It is normal for people to lose crestal bone height when they lose their maxillary teeth. The leftover ridge can lose 30% to 60% of its height and width in the first three years after a tooth is pulled out. The maxillary sinus may also get bigger, which makes the osseous hump even lower. It gets harder to put in tooth implants when the vertical distance between the crest and the sinus floor gets smaller. In the past, a sinus lift surgery was the only option, but new technologies have made other options available.
The Classic Sinus Lift Procedure
In the standard sinus lift, bone is grafted into the sinus to make the osseous tissue volume larger. Usually, an access window is made through the lateral wall of the sinus by the surgeons using this invasive lateral wall method. Even though this method works, it can cause problems like infections, sinus perforations, and infraorbital nerve injuries.
The Summers Method
Around the middle of the 1990s, Dr. Summers came up with an internal way to raise the sinus floor. With this method, the implant osteotomy and an osteotome are used to break up the sinus floor. The maximum lift that it can do, however, is hard to predict at about 4.0 to 5.0 mm, and it may tear the sinus membrane.
Short Implants: A Game-Changer
Instead of sinus enlargement, short implants have become a good option. Short, wide-body implants have been successful in recent years, even though they were met with skepticism at first because of long-held implant ideology. This is why they’re important:
Stability & Support: Short implants give prostheses a stable base without the need for large sinus lifts. They contact the basal bone, which makes it possible to place implants securely.
Patient Acceptance: A lot of people don’t want to get a sinus lift because they are afraid or because it costs a lot. With short implants, the process is easier, which makes more people want to get implant treatment.
Dr. Motiwala’s Breakthrough
Implant surgery has been changed forever by the work of famous implantologist Dr. Irfan Motiwala. His innovative way gets rid of the need for bone grafts and sinus lifts completely. Basal implants, which are used in his “Permanent Teeth in 3 DaysTM” method, engage the harder basal bone, which makes sure the implant is placed correctly.
To find out how to get good dental implants without sinus lifts, you have to be open to new ideas. We can help patients find good options while minimizing invasiveness and increasing acceptance, whether it’s through short implants or Dr. Motiwala’s method.
Don’t forget that every patient is different, so individual treatment planning is still very important. As dentists, let’s keep looking for new ways to improve care and results for our patients.
I hope this blog post is interesting and useful for you! Feel free to ask for more information or if you have any more questions.
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