Sinus Lift

00:00:07.167 --> 00:00:11.967 Sinus augmentation, some people actually call it sinus lift, 00:00:12.520 --> 00:00:16.167 it's about providing more bone in the backside, 00:00:16.233 --> 00:00:20.167 the posterior side of the upper jaw, what we call maxilla. 00:00:21.400 --> 00:00:25.333 The situation calls for it because when the baby is born, 00:00:25.400 --> 00:00:26.900 the sinus is very small, 00:00:27.200 --> 00:00:30.990 but as we grow, the baby is growing, the sinus gets bigger and bigger 00:00:31.067 --> 00:00:34.133 because this sinus area is right inside our cheekbone, 00:00:34.200 --> 00:00:36.133 is right below our eyes, 00:00:36.200 --> 00:00:39.133 and right above our maxilla, which is the upper jaw. 00:00:39.667 --> 00:00:42.998 There's an empty space which is communicating with your nasal sinus, 00:00:43.067 --> 00:00:45.467 with your breathing and that is the empty. 00:00:45.700 --> 00:00:47.400 Why do we have to get in there? 00:00:47.600 --> 00:00:52.467 The question is, after the tooth is being extracted or broken, it's been lost, 00:00:52.760 --> 00:00:57.767 the bone itself in the back that's been holding your tooth is decreasing 00:00:57.833 --> 00:01:00.367 because it's resorbing away, because it's washing away. 00:01:00.440 --> 00:01:03.400 Because our maxilla is right below the sinus, 00:01:03.551 --> 00:01:06.900 so sinus is increasing its volume, it's pressing on it. 00:01:07.367 --> 00:01:11.433 The sinus is getting increasing more towards the bone of the maxillary bone. 00:01:11.767 --> 00:01:14.867 When that happens, we have a very little bit of bone left. 00:01:15.440 --> 00:01:17.580 That's when you actually come and find me. 00:01:17.760 --> 00:01:20.800 Most people come in and then say, "Hey, Dr. Han, 00:01:20.867 --> 00:01:24.067 I can't get my implants in there, so I'm wearing a denture." 00:01:24.367 --> 00:01:25.333 I said, "Why not?" 00:01:25.400 --> 00:01:28.233 "Because dentists is saying 00:01:28.333 --> 00:01:31.020 I can get the implants in there, so you to wear a denture." 00:01:31.900 --> 00:01:33.400 Maybe that is an option. 00:01:33.800 --> 00:01:36.933 With the sinus lift procedure, sinus augmentation, 00:01:37.160 --> 00:01:43.100 I can recreate the bone that you have lost by inserting the bone underneath 00:01:43.200 --> 00:01:45.433 where the sinus has been increasing. 00:01:46.600 --> 00:01:47.867 It sounds very scary. 00:01:47.933 --> 00:01:50.200 I'm not saying I'm going to go in there into the sinus 00:01:50.267 --> 00:01:54.267 and fill up all your sinus with bone, not all the way to the eye level, 00:01:54.333 --> 00:01:55.600 no, we're not getting in there. 00:01:55.880 --> 00:01:57.833 Just imagine your sinus itself, 00:01:57.900 --> 00:02:02.000 let's say volume-wise, 15–20ccs or up to 40 ccs, 00:02:02.560 --> 00:02:08.133 your bone that I'm lifting maybe up to maybe 2 ccs maximum. 00:02:08.200 --> 00:02:10.367 Instead of saying the best candidate, 00:02:10.465 --> 00:02:13.000 the worst candidate for a sinus augmentation 00:02:13.267 --> 00:02:16.467 is the ones who actually has sinus issues. 00:02:16.800 --> 00:02:19.867 If you've been having a lot of sinusitis, you know who you are. 00:02:20.040 --> 00:02:23.410 You'll be seeing your ENTs every month, every week, 00:02:23.476 --> 00:02:25.520 and you have just inflamed sinuses all the time. 00:02:25.586 --> 00:02:28.100 Your sinus is all clogged out all the time, 00:02:28.320 --> 00:02:31.600 and you're taking the medication, it's not resolving anything, 00:02:31.880 --> 00:02:34.833 then you might not be a good candidate for sinus lift. 00:02:35.600 --> 00:02:40.333 That does not mean you cannot get an implant right away in the future. 00:02:41.033 --> 00:02:43.600 Come and find me, and then I'll be able to determine 00:02:43.800 --> 00:02:47.010 whether you cannot get an implant because you cannot get a sinus lift. 00:02:47.267 --> 00:02:50.767 From my experience for the last decade or so, 00:02:50.900 --> 00:02:53.333 I find that there are only very few candidates 00:02:53.400 --> 00:02:59.333 where they cannot receive the sinus lift without complications. 00:02:59.560 --> 00:03:03.467 But if you do, then we'll find a way, so don't get discouraged. 00:03:03.600 --> 00:03:04.500 We'll find a way.