Introduction
New York City is a bustling metropolis renowned for its cutting - edge medical and dental services. When it comes to nasal - related procedures, especially nasal root 埋线lifting (although this specific term seems a bit unclear, likely it may be mis - stated. We'll focus on relevant nasal and dental procedures in the area such as sinus lift), there are several institutions that stand out. Sinus lift procedures are of great significance in dentistry, especially for patients who wish to get dental implants but face issues related to insufficient bone in the upper jaw. In this article, we'll dive deep into the details of these procedures and the top institutions offering them in New York City.
What is a Sinus Lift?
Definition and Purpose
A sinus lift, also known as sinus augmentation, is a specialized bone - grafting procedure. When the maxillary sinuses (located on either side of the nose) are too close to the jawbone, there may not be enough space for the placement of dental implants. A sinus lift aims to move the sinus membrane upward, creating sufficient space to place a bone graft. This graft then supports the dental implant in the long run. For patients with bone loss in the upper jaw, which can be due to various reasons like periodontal disease, tooth loss, or injury, a sinus lift can prepare the jaw for successful dental implant placement.
Reasons for a Sinus Lift
- Bone Loss: With age, bone loss is a common phenomenon. In the jawbone area, it can occur due to periodontal disease, the natural resorption of bone after missing teeth, or as a result of accidents and other surgeries. The remaining bone may be too weak to support an upper molar implant, necessitating a sinus lift.
- Sinus Proximity: Some people have sinuses that are too close to the jawbone. For upper - jaw dental implants, more room is required for proper placement, and a sinus lift can provide that extra space.
How is a Sinus Lift Performed?
External Sinus Lift
Using advanced surgical techniques, the sinus lift surgeon makes an incision in the gum to expose the jawbone, usually in the premolar or molar teeth region. Then, a small opening is cut into the bone. This allows the surgeon to access and gently lift the sinus membrane on the other side of the window. By moving the sinus membrane away from the jawbone, space is created for the bone - grafting materials. Once the bone graft is completed, the graft needs time to integrate with the jawbone and heal before dental implants can be placed. In most cases, oral surgeons will place dental implants 6 to 9 months after sinus lift surgery.
Internal Sinus Lift
Patients with some bone but not enough to place a dental implant can benefit from an “internal sinus lift.” In this procedure, the oral surgeon places the bone graft under the sinus and a dental implant at the same time. Specialists like Dr. Stein and Dr. Koslovsky are among a handful of international experts capable of performing this procedure. The “internal lift” minimizes the risk associated with a full sinus lift and shortens the treatment time, as everything is completed in one step.
Bone Grafting Materials Used in Sinus Lifts
Autogenous Bone
In some cases, the surgeon may use the patient's own bone, harvested from either within the mouth or another area of the body, such as the hip or below the knee. This has the advantage of being a perfect biological match for the patient, but it requires an additional surgical site, which can increase recovery time and risk of complications.
Synthetic Materials
Synthetic bone - grafting materials are also commonly used. Dr. Stein and Dr. Koslovsky are among the select group of oral surgeons in the United States to use Infuse®, an advanced new bone - grafting material that uses a special protein to promote bone growth. Some synthetic materials imitate bone formation and can be effective in promoting the growth of new bone.
Use of Growth Factors
Surgeons may also use growth factors from the patient's own blood to help foster healing. These growth factors can enhance the integration of the bone graft with the existing jawbone, promoting a more successful outcome.
Popular Institutions for Sinus Lift Procedures in New York City
New York Oral and Maxillofacial Surgery
Dr. Mark Stein at New York Oral and Maxillofacial Surgery is highly skilled in performing sinus lift procedures. He is one of the few oral surgeons in the country to use Infuse®, an advanced new jawbone - grafting material. This material uses a special protein to promote jawbone growth, eliminating the need to harvest bone from another location in the body. As a result, patients are exposed to less anesthesia, and the complications of the sinus lift surgery are decreased. Dr. Stein may also use the patient's own blood to assist in the healing process. Patients can expect personalized care and a high - success rate for their sinus lift procedures.
