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5 Vale Parade, Kingston Vale, London SW15 3PS
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Sinus Lift Surgery Gallery

Below you can see images of Maxillary Sinus Lift Surgery carried out at our practice. Sinus Lift surgery becomes necessary when insufficient bone is available in the upper jaw back region for Implant placement. The Sinus lift surgery allows new bone formation in the sinus floor without damaging the sinus lining. The new bone formed can then support dental implant placement.

Please note the photos below contain images of blood and surgery, so please change the page if you dont wish to see such images.

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Case 1 (Sinus Lift Surgery)

Before After Sinus Lift Surgery - Lost all teeth disease/ decay This patient presented to us having lost all of his teeth through gum disease and decay. He decided to have full mouth rehab with twelve upper and lower implants followed by fixed bridges on top of the implants.
Before After Sinus Lift Surgery - Sinus lift implants In the upper back region, due to the proximity of the maxillary sinus and the resorption of the bone back there, it would be impossible to place implants without first doing a sinus lift.
Before After Sinus Lift Surgery - Raised gum flap maxillary sinus So we first raised a gum flap roughly outlining the access to the maxillary sinus.
Before After Sinus Lift Surgery - Sinus floor exposed bone The bone beneath the gum flap is then exposed and a window is cut in the bone leading to the sinus floor.
Before After Sinus Lift Surgery - Sinus visible The maxillary sinus is now exposed and the so the sinus lining becomes visible.

 

As you can see we lifted back the sinus lining gently without perforating it and separating it carefully from the sinus floor.

(Hence the name Sinus Lift Surgery)

Before After Sinus Lift Surgery - Sinus Bio-Gide membrane placed We placed a Porcine derived Bio-Gide membrane between the sinus lining and the floor of the sinus.

 

The Bio-Gide membrane isolates the region that we wish to bone graft and keeps the sinus lining back.

Before After Sinus Lift Surgery - Bio-Oss bone grafting granules placed We then placed Bovine derived Bio-Oss bone grafting granules into the sinus floor to build up the bone for the future implant placement.

 

The Bio-Oss promotes the patients body to lay down more of his own bone into the sinus floor.

Before After Sinus Lift Surgery - Separating gum flap bone granules We then stretched the Bio-Gide membrane over the Bio-Oss bone granules and so this action separates the gum flap from the Bone granules below.

 

The Bio-Gide membrane will resorb in a few weeks but in the mean time allows the bone granules below to solidify and take a solid shape.

Before After Sinus Lift Surgery - Surgical flap closed The surgical flap is then closed and sutured back together with resorbable sutures.
Before After Sinus Lift Surgery - Six months closed surgical site The closed surgical site is left to heal for around 6 months to allow the patients own bone to replace the Bio-Oss granules.

 

The patient can then have a dental implant placed in that region, into freshly laid down bone.

10 days later …

Before After Sinus Lift Surgery - Surgical site after ten days You can now see the surgical site after ten days.

 

The surgical site on the left of the picture has healed very well.

The patient had no pain or symptoms.

Before After Sinus Lift Surgery - Surgical site increased substantially Compare the bone on the two sides of the jaw.

 

You can see that the bone on the left surgical site has already increased substantially in width compared with the right side of the picture.

case to be continued…

Case 2 (Sinus Lift Surgery)

Before After Sinus Lift Surgery - Sinus wall removed/ lining exposed This patient did not have enough bone in the upper posterior region and so for implants to be placed, he needed a sinus lift.

 

Here you can see the maxillary sinus wall is removed and the sinus lining exposed.

Before After Sinus Lift Surgery - Sinus lining bone grafted To protect the sinus lining, a Bio-Gide resorbable membrane is placed between the sinus lining and the area to be bone grafted.
Before After Sinus Lift Surgery - Bio-Oss bovine replacement material placed Bio-Oss bovine derived bone replacement material is placed between the sinus wall and the Bio-Gide membrane.
Before After Sinus Lift Surgery - Bone scraps mixed Bio-Oss The Bio-Oss is mixed with some of patients own bone scraps.
Before After Sinus Lift Surgery - Bone graft over period The surgical site is sutured back together with resorbable sutures.

