In order to place implants, there needs to be enough bone both horizontally and vertically. If there is not enough vertical bone for the implant, a sinus lift procedure may be indicated.
There are two types of sinus lift procedures.
The first is called an osteotome lift or a "mini" sinus lift. In this procedure, the membrane of the sinus is lifted with bone at the same time as the implant is placed. In order to perform this procedure, there needs to be a certain amount of bone already present. Traditionally this procedure is performed with a form of a mallot in an almost "hammer-like" manner to push the sinus up. It sounds painful, but most people will only complain of a mild headache. In our office, our method for this procedure is less traumatic. With our special "sinus crestal approach", we are able to perform the procedure without hurting the sinus membrane.
The second type of sinus lift procedure is the larger of the two. This procedure needs to be performed when there is very little to no bone remaining to place an implant. This procedure is very delicate and should not be rushed. During this procedure, we also use our Piezosurgery® system to aid in this process. Because of the control and tactile sensations that the system provides, it allows for the cutting of bone with virtually no risk to the adjacent nerves, blood vessels and sinus membranes. Sinus lift procedures in general have been proven to be safe and effective treatments. Using the Piezosurgery® system, as well as, a skilled touch, will make the procedure that much less traumatic.
With both types of procedures, sedation is not required. Our patients appreciate that they are able to go back to work in the same day, if they choose. Postoperative pain is also minimal. If you need a sinus lift procedure in order to place an implant, we would be happy to go through the process step by step.
This image is the piezosurgery cut:
This image shows the thermal damage from using a bur: