Sinus Lift Surgery: Preparing for Dental Implants

by Rana Baroudi

Dr. Baroudi is a Board Certified Periodontist. She has successfully passed the American Board of Periodontology oral and written examinations covering all phases of periodontal disease, its treatment and dental implants. She is also an Associate Clinical Professor of Periodontology at UCSF where she enjoys teaching and lecturing on a bi-monthly basis.

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Dental implants are a modern marvel of restorative dentistry, offering patients a durable, functional, and aesthetically pleasing solution to missing teeth. However, before an implant can be placed in the upper jaw, certain conditions must be met—one of the most critical being the presence of adequate bone. For some patients, bone loss in the upper back jaw (near the molars and premolars) presents a challenge. In such cases, a sinus lift surgery may be necessary to ensure a successful implant placement.

What Is a Sinus Lift?

A sinus lift, also known as sinus augmentation, is a surgical procedure that increases the amount of bone in the upper jaw, specifically in the area beneath the maxillary sinuses. This is accomplished by lifting the sinus membrane upward and placing a bone graft in the newly created space. Over time, the graft material fuses with the natural bone, creating a sturdy foundation for dental implants.

Why Is a Sinus Lift Needed?

When teeth in the upper back jaw are lost, the bone in that area often deteriorates due to a lack of stimulation. Additionally, the maxillary sinus naturally expands over time, leaving less room for implants. Patients who have experienced long-term tooth loss, periodontal disease, or trauma may not have sufficient bone to securely anchor an implant.

In these situations, a sinus lift procedure allows periodontists like Dr. Rana Baroudi to restore lost bone volume and make implant treatment possible, even in cases that were once considered inoperable.

The Role of a Periodontist in Sinus Lift Surgery

Not every dentist performs sinus lift procedures—this specialized surgery is often carried out by a board-certified periodontist, like Dr. Rana Baroudi, who has advanced training in the treatment of the supporting structures of the teeth. As a Harvard-trained periodontist in San Jose, Dr. Baroudi brings exceptional precision and care to every procedure, ensuring optimal outcomes for her patients.

Preparing for Sinus Lift Surgery

1. Comprehensive Dental Evaluation

The first step in the sinus lift process is a thorough examination. This includes a detailed review of your medical and dental history, as well as digital imaging such as CBCT scans or panoramic X-rays. These scans allow Dr. Baroudi to assess the height and width of your existing bone and to evaluate the location of your sinuses.

If she determines that your bone is too thin or shallow to support an implant, she may recommend a sinus augmentation.

2. Discussing Your Treatment Plan

During your consultation, Dr. Baroudi will walk you through the proposed procedure, what to expect, and the timeline for healing and implant placement. She will explain the benefits and risks, answer your questions, and ensure you’re a suitable candidate for the surgery.

Patients who smoke, have uncontrolled diabetes, or are undergoing certain medical treatments may require additional evaluation before proceeding.

3. Pre-Surgical Instructions

To promote healing and minimize the risk of infection, you may be advised to stop smoking and avoid certain medications before surgery. Antibiotics or antimicrobial mouth rinses might also be prescribed. It’s essential to follow Dr. Baroudi’s instructions carefully to prepare your body for the best possible outcome.

What to Expect During the Sinus Lift Procedure

The procedure itself is typically performed under local anesthesia, with sedation available for patients who prefer additional comfort. Here’s a general overview of what the process involves:

  1. Accessing the Sinus Area: A small incision is made in the gum tissue to expose the bone.
  2. Creating the Window: A tiny window is opened in the bone to access the sinus membrane.
  3. Lifting the Sinus: The sinus membrane is gently pushed upward to create space.
  4. Placing the Graft: A bone graft material—often a combination of the patient’s own bone, donor bone, or synthetic graft—is inserted into the space.
  5. Suturing the Site: The gum tissue is stitched closed, and the healing process begins.

The entire procedure usually takes 1–2 hours and is done on an outpatient basis in Dr. Baroudi’s state-of-the-art San Jose practice.

Healing After Sinus Lift Surgery

Recovery from a sinus lift surgery varies from patient to patient, but most experience mild to moderate discomfort, swelling, and possibly a small amount of bleeding. Dr. Baroudi will provide post-operative care instructions, which typically include:

  • Avoiding activities that cause pressure in the sinus (such as blowing your nose or sneezing forcefully)
  • Using prescribed medications to manage discomfort and prevent infection
  • Eating soft foods for a few days
  • Attending follow-up visits to monitor healing

It generally takes 4 to 9 months for the grafted bone to integrate fully and become stable enough to support a dental implant. Once the area has healed, Dr. Baroudi will proceed with implant placement.

Types of Bone Grafts Used in Sinus Lifts

The type of bone graft used can influence healing time and integration. Common types include:

  • Autograft: Bone harvested from the patient’s own body (usually the jaw or hip)
  • Allograft: Donor bone obtained from a bone bank
  • Xenograft: Bone from animal sources, typically bovine
  • Alloplast: Synthetic bone-like materials

Dr. Baroudi will recommend the grafting material best suited for your individual needs.

Risks and Complications

As with any surgical procedure, sinus lift surgery carries certain risks. These may include:

  • Perforation of the sinus membrane
  • Infection
  • Inflammation or swelling
  • Minor bleeding
  • Graft rejection (rare)

However, when performed by a skilled and experienced surgeon like Dr. Baroudi, complications are minimal. If a sinus membrane is inadvertently perforated, it can usually be repaired during the same procedure, or the surgery may be rescheduled to allow healing.

Benefits of Sinus Lift Surgery

Though it adds a step in the treatment timeline, the benefits of a sinus augmentation are substantial:

  • Enables implant placement in areas previously deemed impossible
  • Restores facial structure and support
  • Prevents further bone loss in the upper jaw
  • Improves the long-term success rate of dental implants
  • Enhances overall oral health and function

Patients who undergo the procedure often report that it was well worth the wait, especially when they regain their ability to chew, speak, and smile with confidence.

Is Sinus Lift Surgery Right for You?

If you’ve been told that you lack sufficient bone in your upper jaw for implants, or if you’ve experienced bone loss due to periodontal disease or trauma, you may be a good candidate for a sinus lift procedure. Dr. Rana Baroudi specializes in advanced periodontal and implant treatments and offers personalized care tailored to your needs and goals.

A consultation is the best way to find out if this approach is suitable for your case. With modern imaging, minimally invasive techniques, and Dr. Baroudi’s expertise, patients in San Jose and surrounding communities have access to top-tier care and life-changing results.

Your Next Step Toward a New Smile

If you’re considering dental implants but have concerns about bone loss in your upper jaw, don’t lose hope. A sinus lift surgery may be the key to unlocking your candidacy for long-lasting, stable implants.

At Cambrian Periodontics and Dental Implants, Dr. Rana Baroudi and her team are here to support you every step of the way—from diagnosis and planning to surgery and follow-up. With her compassionate approach and surgical precision, you can feel confident you’re in expert hands.