SINUS LIFT AND BONE GRAFTING.
SINUS LIFT AND BONE GRAFTING
Here I am back to present you with another striking blog not very known to people but will make you understand in a very simple way.SO THE BLOG ARTICLE IS REGARDING SINUS LIFT AND BONE GRAFTING.
YOU ALL NEED TO KNOW ...
What is a MAXILLARY SINUS:-
Sinus are behind the cheeks and on top of the upper teeth.
Maxillary sinus is present in the premilar or molar area/region of the mouth.
Sinus SYSTEM HAS SEVERAL PARTS.
Toothache happens when congestion or during cold ,pressure on the sinuses is created transferring it to the tooth roots in the upper jaw.
When the sinus wall is thin ,it is impossible to place the dental implants in the bone.
WHAT IS SINUS LIFT?
SINUS LIFT:is the augmentation of the SINUS specifically maxillary sinus by placing a sinus window.
Main aim of SINUS FLOOR AUGMENTATION/ELEVATION/ RECONSTRUCTION IS FOR PLACEMENT OR MAKING ROOM FOR THE NEW BONE FOR A SUCCESSFUL IMPLANT PLACEMENT WHEN THE MAXILLA (UPPER JAW IS ATROPHIED/UNDEVELOPED).
In case of bone recession and the natural ANATOMY doesn't suffice for the safe accommodation of the implant.
A SINUS LIFT CAN REPOSITION THE sinus membrane and bone tissue for a SUCCESSFUL IMPLANT -supported restoration.
SINUS LIFT PROCEDURE:-
FOLLOWING STEPS INVOLVED:-
Beforehand.. DETAILED CONSULTATION WITH RADIOLOGICAL INVESTIGATION DONE OUT IF WHICH CBCT 3- dimensional scan is done to EVALUATE SIZE,ANY PATHOLOGY OR ABNORMALITY IN THE MAXILLARY SINUS.
SPECIALIST INVOLVED:-
SINUS LIFT IS CARRIED OUT BY MAXILLOFACIAL SURGEON OR THE PERIODONTIST.
Note:-state of the art technology is employed for the following SURGICAL procedure.
WHAT IS BONE GRAFT (PACKING OF BONE POWDER):-
IT'S A MINOR SURGICAL PROCEDURE used to recreate bone in the areas where its lost due to PERIODONTITIS, resulting in the tooth loss TRAUMATIC EXTRACTION,INFECTION,LONG TERM DENTURE AND OTHER CAUSES.
All these above factors lead to resorption (loss) of the ALVEOLAR BONE(BONY SOCKET SUPPORTING THE TOOTH) AND LASTLY BONE GRAFTING IS DONE/HARVESTED TO COMPLETE THE DEFFICIENT BONE IN THE SINUS AREA WHERE AUGMENTATION BEEN DONE/SURGICAL SITE.
In BONE GRAFTING/REGENETATIVE SURGERY Autogenous bone chips and bone debris are used from the LOWER JAW(MANDIBLE) with the PLATELET- RICH FIBRIN GLUE to reconstruct or regenerate the bone if given a proper environment to teeat the BONY DEFECTS OR THE ORAL MAXILLOFACIAL ANOMALIES.
WHY BONE GRAFTING IS REQUIRED?
Like the tooth roots,dental.implant requires a certain amount of bone for support.
TO SAVE THE LOST TOOTH.
UNTIMELY EXTRACTION FOLLOWING HEAVY DECAY.
DENTAL IMPLANT PLACEMENT/RESTORATION-dental implants help in putting a halt to the bone recession that fills -up the missing space and prevents further loss of bone providing you all with the benefits of the implants.
AESTHETIC (COSMETIC) AND FUNCTIONAL RESTORATION.
BONE GRAFTING MATERIAL COMPRISED OF:-
Hydroxyapatite
Tribalism phosphate
Polylacticacis
Polyglycolic acid.
Collagen
AUTOGENOUS GRAFTING gives superior results alone. with no much complications.
BONE GRAFTS ARE OF MANY TYPES AND SOURCES AVAILABLE ARE:
Autograft(body’s own tissue).
Allograft( tissue from the donor/human tissue bank).
Alloplastic material(synthetic).
Xenograft(graft obtained from other mammals eg-cow,pig-animal tissue bank etc.
Osteo-osteointegration.
BONE GRAFTING PROCEDURE WITH FOLLOWING STEPS :-
To conclude..
BONE GRAFTING is the RIDGE AUGMENTATION PROCEDURE TO ACHIEVE IDEAL AMOUNT OF GUM(Gingiva-soft tissue)-promotes socket preservation AND BONE(hard tissue) AS A SUPPORT FOR THE RESTORATION BY IMPLANTS wuth
Bone graft are tissue transplants to help with bone reconstruction.
