A Story About Undergoing an Implant Procedure with Sinus Surgery

| A Story About Undergoing an Implant Procedure with Sinus Surgery |

Hello, this is Seoul Centum Dental Clinic.

As I conduct implant consultations every day,

I often think I should write more blog posts about

sinus lift surgery.

These days, people often come in thinking about

implant brands and bone grafting,

but I feel that information about the maxillary sinus is lacking.

Seeing is believing,

today I will explain it simply

by showing you an actual case.

2023. 8. 25

2024. Consultation Details

This patient came in from the start for an implant consultation,

and fortunately, it was not a difficult case.

However... this patient said that during dental treatment,

they had a strong gag reflex,

so it had been difficult to receive treatment in daily life.

In such cases, I make a note in the treatment chart in advance

and pay extra attention,

so I remember that we were able to finish everything well,

from diagnosis to treatment.

🦷Current Condition & Treatment Plan🦷
(1) Current condition🔹 Left small molar broken, and the adjacent molar is also in poor condition🔹 Lower molars missing on the right and left sides
(2) Treatment plan🔹 Upper jaw: implant treatment with sinus surgery🔹 Lower jaw: decided to think it over more and proceed later

2. Implant and Sinus Surgery Process

🦷Treatment Sequence🦷
✅Extraction of the upper left molar✅CT scan to accurately determine the position of the maxillary sinus✅Vertical sinus surgery + bone grafting + implant placement✅Prosthetic restoration

2023. 9. 12

The lower molars had already been lost,

so implant treatment was needed,

but the patient wanted to proceed with the upper side first,

so we planned implant placement after extracting the upper teeth.

In particular, before placement and sinus surgery,

a CT scan was taken to check the exact position of the maxillary sinus

and the implant placement site.

3. Sinus Surgery Progress

2023. 9. 12

We planned to place implants in the upper left premolar and molar areas,

but this was a case with insufficient placement space.

Therefore, we proceeded with implant placement with sinus surgery

and bone grafting.

What is a vertical sinus lift?

After making a small opening at the site where the fixture,

which corresponds to the tooth root, will be placed,

the membrane surrounding the air-filled space called the maxillary sinus

is carefully lifted to create space for placement.

It is called "vertical" because the membrane is lifted vertically.

2023. 12. 26

We allowed time for enough gum bone to form,

and the patient returned about 3 months later.

Fortunately, it was forming well,

so we decided to proceed with making the prosthesis.

If you look at the X-ray,

you can see that the fixture has integrated well with the bone

and has been placed stably.

Here, we placed a one-piece fixture that does not require a second surgery

and immediately proceeded with prosthesis fabrication.

2024. 1. 24

The prosthesis was also stably fitted.

Of course, at first it was temporarily attached,

and there was a period of use to see how it worked.

Considering how severe the gag reflex was,

the implant placement with sinus surgery

was all completed successfully.

For people like this, using a one-piece fixture that does not require a second surgery

and reducing the number of treatment visits is very helpful.

4. Results of the Implant with Sinus Surgery

2023. 8. 25 / 2024. 01. 24

The prosthesis was attached with temporary cement,

used for about 10 days,

and then permanently bonded to finish the treatment.

The lower side also needed treatment,

but because it was difficult for the patient to receive dental care,

they decided to return later for that part.

A sinus surgery is not necessarily difficult

because it is performed at the same time as implant placement,

so it is relatively less burdensome.

However, you may worry about the cost and side effects,

so next time I will explain those parts

in an easy and honest way as well.

If you have any additional questions,

please feel free to contact us anytime. Thank you.

This post was written in compliance with the Medical Service Act.

All treatments may have side effects, so sufficient consultation with medical staff is necessary.