Bone Grafting and Closed Sinus Lift

Book an Appointment Call Now

Bone Grafting and Closed Sinus Lift – safe predictable way to rebuild and strengthen the bone for a better foundation of support for your implant or denture.

What Is It?

sinus-lift2[1]A sinus lift is surgery that adds bone to your upper jaw in the area of your molars and premolars. It’s sometimes called a sinus augmentation. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be moved upward, or “lifted.” A sinus lift usually is done by a specialist. This could be either an oral and maxillofacial surgeon or a periodontist.

What It’s Used For

A sinus lift is done when there is not enough bone height in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. There are several reasons for this:

  • Many people who have lost teeth in their upper jaw — particularly the back teeth, or molars — do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw.
  • Bone may have been lost because of periodontal (gum) disease.
  • Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
  • Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
  • The maxillary sinus may be too close to the upper jaw for implants to be placed. The shape and the size of this sinus varies from person to person. The sinus also can get larger as you age.

Sinus lifts have become common during the last 15 years as more people get dental implants to replace missing teeth.

Preparation

The bone used in a sinus lift may come from your own body (autogenous bone), from a cadaver (allogeneic bone) or from cow bone (xenograft).

If your own bone will be used in the sinus lift, it will be taken from other areas of your mouth or body. In some cases, the surgeon removes bone from your hip or tibia (the bone beneath the knee).

You will need X-rays taken before your sinus lift so the dentist can study the anatomy of your jaw and sinus. You also may need a special type of computed tomography (CT) scan. This scan will allow the dentist to accurately measure the height and width of your existing bone and to evaluate the health of your sinus.

If you have seasonal allergies, you should schedule the procedure when they are not active.

How It’s Done

Your surgeon will cut the gum tissue where your back teeth used to be. The tissue is raised, exposing the bone. A small, oval window is opened in the bone. The membrane lining the sinus on the other side of the window separates your sinus from your jaw. This membrane is gently pushed up and away from your jaw.

Granules of bone-graft material are then packed into the space where the sinus was. The amount of bone used will vary, but usually several millimeters of bone is added above the jaw.

Once the bone is in place, the tissue is closed with stitches. Your implants will be placed four to nine months later. This allows time for the grafted material to mesh with your bone. The amount of time depends on the amount of bone needed.

Follow-Up

After the procedure, you may have some swelling of the area. You may bleed from your mouth or nose. Do not blow your nose or sneeze forcefully. Either one could cause the bone-graft material to move, and loosen the stitches.

Your dentist may give you saline sprays to keep the inner lining of your nose wet and prescribe medicine to prevent congestion and inflammation. You also will be given pain medicine, an antibiotic and an antimicrobial mouthwash to help prevent infection. Most patients have only a little discomfort after a sinus-lift procedure.

You will see the specialist after 7 to 10 days. He or she will evaluate the surgical site and remove stitches if they will not dissolve on their own. You might be asked to return a few more times to make sure the area is healing properly.

After a sinus lift, you need to wait several months for the bony material to harden and integrate with your jaw. Depending on the grafting material used, implants may be placed in four to nine months.

Some specialists have started using proteins called growth factors to help the new bone harden faster. Platelet-rich plasma, which contains the growth factors, is taken from your blood before surgery and mixed with the graft that is placed into your sinus. Human-recombinant bone morphogenetic protein is an engineered protein that is now available. It stimulates bone formation without grafting. The U.S. Food and Drug Administration has approved its use during a sinus lift procedure.

Risks

The main risk of a sinus lift is that the sinus membrane could be punctured or torn. If the membrane is torn during the procedure, the surgeon will either stitch the sinus tear or place a patch over it. If the repair is not successful, your surgeon may stop the procedure and give the hole time to heal.

Your dentist can redo the sinus lift once the membrane has healed. This usually takes a few months. A healed membrane tends to be thicker and stronger, which means a second attempt at a sinus lift is likely to be successful. However, other factors also affect success.

Infection is a risk of any surgical procedure. However, this rarely occurs after sinus lifts.

