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Sinus Augmentation with Bone Grafting for Successful Dental Implant Placement

There is a need for adequate height and density of bone at the point of restoration to ensure stability from now on. Nevada OMS’ experienced surgeons explore every reconstructive option to ensure successful osseointegration of dental implants into the jaw. In areas of the lower posterior regions that are naturally resorbed, sinus grafting is applied to ensure sufficient osseous material to get over low vertical bone levels that are incompatible with the conventional placement.


The maxillary sinuses lie behind the cheekbones in thin facial bones. Following tooth loss, pneumatized sinuses often occupy desirable areas in the residual ridge for an implant. The membrane separates the sinus cavities from the oral environment; therefore, graft materials must fill the spaces below this membrane to encourage new bone growth upwards.

Experienced surgeons like Dr. Daccache and Dr. Armuth begin with a reflection of a small mucoperiosteal flap and then carefully create a window into the overlying membrane of the sinus. Under an elevated membrane, graft materials such as allografts, autografts, or synthetic substitutes are packed. Bone provides inspiration to cells contained in grafts for the formation of new structures fusing with native bone over months through osteogenic properties.

There are many procedures for maxillary sinus grafts, which are dependent on residual bone heights and densities. In the lateral window procedure, the edges of the membrane are lifted up and repositioned so that access to the entire area intended to be grafted is achieved. More severe resorption can thus be addressed. Osseous density also comes into play in augmentation, requiring denser grafts or membrane protectively wrapped around softer varieties to encourage cohesion.

At Nevada OMS, 3D CBCT scans verify technique selections customized for individual sinus morphologies and defect distances to prosthetic placement locations. This preoperative road mapping maximizes surgical workflows matched to graft properties for the delivery of osteoinductive signals that stimulate osseointegration right from inception.

Membranes prevent graft migration into air cells while osteoconductive scaffolding encourages ingrowth. Our oral surgeons minimize trauma through delicate membrane elevations and precise window osteotomies. We maximize graft containment and cut the risk of complication. Low profiles allow adequate graft containment without tension or tearing.

Months later, CBCT scans confirm the persistence of living new bone volumes that are integrated with the adjacent structures. Implants perforate the augmentations and start a process known as osseointegration whereby prosthetic anchor devices are osseointegrated into newly formed bone for proper biomechanical support of the restorations. Multi-unit restorations assume lost function and aesthetics perfectly.

With dedicated follow-up, better long-term results are achieved by way of bone regeneration that is facilitated by Nevada OMS. Experience combined with customized solutions will be utilized in an effort to restore oral balance and confidence-from the most minimalistic augmentation of sparse areas to highly extensive jaw reconstruction. No concern finds less than full attention here.

Is scrawny bone holding you back from the brilliant new smile you’ve always dreamed of? Consultation with our experienced team will explore all options to replace missing teeth predictably. Elevated sinus floors empower gratifying futures through permanent dental treatments customized to your unique situation at Nevada OMS. Contact us today to get started on your path to complete oral wellness.