexpected flow of air or liquids between your mouth and nose.
  • You experience sinus or nasal congestion 1-2 weeks post-op on the side your surgery was performed.
  • There is an increase in swelling in your mouth, cheek or under your eye after 3-4 days from the surgery date.

SWELLING: Swelling is often associated with surgery. It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on and twenty minutes off during the first 24 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed.

HOT APPLICATIONS: You may apply warm compresses to the skin over the areas of swelling (hot water bottle, hot moist towels, heating pad) for 20 minutes on and 20 minutes off to help soothe tender areas. This will also help decrease swelling and stiffness.

HEALING: Normal healing after tooth extraction should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling. On the third day you should be more comfortable and, although still swollen, can usually begin a more substantial diet. The remainder of the post-operative course should be gradual, steady improvement. If you don’t see continued improvement, please call our office.

It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office.

CONTACT NORTHSHORE CENTER FOR ORAL & FACIAL SURGERY AND IMPLANTOLOGY TODAY

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