All treatmentsABOUT THIS TREATMENT
Sinus lift
Bone augmentation near the sinus may be considered when bone height is limited in the back of the upper jaw. An examination and 3D imaging help assess the need.
In the back of the upper jaw, the sinus lining is gently lifted and bone graft material is placed beneath it. The aim is to restore the bone height an implant needs.
Key facts
- When it is needed
- When bone height in the upper back teeth area is not enough for an implant
- Techniques
- Lateral (side window) or crestal (through the implant site)
- Planning
- 3D CBCT: remaining bone, sinus lining, septa, blood vessels
- Anaesthesia
- Local; sedation if needed
- Implant
- Same session or separately once the graft has matured
- Price
- approx. 500 AZN per side, 1000 AZN for both sides (confirmed after examination and 3D CBCT)
QUESTIONS & ANSWERS
Your questions, answered.
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The procedure is done under local anaesthesia, so pain is not expected during it, although you may feel pressure and movement. In the first days swelling, a small bruise on the cheek and a little blood-tinged discharge from the nose are possible; these are expected reactions. Discomfort in the following days usually settles with the medication your dentist prescribes.
In the lateral technique a small window is opened in the bone wall on the cheek side; it gains more height, so it is chosen when bone loss is significant. In the crestal technique the sinus floor is raised through the implant site itself; it is less invasive, but the height gained is limited and it usually needs around 6 mm of remaining bone. 3D CBCT measurements decide which is used.
It depends on whether the remaining bone can hold the implant firmly at the start. If it can, the sinus lift and implant are done together and overall treatment is shorter. If there is very little bone, only the graft is placed first and the implant goes in at a separate visit once the material has matured. In both cases the final teeth are not fitted straight away, because the implant needs time to bond with the bone.
Do not blow your nose hard, and sneeze with your mouth open. For a while avoid drinking through a straw, playing wind instruments, diving and heavy physical exertion. Take the prescribed medication as directed, keep the area gently clean and avoid smoking. The graft matures over months, not days; your dentist sets the exact timing using a follow-up X-ray.
Acute sinusitis, untreated chronic sinus disease or polyps first need an ENT specialist's opinion. Uncontrolled general health conditions, a history of radiotherapy to the head and neck, certain medicines that affect bone, poor oral hygiene and untreated gum inflammation may also mean the procedure has to wait. Active smoking is a separate risk factor that is discussed at the consultation.
The most common complication is a tear in the sinus lining. In most cases it is managed during the operation itself, and sometimes the procedure is postponed. Other possible problems include infection, a flare-up of sinusitis, loss of part of the graft and prolonged swelling. Most of these risks are reduced by careful case selection, precise 3D planning and following the aftercare instructions.
Not every bone shortfall needs a sinus lift. If the remaining bone is above a certain threshold, a short implant may work, and sometimes an angled implant that bypasses the sinus is an option. In a fully toothless jaw, concepts such as All-on-4 place the back implants at an angle. The choice depends not only on the amount of bone but also on the number of teeth, the bite and the planned prosthesis.
STEP BY STEP
From first visit to a new smile.
Knowing what comes next helps you feel more at ease.
STEP 01 / 04
Meet and examine
At your first visit, we discuss your health, expectations and questions. An examination and, when needed, 3D imaging help us assess your starting point.
We listen
We listen to your wishes and assess your oral health.
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YOUR FIRST STEP
Let’s talk about your smile.
Ask your questions and let’s plan a convenient appointment together.