On rare occasions, the existing bone does not integrate with the bony graft material, and the grafted area does not develop a blood supply. If this happens, any implants placed in this area will fail because there is no live bone for them to attach to. If this happens, you can have the sinus lift procedure repeated.

When To Call a Professional

After a sinus lift, contact your surgeon if:

  • Any swelling or pain gets worse over time. (It should decrease after the first two days or so.)
  • The bleeding does not stop after one to two days.
  • Bleeding is bright red and continuous. (Normal bleeding after this procedure oozes slowly and is dark red with possible clots.)
  • You think the bony material may have been dislodged after sneezing or blowing your nose.
  • Pain does not decrease over time.
  • You develop a fever.
Back to Dental Implants

Testimonials

Very good cleaning

Riley Purdy (West Palm Beach, FL)

Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US... read more

Lili Ivanova (Sunny Isles Beach, FL)

I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me... read more

Gregory Sutton (Wellington, FL)

Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him

Tanya Kusiumova (Sunny Isles Beach, FL)

I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because... read more

Diane O’Brocki (Loxahatchee, FL)

Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is... read more

Uuggh uggh (West Palm Beach, FL)

High-level professionals. Thank you, Dr. Gorbatov. I'm going to recommend your clinic to my friends. With best regards!

Vlad Shishko (Sunny Isles, FL)

My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.

Olga Meverden (Sunny Isles Beach, FL)

Excellent Service! Friendly, Clean and Prompt!

Deidre Reid-Thomas (West Palm Beach, FL)

The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and... read more

Ruslan Gahramanov (Sunny Isles Beach, FL)

Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping... read more

Burke Crump (Wellington, FL)

I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental... read more

Teresita Camacho (Lake Worth, FL)

I was very fortunate to find Dr. Gorbatov right when I had a major issue with an old crown that fell off and led to a major infection just a... read more

Octavian Miron (Aventura, FL)

I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the... read more

Oleg Solovey (Sunny Isles, FL)

Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth.... read more

Arthur Rubinovich (Sunny Isles, FL)

I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over... read more

Lyn F (Wellington, FL)

Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They... read more

Christine (Orlando, FL)

Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!

Ellen Zlobinskiy (Hallandale Beach, FL)

Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of... read more

Salt&Light (West Palm Beach, FL)

Painless, professional and efficient. Dr Gorbatov is great!

Suzanne Wilt (West Palm Beach, FL)

Absolutely amazing. Jess and Jessica at the front made me feel so comfortable and helped me conquer my fear of the dentist. The office is clean and welcoming I completely... read more

Hayley Kaplan (Wellington, FL)

The dentist is very friendly and gentle during procedures.

Sofie M (Sunny Isles Beach, FL)

Very happy with quick service, suggestions & prices. Will be a repeat customer

Jaclyn Franceschini (Fort Lauderdale, FL)

The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3... read more

Mark Krawiec (Hollywood, FL)

Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been... read more

Sofia Rodriguez (Hallandale Beach, FL)

I have been having a lot of issues with my teeth for quiet some time, including broken molars and bad procedures at other dental facilities. I came to Dr. Gorbatov... read more

Felix Spengler (Miami, FL)

Very professional nice staff great service.

(Aventura, FL)

Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my... read more

Tatiana Safonova (Sunny Isles Beach, FL)

Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!

Lauren Harris (Lake Worth, FL)

No teeth fell out mid cleaning. 10/10

Erik Purdy (West Palm Beach, FL)

When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is... read more

Hayley Kaplan (Wellington, FL)

Thank you doctor for my beautiful smile!

V V (Hollywood, FL)

You are the best guys! You definitely make me smile more :) Thank you sooooo much! Olga Aksenova ❤️

Olga Axenova (Hallandale Beach, FL)

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... read more

ML GG (Aventura, FL)

Hello, Dr.Gorbatov is truly THE BEST ,so please just forget about all the rest! I truly witnessed MIRACLE IN MAKING!!! My sister now have a MOVIE STAR SMILE! Thank you... read more

Valnea Del Bianco (Hallandale Beach, FL)

I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel... read more

Elizaveta C. (Miami, FL)

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... read more

ML GG (Hollywood, FL)

I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as... read more

Jazlyne Jimenez (Lake Worth, FL)

Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.

