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.
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 a number of months. Once the graft has matured, the implants can be placed.
The type and extent of a sinus augmentation procedure which an individual may need to consider implants is carefully studied using 3-D imaging. With this information your doctor will carefully explain the opportunity and limitations as well as risks of carefully adding bone to the floor of your sinus to give your implant(s) the highest probability of health and success.
The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option besides removable dentures.
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