IN TERMS OF :-
-SOCKET PRESERVATION POST TOOTH EXTRACTION.
-RIDGE AUGMENTATION.
-SINUS LIFT FOR IMPLANT PLACEMENT.
-PERIODONTAL BONE GRAFT.
For above ,recover times vary for above indicated treatment when desired for particular fulfillment case by case.
Bone grafts are made up of different types of tissues with its own PROS AND CONS.
Post bone -graft gets matured ,then implants are installed finally.
MAIN OBJECTIVE:
IS TO PROVIDE WITH STRONG AND FIRM PLATFORM FOR ANCHORING IMPLANT FOR BETTER FUNCTIONAL (CHEWING ) and AESTHETICS TOO.
INDICATIONS FOR SINUS LIFT AND BONE GRAFING:-
Premature tooth loss due to heavy decay(infection).
Birth/Congenital defects/anomalies.
ORAL CANCER WHERE JAWS ,TEETH AND THE WHOLE BONY FRAMEWORK BECOMES WEAK AND FRAGILE TO SUPPORT PROSTHESIS.
NATURAL VARIATION LIKE ENLARGED SINUS CAVITIES with THIN JAW BONE.
ADVANCED GINGIVITIS (PERIODONTITIS).
LARGE MAXILLARY SINUS/JAW ANATOMY.
CONSEQUENCES IF NOT GOING IN FOR SINUS LIFT AND BONE GRAFTING:-
GRADUALLY WITH TIME..DUE TO ABSENCE OF RESTORATION OF TEETH /TOOTH IN THE MISSING AREA LEADS TO DETERIORATION OF THE GUMS AND VISIBLE CHANGES IN THE JAW IN TERMS OF SINKING OF THE SINUS FLOOR DOWN DUE TO PROLONGATION OF THE RESTORATION OF THE AREA WITH NO TEETH.
IMPLANTS IS THE BEST OPTION FOR RESTORATION/SECURING THE IMPLANT WHERE INSUFFICIENT BONE IN THE CONCERNED JAW AREA IS PRESENT WHICH IS BOTH STIMULATING AND SUPPORTING preventing further deterioration at an age suitable for proper healing and stability of implants without failure at layer stages owing to other reasons if not considered.
WEBLINK INFO:-
Read article previously written on IMPLANTS BY ME ON THE SAME WEBSITE FOR DETAILED EXPLAINATION FOR THE SAME.
WEBSITE:-KINDLY FOLLOW FOR EXTENDED INFORMATION.
OTHER OPTIONS AVAILABLE:- are Removable prosthesis (partial and complete dentures-RPDs) and fixed PARTIAL prosthesis/DENTURES-bridges and crowns- FPDs) for set of missing tooth or teeth for patients benefit considering everything by the treating doctor with complete bilateral communication between patients and the doctor who need or don’t need any surgical intervention.
MIND IT:-
It is PATIENT SPECIFIC IN TERMS OF AGE, GENDER,BONE DENSITY,UNDERLYING CHRONIC DISORDER LIKE DIABETES ,BLOOD DISORDERS ETC).
Treating specialist consider before going in for the AUGMENTATION PROCEDURE WITH BONE GRAFTING.
PREPARATION:-
INVOLVES:-
INVESTIGATION INVOLVED PRIOR TO BONE GRAFTING:-
RADIOGRAPHIC INVESTIGATION:-
CBCT -SCANS,CT -SCANS ETC.
BLOOD INVESTIGATION:-
DETAILED MEDICAL AND DENTAL HISTORY.
PROCEDURE INVOLVED IN SINUS LIFT:
FOLLOWING STEPS UNDERTAKEN FOR THE SINUS LIFT TO BONE GRAFTING TO THE FINAL PLACEMENT OF THE IMPLANT.
ANAESTHESIA administered.
Various options involved are:-
Local anaesthesia
General anaesthesia
Sedation dentistry (INTRAVENOUS SEDATION and INHALATION ANAESTHESIA).
Surgical incisions given via gum to bones(window incision is created by drilling into the bone followed by sinus membrane is gentally lifted).
Lifting of the SINUS FLOOR.
Incorporating the bone chips into the newly lifted areas.
Sutures(stitches) to close the incisions made in the gums.
PRECAUTIONS TO BE FOLLOWED IMMEDIATELY POST SURGERY(SINUS LIFT):-
Bite firmly on the gauze to stop the bleeding for 30 to 45 minutes.
Then,again it is changed at home too and kept for another 30 minutes.
Numbness is felt with the cheeks,lips or tongue.THIS FEELING EXIST FOR 2-4 HOURS and wares off after 2-4 hrs.
Apply ice-packs to your face to prevent swelling.