Manhattan Periodontics and Implant Dentistry
Dr. Navid Rahmani at Manhattan Periodontics and Implant Dentistry is a nationally recognized periodontist and one of the best sinus lift specialists in New York City. He provides a full range of periodontal procedures, including sinus lift. The sinus lift surgery at this center is carefully planned, and every precaution is taken to ensure its success. A small incision is made in the gums to expose the bone, and the membrane covering the sinuses is pushed upwards. Artificial bone - grafting material, possibly containing special proteins to promote bone growth, is then used. Patients can have the procedure done under local anesthesia, and additional sedation dentistry services are also available if preferred.
SmilesNY Cosmetic and Implant Dentistry
At SmilesNY, board - certified periodontist Dr. Kevin Loshak can prepare patients for dental implants with a sinus lift. The sinus lift is a detailed surgical procedure performed in the office. An x - ray is taken during the consultation to measure the jaw and sinuses and determine the best course of action. If a bone graft is needed, it will be prepared. An incision is made in the gum, the tissue is lifted, the bone graft is placed, the sinuses are pushed higher, and finally, the incision is sutured. After the procedure, patients may be given a prescription for an antibiotic and pain reliever, and detailed after - care instructions are provided.
LES Belles
The specialists at LES Belles walk patients through the pre - and post - procedure care of their sinus lift. They understand that sinus lifts have a high success rate and that any dental surgery is an investment in oral health. They will determine if a sinus lift or an alternative procedure is right for the patient. They ensure that patients understand how the procedure works and when they can expect their follow - up dental implant(s). Patients can schedule a consultation to discuss their specific needs.
BiosNY
At BiosNY, sinus lift surgeries are commonly performed. A small incision is made on the premolar or molar teeth region to expose the jaw bone. A small opening is cut into the bone, and the sinus membrane is pushed upward. The underlying space is filled with bone - grafting material, which can be from the patient's own body or other sources, including synthetic materials. After the bone is implanted, the incision is sutured, and the healing process begins. Depending on the amount of bone available, sinus augmentations and dental implant placement can sometimes be performed as a single procedure or in separate steps.
Cost and Insurance Coverage
Factors Affecting the Cost
The price of a sinus lift procedure depends on several factors. The type of bone needed for surgery, the complexity of the case, the additional bone - grafting material, the size and shape of the treated area, additional procedures like x - rays or CT scans, and optional antibiotics before surgery, pain medication, and an antihistamine after surgery all play a role in determining the cost.
Insurance Coverage
A sinus lift is often considered a cosmetic dental procedure and is likely not covered by standard health insurance plans. However, at some institutions, such as SmilesNY, if you have insurance, they will contact your provider to ascertain your coverage and estimate your out - of - pocket costs. If you don't have dental insurance, they can also talk to you about payment methods and low - interest financing options.
Recovery and Complications
Recovery Process
It generally takes three to six months for the added bone to integrate with the sinus floor bone. Implants can be positioned four to nine months after the procedure, depending on the grafting material used. After the operation, patients can expect common discomforts such as swelling, pain, and slight bleeding from the nose and mouth. They will have to bite down on a gauze pad for about half an hour to help stop the bleeding. Antibiotics and mouthwash may be recommended to avoid infection. Patients should rest immediately following surgery and can usually return to work after 2 or 3 days of rest. Most patients will feel ready to resume normal activities within 7 – 10 days, but it can take six months or longer to fully heal.
Potential Complications
The major risk of sinus lift surgery is damage to the sinus membrane caused by puncture or tear during surgery. Although the tear isn't permanent and can be fixed by the surgeon, the implant surgery will have to be postponed for a few months to allow the membrane to heal. Other possible complications include rejection of the bone graft, pain, inflammation, swelling, nerve damage, formation of scars, loosening of implants, and membrane infection.
Conclusion
In conclusion, sinus lift procedures are essential for patients in New York City who want to get dental implants but face issues related to insufficient bone in the upper jaw. The popular institutions mentioned above offer high - quality services, experienced surgeons, and a range of options for bone - grafting materials. Understanding the procedure, the cost, the recovery process, and the potential complications is crucial for patients considering a sinus lift. By choosing a reliable institution and following the doctor's advice, patients can achieve successful dental implant placement and improve their oral health and quality of life.
If you're interested in learning more about sinus lift procedures or scheduling a consultation, we encourage you to reach out to one of the institutions mentioned in this article. Share this article with friends and family who may also benefit from this information, and explore related topics on oral health and dental procedures to stay informed about the latest advancements in the field.
