Q. Should I get sinus lift surgery before implant placement?

Answered by
Dr. Honey Arora
and medically reviewed by iCliniq medical review team.
Published on Nov 23, 2018

Hello doctor,

I had a tooth pulled about six months ago and continued to have slight pain at the site. I was told today that it is because my sinuses are so low and they suggested I get a sinus lift, bone graft, and implant. I have terrible dental anxiety (my blood pressure goes up just thinking of going to the dentist) that I really do not want to go through all this if I do not have to. I did some research and it sounds much more involved than I think I can handle, not to mention the cost involved. I am 51 and not really worried about having an implant put in because of the cost as well. What I want to know is what would happen if I do not get the sinus lift? Will it eventually calm down or will it get worse? Before I agree to this procedure, I really want to know all my options. I understand that dentists believe that implants are the best but this is an involved procedure that costs a lot of money and downtime that I really cannot afford.

Dr. Honey Arora

Dentistry Oral Implantologist
#

Hi,

Welcome to icliniq.com.

Well, if the sinus is low, then sinus lift procedure is a must to place an implant. Without sinus lift, an implant cannot be placed. It is a surgical procedure that can be very effectively done by an oral surgeon or a trained implantologist, so you need not be so worried about it. Can you please tell what do you have just irritation in the extraction area or there are associated symptoms like pain on the cheek around the nose or nasal congestion, etc.? Also, upload the X-ray so that I can advise you more precisely. Please revert back with answers.

Hi doctor,

Thank you for responding so quickly.

I do have some face pain in the cheek and nose area and I am prone to sinus infections. I do not have the X-rays but the dentist did one and said that the extraction site looks good and is healing as it should and the surrounding teeth are fine. I understand the need for the sinus lift for the implant but I basically want to know if just having a low sinus would cause pain at the extraction site? I have never heard of that and I have had teeth pulled before and never had these issues.

Dr. Honey Arora

Dentistry Oral Implantologist
#

Hi,

Welcome back to icliniq.com.

Pain at the extraction area along with pain in cheek and nose looks associated as the pain can be most probably originating from the sinus. As you already have low sinus, this is another reason that the extraction site can become more tender. It is commonly seen that if you have sinus infection then you can experience pain in upper gums and teeth. So, pain in the extraction site can be very much due to a sinus infection. I would suggest you take a small course of antibiotics and painkillers and see if the symptoms improve.

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