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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.

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