Lina Lobo (Greenacres, FL)

Good quality office, and dental work.

Igor Gonchar (Hallandale Beach, FL)

Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable... read more

Irina D. (Port Orange, FL)

From the minute I walked in the dr Gorbatov office till the and of my treatment I was pleasantly surprised with professionalism and care of Dr and his staff. I... read more

Anna (Hollywood, FL)

A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled.... read more

Haylee J (Aberdeen, FL)

I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone... read more

Lisa Jerkins (Wellington, FL)

I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice... read more

Hype Kay (Royal Palm Beach, FL)

Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were... read more

Tatiana Lapushchik (Hollywood, FL)

This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.

Jacob F. (Miami)

I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical... read more

Jazlyne Jimenez (Hallandale Beach, FL)

Awesome service. Highly recommended

Iliana Gonzalez (Royal Palm Beach, FL)

Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless

Celeste Clossin (Wellington, FL)

I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and... read more

Eugenia Aulov-Volchek (Sunny Isles Beach, FL)

Love Dr. Gorbatov! He is skilled, professional, thorough, nice, and always keeps me comfortable. The assistants and office staff are great too. I highly recommend Dr. Gorbatov!

fannabl (Hallandale Beach, FL)

I have been going to Dr Gorbatov at A Center For Dental Excellence for many years now and their use of "Excellence" isn't just a marketing ploy and they definitely... read more

Lawrence F. (Lake Worth, FL)

I feel I have the best care possible under Dr. Gorbatov and his team. His work is top quality and because of him I know my teeth and the health... read more

Alex P. (Fort Lauderdale, FL)

Excellent service , friendly & professional !!!

Mauricio Bonifacio (Sunny Isles, FL)

This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always... read more

Yuriy Gorobets (Hallandale Beach, FL)

I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!... read more

Juan Rodriguez (Greenacres, FL)

The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed.... read more

Sophie Garcia (Royal Palm Beach, FL)

Wonderful service

Noel Reyes (Lake Worth, FL)

I have been going to this office now for the past 3 years. From Jessica working the front, to having my teeth cleaned, and both Drs. working on my teeth,... read more

Joanne Purdy (Wellington, FL)

For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have... read more

Iry T. (Hallandale Beach, FL)

I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr... read more

Shmuil Aronovich (Hallandale Beach, FL)

I had a procedure done by Dr. Gorbatov, it was amazing, I didn't feel anything, he has very gentle hands and techniques and I didn't even feel the shot! I... read more

Jessica Y Montero (West Palm Beach, FL)

Very helpful and amazing response time! Found them on Instagram and I'm happy I did!

Cece Esk (Hollywood, FL)

Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks... read more

Sergey Kasatkin (Sunny Isles Beach, FL)

What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root... read more

Craig Balsam (Wellington, FL)

S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is... read more

Gordana Skracic (Aventura, FL)

I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing... read more

Shiloh Robinson (Wellington, FL)

Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every... read more

John Kern (Hollywood, FL)

Benjamin R. (West Pam Beach, FL)

I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I... read more

Arthur R. (North Miami Beach, FL)

Had an amazing experience. Staff was very caring and nice. They are very honest

Billie Selinsky (Wellington, FL)

Very professional office. Good dentist.Clean dental office

Anna K. (Hollywood, FL)

Love the staff and great service!!

Rebeca Saravia (Dania Beach, FL)

Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything... read more

Tiffany D. (Hollywood, FL)

I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank... read more

Farron Ann (Wellington, FL)

First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?

Evelyn Garcia (Greenacres, FL)

Wonderful facility and staff, very professional.

(Sunny Isles, FL)

Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed... read more

Aracelis Figueroa (Wellington, FL)

Dr. Gorbatov is an excellent dentist whose main priority is making sure his patients are comfortable and get the best dentistry he can offer. He provides an attentive service, and... read more

Natallia Harbacheuskaya (Hollywood, FL)

This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be... read more

Kseniia Dursinova (Sunny Isles, FL)

Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?

Patrizia Rondelli (Hollywood, FL)

Book an Appointment

Appointment




Fill out email and/or message