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DOES SINUS SAGGING PREVENT IMPLANT TREATMENT?
What is sinus? What is sinus sagging? What is the effect of sinus sagging on implant treatment? How should sinus lifting be performed by which specialist? Turkey Medicals medical member and Oral, Dental and maxillofacial surgery specialist Prof.Dr. explained in detail for those who are curious.
Oral, dental in Antalya and maxillofacial surgery specialist Prof. Doctor, “the air spaces in the bones around the nose are called sinus. Because the paranasal sinuses are bone cavities filled with air that open into the nasal cavity, these cavities are covered with a mucous membrane, and the secretions of the glands located here empty into the nasal cavity.
The task of these cavities near the molars is to ensure the formation of sound, that is, the resonance of sound, while also reducing the weight of the bones in the front of the skull, which provides balance.
As a result of the downward sagging of the maxillary sinus cavities, a number of losses in bone volume occur. Although these losses are seen as a natural process, they pose a problem when it comes to implant treatment.
The sinuses are divided into 4. These;
– Cheek sinuses (maxillary sinuses),
– Forehead sinuses (frontal sinuses),
– Sinuses located in front and back between the eyes (ethmoid sinuses in front and back)
– They are grouped into intracranial sinuses (sphenoid sinuses).
The sinuses open into the nose with small channels,” he said, describing the sinus and its features.
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SINUS LIFTING IS DONE TO APPLY IMPLANT TREATMENT
Maxillofacial Surgery Specialist Prof.Dr. Serhat Yalcin said, ” there are anatomical cavities that we call the maxillary sinus located above our upper jaw and molars. These cavities usually hang down due to tooth loss, causing loss of bone volume. As the sinuses dissolve the intact bone, the collapse at the base of the sinus can reduce the bone height required for successful integration of the implant.
The sinus graft process is used to apply implant treatment to areas with tooth loss as a result of filling the sinus cavities that are sagging downwards. This process allows you to create sufficient volume for the length and width of the implant, which is intended to fully settle into the bone. Before applying sinus lift, the general condition of the patient is reviewed by the doctor,” he commented.
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PERFORMED BY A MAXILLOFACIAL SURGEON UNDER LOCAL ANESTHESIA
By a maxillofacial surgeon who is an expert in the work, a professor who said that the area where sinus lifting will be applied has been determinedDr. Serhat Yalcin, ” sinus lift (sinus lift, lift) is a surgical procedure performed under local anesthesia in general, in the chair of a specialist maxillofacial surgeon in the field.
The sinus area is removed at the required level, making that area accessible through a small window opening through the mouth. After achieving the desired rate of increase in the sinus membrane covering the inside of the sinus, the cavity formed by grafting with bone powder is stitched and the area is closed.
Sinus lift, accompanied by local anesthesia, takes about 15-20 minutes on average. Two different methods are used in sinus lifting operations:
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DOES SINUS SAGGING PREVENT IMPLANT TREATMENT
1) Lateral (Open) Method
This method is preferred in patients who do not have bone volume above 4 mm. Bone tissue is expected to reach sufficient density for Implant application. Usually, after a 6-month recovery period, an implant can be made on top of the bone graft placed here.
2) Internal (Closed) Method
Closed method is preferred if the patient has a minimum bone volume of 4 mm in the current situation. In this process, the sinus base is pushed up with special tools, creating enough space for the implant. It is then expected that this cavity will be filled with bone. Because it is a closed procedure, patients have almost no complaints after the procedure. Because it requires fewer bone grafts, the waiting time also decreases in direct proportion.
I would like to emphasize again that sinus lift (sinus lift), which is a highly sensitive procedure performed with millimetric calculations, should be performed by a specialist maxillofacial surgeon who has experience in this regard. Sine upgrade operations are now scientifically proven to be successful. These are transactions that produce highly successful results, ” he said.
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IN WHAT CASES ARE SINUS LIFTING TECHNIQUES NOT PERFORMED?
“As with any surgical intervention, sinus lifting has contraindications (situations that should not be done). These are divided into general and local contraindications.
General contraindications:
– Radiation therapy to the maxillary region
– Sepsis
– Systemic diseases that are not under control
– Excessive tobacco use
– Excessive alcohol or substance consumption
– Psychological problems
Local contraindications:
– Maxillary sinus infections and pathological lesions
– Chronic sinusitis
– Possibility of Alveolar scar (depending on previous operation procedure)
– Odontogenic infections
“Severe allergic rhinitis,” he said.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.