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Grafting · Sinus lift
Upper back molars sit directly below the sinus. Once those teeth are gone the sinus tends to expand downward and the ridge shrinks upward, leaving too little bone between them for a post. Sinus lift surgery restores that height.
Two approaches
Where only a few millimetres are needed, a sinus lift raises the floor gently through the implant channel itself and graft material placed underneath. It is contained, the recovery is mild, and the post often goes in at the same appointment. This internal approach suits the majority of modest cases.
Where much more height is needed, a small access opening is made in the side of the jaw, the sinus membrane lifted and a larger volume of graft placed. That is a bigger procedure with a longer wait, and it is a Dental Bone Graft in the fullest sense.
Before either, we check whether the height can be avoided altogether by angling posts forward, the approach behind All-on-4 Implants, or by using a shorter implant where the bite allows, which is assessed on CBCT Imaging.
How it works
The scan gives the millimetres of bone between ridge and sinus floor. That number chooses internal against lateral.
The membrane is raised carefully and graft placed beneath it. Local anaesthetic, with sedation if you prefer.
Longer than most grafts because of the volume involved. Avoid nose blowing and flying early on, as we will explain.
A second scan confirms the new height before the post goes in, unless it was placed at the same time as an internal lift.
Recovery
Expect some congestion on the sinus lift side, occasional light bleeding from the nose and swelling for several days. Sneeze with your mouth open, avoid blowing your nose hard, and skip flying and diving in the early weeks. Those instructions matter more here than after an ordinary extraction, because the membrane needs to stay intact.
A small tear in the membrane during surgery is the most common complication and is usually repaired at the time. A larger tear can mean stopping and returning to it once the site has healed. What can go wrong more broadly is set out on Implant Risks, and the general aftercare on Recovery And Aftercare. Where a lift is not realistic, shorter or angled posts placed forward of the sinus are the usual alternative, and All-on-4 Implants uses exactly that approach.
Related treatments
Width instead of height, prevention at extraction, or avoiding the lift entirely.
The procedure, the materials used and how healing works.
Learn moreRebuilding a ridge that has narrowed since the tooth was lost.
Learn moreFilling the socket at extraction to limit shrinkage later.
Learn moreWhen removal and placement can happen at one visit.
Learn moreCommon questions
Discomfort, flying, timing and whether it can be avoided.
Victoria patients
Upper molar with almost nothing under the sinus. Bigger procedure than the others but the post went in solidly.
Done through the implant channel and the post went in the same day. Far less than I had feared.
I had a flight booked. They moved the surgery rather than telling me to risk it.
They angled the posts instead and I skipped the sinus surgery entirely.
From the blog
Next step
A CBCT scan gives the exact height between ridge and sinus floor, which decides whether you need a lift, which approach, or whether angled posts avoid it. You see the images and get the plan in writing.
CBCT imaging on site · Grafting quoted before treatment · Written plans