POST -SURGICAL CARE POST SINUS LIFT:-
Saline spray.
A prescription to prevent congestion and inflammation.
Pain medication.
Medication for the antibiotics.
Antimicrobial mouthwash.
Soft diet to be taken for 2-3days.
HEALING SPAN/RECOVERY PHASE POST SINUS LIFT:-
HEALING TAKES PLACE –3-9 Months in total (Approx an year or so) AFTER BOTH SINUS LIFT AND BONE GRAFT.
IMPLANT HEALING TAKES PLACE IN 3-9 MONTHSNEARLY AN YEAR).
Roughly -whole procedure gets completed in a year or so and may vary from PATIENT TO PATIENT.
SPECIALIST INVOLVED ARE:-PERIODONTIST, ORAL SURGEONS,IMPLANTOLOGIST ,RADIOLOGIST are involved for the successful outcome in an coordinated and organized manner.
REVOVERY PHASE: Common side effects are bleeding and swelling.
Most common complication is:-
Perforation of the MAXILLARY SINUS MEMBRANE (SCHNEIDERIAN) which can increase risk of chronic sinusitis and sinus infection.
RECOVERY INSTRUCTIONS(WOUND -CARE AND DIET MAINTAINANCE).
Prescribed antibiotics and analgesics be given to avoid infection.
Apply ice-packs to your face for the first 24 hrs.
Avoidance of vigorous blowing of nose,sneezing which can affect the bone material placed.
Avoid brushing in the surgical site for couple of days.
Restrain or restrict drinking through straw which can dislodge the blood clot causing bleeding.
Refrain from smoking that can prolong the healing time.
AVOID RINSING AND SPITTING ON THE DAY OF SURGERY.
Avoid Air travel.
Avoid playing wind instruments.
WHEN TO CONSULT A DOCTOR POST SURGICAL TREATMENT:-
In case swelling and pain worsens post 2-3 days.
Bleeding too worsens after 2-3 days.
Discomfort in terms of giving a feeling of dislodgement of the bone graft material post sneezing or blowing of nose.
Signs of infection interest of foul smell,swelling and pain from the surgical area.
In case of some pus drainage from the sinus post surgery.
In case, if air flow felt through the surgical site.
In case of fever.
RESUMING ACTIVITIES:-
Wearing Prosthesis
RESUMING brushing in the surgical site.
TREATING DOCTORS ENGAGED:-
SPECIALIST AND ANEASTHETIST ARE INVOLVED:-
ORAL MAXILLOFACIAL SURGEON.
PERIODONTIST.
RADIOLOGIST.
ANAESTHETIST.
Note: BONE GRAFTS can fail and complications or risk can happen post BONE GRAFTING:
FOLLOWING REASONS CAN BE RESPONSIBLE FOR FAILURE:-
Pain and swelling that worsens after first week.
Pus or drainage from the bone graft Suze.
Gum recession around the grafted site.
No improvement in the volume of jaw bone volume.
COMPLICATIONS/RISK FOLLOWING BONE GRAFTING:-
Infection.
Heavy bleeding .
Nerve damage.
Complication from anesthesia.
RECOVERY FACTORS AFFECTING HEALING POST BONE GRAFT INCORPORATION:-
Recovery
3-9 Months approx.
Healing
Type of graft.
Area where graft placed.
Depends on patient's healing capacity.
THE BOTTOM LINE..
SINUS LIFT SURGERY CAN PAVE THE WAYFOR DENTAL IMPLANT PLACEMENT.
Sinus lift and bone graft is the OUT PATIENT PROCEDURE.
SO..EVALUATION OF THE JAW BONE AND OVERALL SYSTEMIC MEDICATIONS AND CHRONIC ILLNESS TO BE CONSIDERED AND THOROUGHLY UNDERSTOOD BY THE DOCTOR BEFORE STARTING WITH THE TREATMENT PROCESS.
Here ,I am closing the blog.MAIN AIM OF THIS ARTICLE TO GIVE A BASIC UNDERSTANDING OF AND KNOWLEDGE REGARDING THE ORAL HEALTH TOPICS.
Mind it..my dear viewers and readers..
This Blog write -ups/articles will keep you updated about the DENTAL TOPICS including BASIC,ADVANCED AND CORRELATION BETWEEN THE ORAL AND THE SYSTEMIC HEALTH.
Not a substitute to the dental ADVICE or DIAGNOSIS followed by the TREATMENT IN THE DENTAL CLINIC ITSELF.
Good bye to all..we ll meet soon..
Stay ENGAGED AN GLUED FOR MORE AND MORE WEBLOG EXPLAINED IN A SIMPLEX MANNER.
THANKYOU
TAKE CARE OF YOUR BEAUTIFUL SMILES!!
Comments
Post a Comment