Carmel Oral Surgeon | Carmel dental care | IN | After Sinus Lift Surgery

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After Sinus Lift Surgery

 

The following information applies when upper jaw bone height or width have been lost. The graft is placed to help restore your jawbone in preparation for possible implant replacement of the missing tooth or teeth.

You have had a Sinus Lift Augmentation procedure in your upper jaw. This procedure regains lost bone height in the area of your first and second molar and occasionally second premolar. It is an important procedure as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus.

The bone that has been grafted is most commonly a combination freeze-dried bone, artificial synthetic bone and your own bone. Because of this you may have two post-surgical wounds: the donor site and the recipient site.

DO NOT UNDER ANY CIRCUMSTANCES. BLOW YOUR NOSE FOR THE NEXT TWO to FOUR  WEEKS. This may be longer if indicated. Do not blow your nose or sneeze holding your nose. Sneeze with your mouth open. Do not drink with straws and do not spit. Decongestants such as Sudafed will help reduce pressure in the sinuses. You may also be given a prescription for antibiotics. Please take these as directed. Anything that causes pressure in your nasal cavity must be avoided. Avoid “bearing down”—as when lifting heavy objects (greater than 10 lbs), blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure. 

Antibiotics

If prescribed, be sure to take the antibiotics as directed to help prevent infection.

Oral Hygiene

Do not rinse or spit on the day of your surgery. This tends to disturb the blood clot, open the wound and can prolong bleeding and slow healing. You should not have a significant amount of blood in your mouth. Saliva can be swallowed, even if slightly blood tinged.

Keeping your mouth clean after surgery is essential to reduce the risk of infection. For the first 48 hours, be very gentle when brushing your teeth that are located immediately adjacent to the surgery site. When expectorating, also be gentle.

You may have been prescribed an antibiotic rinse (Chlorhexidine). Begin using this two days after your surgery. This rinse should be used in the morning and at bedtime after routine mouth care. Do not eat, drink or rinse your mouth after using the medicated rinse. Only use as prescribed by Dr. Alderman.  Using this rinse more often may cause extrinsic staining of your teeth.

Smoking

Do not smoke for at least two weeks after surgery, if at all. As discussed at your consultation, smoking dramatically increases the risk of bone graft and sinus augmentation failure. Dr. Alderman can prescribe a Nicoderm patch if you feel you need it.

Wearing your Prosthesis or Nightguards

Partial dentures, flippers, or full dentures should not be used until your post-operative appointment unless specifically instructed otherwise. Please contact the office if there is any question. If you have a temporary “flipper” to wear, do not place it until the numbness in the area is gone. When it is placed it should not touch the gums in the area of the surgery. If it does, this can cause ulceration of the wound edges and breakdown of the suture margins. This can lead to loss of the graft. If you have questions about the fit of your flipper, partial or complete denture, do not wear it until your general dentist or our office can see you.

Post-Operative Problems or Complications

As with any procedure, unexpected post-operative healing can occur. Let us know immediately if...

  • You notice the unexpected flow of air or liquids between your mouth and nose
  • You are aware of several small particles of graft material being discharged from your nose
  • You experience sinus or nasal congestion on the side your surgery was performed
  • There is an increase in swelling in your mouth, cheek or under your eye after 3 days

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Please do not submit any Protected Health Information (PHI).