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Dentistry/Sinus Lift Both Sides

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Question
Dr. Tieg, I recently asked you a question about my thinning front part of upper ridge from denture wearing. I went to an oral surgeon who has three degrees, and he said my upper bone, on the CT show's hardly any bone, so I need a sinus lift both side, and several months later implants. He explained everything, except, will the surgery fill in the front part of my thinning ridge? I have to put adhesive in the void, so I can eat with the denture. He talked so fast and was in an extreme hurry, so busy. I am putting in a pre-determination for insurance. Also, he said I would have to have a series of x-rays, and I would have to be knocked out for that, but how, I do not know! Any opinion appreciated. Thanks

Answer
JoAnn -  I have seen and heard of similar problems.  The doctor will not actually be adding bone to the ridge.  What he plans, is to actually add bone above the ridge into the sinus.  This approach will add enough bone to inserts implants and they will be stable, because the bone in the sinus will compensate for the loss of the bone in the mouth.  It should be fine and a denture placed on these should be stable, as long as the bone is allowed to sit for about 6 months for the bone to allow a proper amount of density for the implants to be very stable.  

If the surgeon is a board certified oral and maxillofacial surgeon, he should be trained properly to know the proper positioning of the bone to allow stable implants.  I wish you well.  It is important for you to be patient and allow the time for all to heal.  

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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