Inflammation in the gums spread to the nose? - Sinus Lift + Bone Grafting

YES! SMILE!

Hello,

This is Yesmir Dental Clinic in Godeok-dong, Seoul.

Today, we’ll introduce a treatment case of a patient who visited us due to severe pain and inflammation:

“maxillary sinus perforation and bone grafting treatment case.”

If a tooth feels loose and the gums often swell,

it may not be a simple problem.

As in this case, inflammation can also spread to the maxillary sinus,

so an accurate examination and early treatment are especially important.

📍 Condition at the time of visit

The patient came in saying that the upper and lower teeth on the left side were loose,

and that the gums were swollen with severe pain.

After performing panoramic and 3D CT scans for a detailed examination,

👉 the left upper maxillary sinus (the air cavity beside the nose)

was filled with inflammation,

and a significant amount of bone had also been lost.

💡 What is the maxillary sinus?

The maxillary sinus is an empty space located beside the nose,

where air circulates

and it should normally remain empty.

However, inflammation that began at the root of the tooth

spread into the maxillary sinus,

and this space had become filled with inflamed tissue.

⚠️ If left untreated because there are no symptoms,

the condition can progress to the point where ENT surgical treatment is needed.

Therefore, early detection and treatment are very important.

Example photo

🦷 Extraction & bone grafting & implant diagnosis

Because the condition was severe, the left upper #25, 26 teeth needed extraction,

and there was almost no bone left

for implant placement.

In particular,

the buccal bone (the bone on the cheek side) had been significantly lost due to inflammation,

and the maxillary sinus (upper bone area) was also perforated

due to inflammation.

After sufficient consultation with the director,

we planned to proceed with bone grafting surgery and implants at #25, 26, 27, 37.

🛠️ Surgical process

🔹1. Removal of inflamed tissue, extraction

After tooth extraction, the inflamed tissue was removed.

Inflammation in the maxillary sinus area was also removed,

and about 5 ml of maxillary sinus inflammatory tissue was removed.

🔹 2. Sinus lift + bone grafting

Because there was almost no bone in the maxillary sinus area,

we performed a sinus lift, bone grafting, and guided bone regeneration together.

Depending on the patient’s bone condition and the characteristics of the surgical site,

the surgeon selects the appropriate bone graft material

and performs the graft safely.

From material selection to the grafting method,

careful decisions are made.

In the patient below,

because the bone condition was poor,

a sinus lift was performed to create space for the graft material,

and bone grafting was done to fill the bone completely.

To help the graft material settle firmly,

guided bone regeneration with a membrane was also performed,

and implant placement was completed on the same day.

Implant placement with bone grafting and guided bone regeneration

🔹 3. Recovery and progress

Two weeks later, the stitches were removed.

At this stage, there may be areas around the gums that look yellow.

Many patients worry, asking, “Is this inflammation?”

but this is not inflammation; it is a normal part of gum healing.

The yellowish color comes from fibrous tissue or a white blood cell response during wound healing,

and is part of the natural recovery process.

⚠️ However,

if you feel warmth or if the pain or swelling worsens,

please contact the clinic.

If action is taken early, recovery can go more smoothly.

The usual healing period for upper implant treatment is 4 months,

but because this case involved a substantial amount of bone grafting,

a longer recovery period was needed.

After about 6 months, we confirmed that the bone in the upper jaw had become sufficiently firm,

and completed the implant.

Left: before treatment, Right: after treatment

✅ This is how bone graft treatment is performed at Yesmir Dental Clinic

Accurate 3D diagnosis to assess inflammation and bone condition

Avoid unnecessary extractions; proceed only when truly needed

A customized recovery plan is established based on the patient’s condition

If you are afraid of dental treatment, sedation dentistry (conscious sedation) is also available

💡 If you have these symptoms, be sure to get evaluated!

✅ If your gums swell frequently and hurt

✅ If you feel unusual symptoms around an old prosthesis

✅ If you have a pressing pain in the upper molar area

✅ If you have a history of maxillary sinus surgery

👉 Because the maxillary sinus is close to the nose, treatment in this area often requires highly difficult surgery.

This is why accurate diagnosis and extensive experience matter.

Yesmir Dental Clinic

2nd Floor, Building A, Gangdong U1 Center, 26 Godeokbizvalley-ro, Gangdong-gu, Seoul

2nd Floor, Building A, Gangdong U1 Center, 343-2 Godeok-dong, Gangdong-gu, Seoul

For reservations and inquiries,

☎️ 02-427-2875 or

💬 please leave a message through the Kakao Channel anytime!

🔔 This post is not intended to encourage a specific procedure or guarantee its results.

This content is health information created to help you understand the dental treatment process,

and treatment methods and progress may vary depending on each patient’s oral condition.

An accurate diagnosis and treatment plan must be determined after consultation with medical staff.

This case was posted with the patient’s consent.