 

The bone graft will be left as it is for 6-9 months and in this period, the patients body will replace it with patients own bone.

After 6-9 months implants can be placed in this region.

10 days later …

Before After Sinus Lift Surgery - Surgical site healed sutures abosorbed The sinus lift surgical site has healed very well.

 

The remaining sutures will resorb over the next few days.

Testimonials

  • Dear Mr. Tehranian

    Amelia

    I just wanted to say thank you for my Invisalign treatment. I am really happy with my teeth now.
    March 2011
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    Daniella

    just a big thank you to you all.. had my dental work carried out yesterday and am so happy with the results!

    The dentist was brilliant and really helpful, offered alternatives to the treatment I originally thought I thought I needed (and cheaper, not ripping me off as other professionals would!) The whole service was very goo, questions and emails always answered and the online chat service was a big help too so thanks!

    Looks awesome and am VERY happy.. I would recommend to anyone considering cosmetic dental treatment!
    December 2011
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    Charlotte from London

    A colleague recommended the Pearl Dental Clinic to me and I am very impressed with the service I received. The treatment options were carefully explained and I was advised on the most suitable procedure rather than the most expensive. When it came to perfecting my newly fitted veneers Dr Vahid Motahar was not satisfied until these were perfect. The staff are friendly and competent and I would not hesitate to recommend the clinic.
    Nov 2008
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    Lee Henderson

    For as long as I can remember I have hated my teeth and smile so decided to seek help. I found Pearl Dental on the internet and arranged an appointment. I was initially very nervous but Dr Vahid explained all my options and showed me examples of options available. I decided that lumineers were best for me. After a few more consultations and teeth whitening at home I was ready to have my 6 lumineers fitted in April. The process was relatively pain-free and in under 3 hours my smile had been transformed. My new 'smile, has not only had a positive cosmetic effect but also a mental effect - I feel happy when posing for pictures, talking to clients etc.

    Dr Vahid and his team are truly wonderful and treated me with the most care and attention. Nothing seemed to be a problem and the time and consideration taken not just operating on me but talking to me is something I have never experienced with another dentist. This is the start of I hope a great relationship with the clinic. Thank You!

    Best wishes
    January 2011
  • Dear Mr Motahar,

    Stephanie Wilson

    Last April you performed miracles on my teeth and transformed them with a seemingly simple procedure involving fillings on the bottom of the front four top teeth. i just wanted to let you know that I am still uttterly delighted with my new smile and it remains as good as ever over a year later. Thanks again for the work that you did.

    Yours sincerely,
    October 2009
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    Adam Callow

    I came in on Saturday 31st October 2009 and had my teeth zoom whitened by your dentist Harshdeep Kaur. I just wanted to say thank you very much for the way I was looked after. It was a very professional service and I will recommend your services to all of my friends.

    Even though I am not local to the area your prices were very reasonable and you have saved me around £200 if I was to have gone to my local dentist. My teeth are now so much whiter! Thank you very much!

    Best wishes,
    November 2009
  • Dear Dr. Ehsan Esfahani

    Jennifer

    I would just like to thank you for the excellent treatment I had at your clinic with Dr. Ehsan Esfahani recently.

