Sinus elevator
Sinus elevator is a light surgical procedure to increase the amount of bone in the upper jaw after a tooth extraction and before placing an implant. It is used when there is a lack of bone tissue in the jaw and also when the maxillary sinus cavity is close to the implant site.
In some cases, bone augmentation is not possible, so our surgeons select a separate treatment for each patient. For example, they prescribe a prosthesis without a sinus elevator.
Reasons for a tooth implant without bone augmentation
In what cases can a specialist place a prosthesis without a sinus elevator?
- Restoration of one tooth if the alveolar ridge is within normal size. This rules out the possibility of an irregularity in the maxillary sinus.
- Placement of a denture in an area where the degree of bone destruction is small.
- Replacing multiple teeth due to multiple defects. Implantation for varying degrees of atrophy.
- Dentition of the upper jaw. Implant inserted in mild, moderate and severe stages of bone atrophy.
It is impossible to insert one implant in the moderate and severe stage of tissue destruction, so osteoplasty is compulsory.
A patient may refuse a bone augmentation for several reasons:
- a small budget for implant placement;
- reduced traumatization;
- fear of surgical procedures.
If indicated and requested by the patient, the surgeon may exclude osteoplasty from the treatment plan. However, it is not always possible to place an implant this way.
Types of implant placement
In order to implant an artificial structure into the bone, several techniques are used. The situation is more complicated if there is an initial stage of bone reduction and osteoplasty is undesirable. In this case, the implantologist must choose a method based on indications.
- To place an artificial orthopedic structure inside the posterior wall of the maxillary sinus.
- Fix the prosthesis inside the frontal part of the bone, bypassing the maxillary sinus.
- Fix the implant in the distal portions of the maxilla where the bone thickness is greatest.
- Place a mini-implant.
Many innovative solutions have emerged in the clinical guidelines of dentistry that allow an implant to be placed without osteoplasty. For example, All-on-4 and basal (one-step) implants. They are used for partial or complete missing teeth in the upper jaw. The advantage of these methods is the ability to instantly load the dentures.
All-on-4
All-on-4 is an implant technology, which is a metal structure and four prostheses. It is used when there is a lack of all teeth on the upper jaw, insufficient amount of bone tissue. The device allows the implants to be fixed tightly, with proper positioning.
How is the installation of the structure carried out?
- Two implants are implanted in the frontal area parallel on both sides.
- Two tilted prostheses are placed in the lateral regions, parallel to each other.
- A one-piece metal structure is placed on top of the implants. It makes the apparatus rigid, unites and secures the implants.
Before the system is created and placed, the patient is referred for a CT scan. It can be used to get information about the condition of the bone tissue, to determine the points of implant placement. The possibility and speed of engraftment of the prosthesis depend on the digital modeling.
The all-on-four method allows implantation without osteoplasty, with a high survival rate and good predictability of the treatment outcome.
Technology of basal prosthesis implantation
Basal implantation is a technology that allows implants to be securely fixed in the jaw arch even when there is minimal bone volume. The effectiveness of this method is due to the use of implants that are made in the shape of a cone and have a cylindrical thread. Thanks to this, the construction is easily and quickly placed even in the cortical plate of the bone (the hardest part).
The distance between the microthreads is wide, which improves the implantation process. During implantation, bone repair begins. The tissue fills in the areas between the screw threads, firmly securing the prosthesis.
Indications for basal implant technique:
- fragmentary, complete reconstitution of the dentition;
- significant loss of bone tissue;
- advanced periodontitis, periodontal disease;
- inability to perform a sinus elevator due to contraindications.
Basal implantation does not provide for osteoplasty. The prosthesis is placed deep into the bone tissue, where atrophy is excluded: cortical and basal, zygomatic bone.
Denture implantation without sinus elevator - where to go
Tooth implantation is a surgical procedure, so the ability to minimize the amount of manipulation is a big plus. Placing a tooth without bone augmentation has a number of advantages.
- Treatment time. Manipulation time is significantly shorter without osteoplasty. More often than not, a single-stage implantation of the prosthesis is performed.
- Number of manipulations. Surgical treatment is performed according to a small protocol - there is no bone grafting, no opening of the gingiva over the prosthesis during the placement of the abutment.
It is important to understand that a sinus elevator involves several interventions, and it will not be the best solution for every patient.
The technology of tooth implantation without osteoplasty was invented relatively recently. Therefore, the surgeon-implantologist must understand all the intricacies of the field, constantly learning new techniques, to implement them in practice. Our dental clinic employs such specialists.
We use innovative technologies and provide treatment according to international dental protocols. We constantly update our technical base in order to provide modern, high quality services to our patients.
Non-sinus-lift implants provide safe and comfortable treatment in a single appointment. Make an appointment with us by phone or through the form on our website.
At the first consultation, the doctor will tell you in detail about which teeth need to be treated first, about the condition of your gums and about which design you need to choose in order to fill in the missing teeth.
About what actions and manipulations need to be carried out. Learn how to take good care of your mouth so you don't have to go to the dentist as often as possible.
After discussing the above aspects, your dentist will draw up a treatment plan, guide you by the stages, timing, cost of the upcoming treatment, make, if necessary, computer diagnostics of the teeth and make an appointment for you at a convenient time for you to start treatment.
It is worth restoring a lost tooth as early as possible, because delaying such a process can lead to unpleasant health consequences and undesirable costs in the future.
Patients who seek help for tooth loss too late unwittingly start the process of destruction of other adjacent teeth, because the load during chewing is not evenly distributed.
Dental implantation is one of the most reliable and effective procedures that allows you to restore one or more teeth.
The method of dental implantation is now very popular, because it helps patients to restore lost teeth both in the upper and lower jaws without grinding pine teeth, which is always carried out during prosthetics (crowns).
With implantation, the number of lost teeth does not matter. Dental implantation is considered to be the only right way out of care for everyone, because the healing rate of implants today is over 99%!
