But please no major surgery, doctor!
In addition to the wish of many patients not to want to wear a prosthesis anymore, I hear more and more often: “But please no major surgery, Doctor.“
Now we have the maxillary sinuses above the tooth roots on the left and right in the upper molar area. In the event of tooth loss, the bone is also partially resorbed (degradation, due to the lack of stress on the teeth). If the patient then wants a fixed bridge, implantation is often not possible without bone augmentation, the so-called external sinus lift. In recent years, special techniques and implants have been developed that make the surgical procedure smaller, faster, and often cheaper.
These are, for example, short implants, by definition shorter than 8 mm. There are already meaningful scientific studies that show that these implants also fulfill their function for a long time.
Or the internal sinus lift, which I do with special drills (Densah®Burs) and bone grafting material. The “hole” for the implant is also used as a window for the bone structure. But that alone is often not enough. This is why an anatomical structure comes into play, the processus pterygoideus. This is always present regardless of tooth loss and still offers sufficient and firm bone for an implant.
Of course, this procedure also requires detailed planning with 3D X-rays (DVT) and surgical guides planned on the computer. Then nothing stands in the way of the new, permanent bridge made of zirconium ceramic.