    I didn't use your recommended endontist in Harley St as this was rather a long way to travel. I did however use Dr Fiona McMichan in Farnham Surrey, tel 01252 726766. I received first class treatment at her clinic and would have no hesitation in recommending her to others. I don't know whether it would be useful for you to keep her details for other patients who live nearer this area Kind regards Jennifer

    TY
    Oct 2011
  • Dear Vahid and team

    Katie Prested

    I have had a truly fantastic experience at Pearl Dental Clinic. I have had three white fillings, a teeth cleaning and a lingual frenectomy carried out. Dr Vahid Motahar carried out all of this treatment in the most gentle way and therefore the whole treatment was virtually pain free. I am now very happy with my healthier teeth and mouth. I would like to say a big thank you to the fabulous Dr. Motahar and his team.
    July 2011
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    Matt Di Giorgio

    I am writing to provide feedback on my recent visits to Pearl Dental Clinic. I have been visiting Dr Motahar for a number of different treatments ranging from a simple hygene appointment to a crown fitting. I would like commend Dr Motahar for his excellent work - i am a very satisfied customer. What is perhaps most notable is his balance of technical excellence and patient relations.

    I would be happy to recommend Dr Motahar's services to anyone seeking a high standard of practical or cosmetic dentistry.

    Kind regards
    November 2009
  • Dear Madam/Sir,

    Niyi from East London

    I am delighted with the work done at the Pearl Dental Clinic and wish to express deep gratitude and thanks to Dr Mohsen Esfahani, Dr Dejan Dragisic and the staff at the clinic.

    Upon finding Pearl on the web I was immediately impressed by the professional highly informative website. After putting through the first tentative email hoping for an appointment I was again pleasantly surprised by the swift response, examination and commencement of work. The administrators at the clinic are polite, patient, professional, understanding and welcoming as are the dental support staff whose chair-side work is precise and efficient.

    I presented in late 2010 with quite upsetting dental problems. Dr Mohsen Esfahani has a manner that immediately puts one at ease. He shows and talks concisely through what he has seen, discusses a range of options and explains their pros and cons. Just being treated as an intelligent adult rather than a mouth that needs working on is very pleasing. His considerate and thorough manner is to be highly recommended and his dental work is beautiful, caring tooth restoration. My other, more surgical work, was done by Dr Dejan Dragisic who like Dr Esfahani I cannot praise enough. He is another warm, patient specialist who empathises with his patient and explains the procedure to be done and what to expect then works to produce results that are essentially beautiful and highly functional dental solutions.

    Another thing, probably of much importance to anyone visiting a dentist, is I found even the most involved procedures were relatively painless. The anesthetic system the clinic uses does indeed help make things comfortable.

    For the first time in years, thanks to the dentists at Pearl Dental Clinic, I can actually give a full and confident smile. All in all I have no hesitation in recommending the Pearl Dental Clinic and my faith in them is such that I would travel for hours for an appointment rather than go elsewhere.

    12 November 2011
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    Peter from New Malden

    Shortly before Christmas last year I was in severe pain with toothache. Unfortunately due to some unpleasant experiences I had not been to the dentist regularly for some time. My usual dentist was unable to see me urgently but after some research on the internet I found Pearl Dental Clinic. I phoned at once and actually spoke to Dr Zahra Esfahani who was able to see me almost immediately.

    Since that first visit I have undergone a course of treatment which has improved the condition and look of my teeth including cleaning and the fitting of a denture. The Pearl website states that Dr Zahra Esfahani is a specialist with nervous patients I can confirm that this is definitely the case and that I will now be seeing Dr Esfahani regularly, she has restored my faith in dentists! I cannot recommend Pearl Dental highly enough.

    Thanks
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    Sue

    Once more I am so grateful for my treatment today (10th August) The two front teeth you so painlessly removed, replacing with a small temporary plate, have given me absolutely no pain or discomfort whatsoever. My mouth feels completely normal with no pain killers needed at all.

    No one believes that I have had anything done. You provide such a kind, caring and excellent service for us "whimps", I dread the day that you move on or need a change of venue. Thank you so very, very much.
    August 2010
  • To Dr Ghazanfar Taqvi,

    Mrs. Jacqueline Smith from Warwick

    Thank you so much for removing my two wisdom teeth on Sunday.

    It will bring me great relief from all the pain I have suffered over the past few weeks. I can't thank you enough!
    August 2011