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Do I need sinus augmentation if I am getting dental implants?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had a tooth pulled about six months ago. I experienced sharp pain in the same area immediately after the extraction, and again a few months later. I was told it was likely just irritation, possibly caused by food. I continued to have annoying pain at the extraction 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), and 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.

Kindly help.

Hello,

Welcome to icliniq.com.

Well, if the sinus is low, then a sinus lift procedure is a must to place an implant. Without a 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 me what you have? Is it just irritation in the extraction area, or are there associated symptoms like pain on the cheek around the nose, nasal congestion, etc.?

Also, upload the X-ray so that I can advise you more precisely. Please revert with answers.

Regards.

Patient's Query

Hello doctor,

Thank you for responding so quickly.

I do have some facial 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 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.

Kindly help.

Hello,

Welcome back to icliniq.com.

Pain in the extraction area, along with pain in the cheek and nose, appears to be associated, as the pain can most probably originate 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 a sinus infection, then you can experience pain in the 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.

Regards.

Medically reviewed byiCliniq medical review team

Published At September 30, 2017
Reviewed AtOctober 24, 2025

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