“I have been told that I do not have enough bone for implants”.
It is one of the phrases most common in implantology advanced.

The bone loss in the upper jaw is usual after the prolonged absence of teeth. With time, the bone is reabsorbed and the maxillary sinus drops, reducing the available height to place an implant with adequate stability.

However, to have little bone does not imply that the treatment is unfeasible. implantology current techniques available that allow you to regenerate bone volume or adapt the surgical strategy of a safe manner.

The difference is in the diagnosis and in the planning.

Why it loses bone after the dental loss

The maxillary bone needs functional stimulus. When a tooth loses , the bone that surrounded it begins a progressive process of reabsorción.

In the upper back sector, this phenomenon combines with the physiological expansion of the maxillary heart. Like consequence, the osseous height can diminish until insufficient levels for the placing of a conventional implant.

Factors like the illness periodontal previous, the tabaquismo or the time passed from the extraction can accelerate this loss.

Therefore it is usual that patients that have lost pieces does years present a more complex anatomy.

What is the elevation of the maxillary sinus

The maxillary sinus augmentation is a surgical technique whose goal is to increase the height of bone available in the posterior area of the maxilla.

It consists in carefully lifted sinus membrane and placing a biomaterial that acts as a scaffold for bone regeneration. Over time, that space is integrated and allows for the placement of the implant in the most favorable conditions.

There are two approaches main:

  • Lifting, internal or transcrestal, indicated when there is still a bone height moderate.
  • Side elevation, used in cases of increased bone loss.

The choice is not solely dependent on the amount of bone, but rather of the stability that can be achieved and the plan prosthetic end.

Time of treatment: what you need to know the patient

The sinus lift does not eliminate the time needed biological regeneration.

In some cases, if the initial stability is adequate, you can put the implant in the same intervention. In others, it is recommended to wait for the graft to mature before placing the implant.

It is important to understand that the goal is not to shorten deadlines, but to ensure long-term stability.

The three-dimensional planning using CT scan 3D is essential to determine the strategy more secure and predictable.

Risks and clinical considerations

As with any surgical procedure, the sinus lift requires a rigorous evaluation.

Among the possible problems are:

  • Inflammation postoperatoria.
  • Perforación Of the membrane sinusal.
  • Insufficient integration of the biomaterial.

In experienced hands and with proper planning, these complications are rare. The surgical experience and the postoperative control are the determining factors.

Active smoking and periodontal disease is not controlled can have a negative influence on the result.

Alternatives when there is little bone

Not all cases require a sinus lift. The decision depends on the overall analysis of the patient.

Among the possible alternatives are:

  • Short implants, designed to work with minor osseous height without engaging stability.
  • Technicians of osseous regeneration located when the loss is more limited.
  • Specific prothetic strategies in complete rehabilitations that allow to redistribute loads and avert determinate anatomical zones.

The correct indication is always looking for the balance between surgical safety, functionality and durability.

Factors that influence in the feasibility of the treatment

Although the current technology allows us to tackle complex cases, there are variables that influence the outcome:

  • Quality of the remanent bone.
  • Time passed from the dental loss.
  • State periodontal general.
  • Bruxism Active.
  • Habits like the tobacco.
  • Control of illnesses sistémicas.

Therefore, before making any intervention, it is essential to have an individualized study to evaluate both the anatomy as the overall stability of the patient.

Implants with little bone in Barcelona: personalised approach

In Clinical Blasi the treatment of cases with bone loss is based on diagnosis, three-dimensional, accurate planning and clinical follow-up rigorous.

The goal is not simply to make it possible for the placement of an implant, but to ensure that the result is functional, stable, and aesthetically integrated in the long term.

Implant dentistry-advanced requires planning, judgment and experience.

If you have indicated that you do not have enough bone for implants, a valuation specialist will allow you to determine what options exist in your specific case, and what is the most appropriate strategy