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    Revision Rhinoplasty

    Revision Rhinoplasty, also known as Secondary Rhinoplasty or Complex Rhinoplasty, is usually sought after whenever a previous surgery of the nose did not lead to the expected aesthetic or functional outcome. The experience of a previous surgery which resulted in an undesirable outcome, coupled with the uncertainty of the next surgery providing the long-term desired result can make considering Revision Rhinoplasty a very daunting task.

    Based on the nature of how human beings perceive and process noses, we see our nose with a very detail-oriented view. This focus only increases when patients require Revision Rhinoplasty, which subsequently also raises the patient’s expectations. Completely correcting aesthetic concerns that occurred following a primary Rhinoplasty is often a difficult task. Limitations due to scar tissue formation, damaged or deficient cartilage, soft tissue irregularities and other structural damages all have to factored in.

    These are the main physiological and psychological reasons why Revision Rhinoplasty is considered to be one of the most challenging procedures, for both the patient and the surgeon. It is therefore pivotal to understand the patient in order to establish a realistic goal.

    When is a Revision Rhinoplasty necessary?

    A Revision Rhinoplasty becomes necessary when it is needed to address imbalances that persist or are newly created by the first procedure. An unforeseen healing complication or improper healing itself may lead to the need for this second procedure in order to ensure facial balance. This being said, a secondary rhinoplasty is a much more complicated procedure compared to the initial procedure, but with an advanced cosmetic surgeon your secondary procedure can also be very successful.

    It is also very important that we work closely with you to manage your expectations. A Revision Rhinoplasty can improve the appearance of the nose and ease of breathing, but it’s important to note that risks and unpredictability cannot be entirely eliminated. Realistic expectations and a grounded acceptance of what your ‘new’ nose may or may not look like is essential before we begin any further cosmetic surgery.

    The Procedure

    Previous surgery can complicate any further work, which is what makes Revision Rhinoplasty a more complex procedure.

    The procedure is usually performed under general anaesthetic, but there is scope for it also to be performed under sedation and local anaesthetic in extenuating circumstances. Almost always, a Revision Rhinoplasty will be performed as an open procedure to allow the surgeon better access to the delicate tissue, cartilage and bones that are responsible for the appearance of the nose. This requires a small incision being made on the outside of the nose so that the skin can be lifted, but it is subtle and can easily be concealed in the contour of the nose postoperatively.

    In simpler Revision Rhinoplasties, your surgeon may have to remove excess tissue or cartilage that may have been missed in the original surgery. Where necessary, they may also have to straighten out a crooked nasal bridge by fracturing the bone in a controlled way.

    For more complicated procedures, a total overhaul may be necessary. When patients have had too much tissue removed from the nose, a graft using cartilage or bone will have to be used, which can be taken from the ear, temple or ribs.

    There is also a chance that scar tissue will have developed as a result of the first procedure, in which case surgery is inadvisable, or the skin in the area may be insufficient.

    These circumstances make Revision Rhinoplasty problematic, and should be discussed carefully with us.

    For a relatively straightforward procedure, Revision Rhinoplasty will take 1-3 hours. If you require a graft, this may become more.

    1.What are the risks of Revision Rhinoplasty?

    Complications are fortunately rare. Time will generally improve the swellling and hence the appearance of the nose. Occasionally bruising takes longer to disappear especially in darker skinned people. Nose bleeds and infections are all possible complications but extremely rare and easily corrected if early treatment is obtained. As swelling of the nose settles following surgery, the nose shape will gradually change over a period of months and minor irregularities should therefore not usually be addressed until most of this swelling has settles which is usually 10-12 months following your initial surgery.

    Scarring can occur and in these cases the scar maybe a different colour to the surrounding skin or raised and lumpy. Again scars take time to settle and will usually fade and soften over 6-9 months following surgery.

    It is common for the nose – especially the tip – to feel numb following secondary rhinoplasty. This should settle over 4-6 months.

    Some nasal asymmetry may still be present following surgery, especially if the nose was deviated before surgery although usually this should be much improved.

    Occasionally allergic reactions can occur to sutures, tape, splints and may require treatment.

    Wound disruption or delayed healing can occur and rarely some areas of the skin may necrose. This is more likely in patients who either have had multiple procedures on their nose previously, or in smokers and immunosupressed patients e.g. diabetics.

    If some cases cartilage grafts need to be placed to support the structure of the nose and this cartilage is usually harvested from the septum inside the nose. Occasionally this can cause a septal perforation which usually does not need further treatment but occasionally can cause discomfort with airflow and breathing and require a secondary procedure to correct.

    Differences in breathing maybe apparent following surgery and in the initial healing period nasal airway obstruction is common as the mucosa is more congested and nasal drops may help with this.

    As with all surgery there is a risk of dissatisfaction after surgery and this is more so following Revision Rhinoplasty. As such we will take time to discuss the procedure with you so that both you and your surgeon are satisfied that your expectations are realistic.

    If you require a splint, this will be applied during the procedure. It must remain there for 7-10 days after your procedure, because it helps to control swelling. If you have had a cartilage graft – which moderate to severe Revision Rhinoplasty cases usually will – you may also require an internal splint, which will remain in place for 5-7 days after surgery.

    You may experience some bruising around the eyes and over the upper face, which will begin to fade after around 3 days. Keep your head elevated while you sleep to aid the healing process. You may experience some discomfort, which can be managed by painkillers.

    If you are wearing glasees you should take care not to wear them for long periods, and it will not be appropriate for contacts wearers to use lenses while the eyes are still swollen.

    You should expect to take 10-14 days off work, and 6 weeks from exercise.

    Like any surgery there can be complications and this is even more of a consideration when correcting previous surgery. Whilst all our surgeons are highly experienced we will inform patients of any risks or concerns ahead of surgery. We will ensure that patients know what is realistic in order to avoid disappointment.

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      Rhinoplasty

      Your facial appearance is your calling card, and creates the first impression. The size and shape of your nose plays a significant role in the appeal of your face. Modern plastic surgery makes it possible, in talented hands, to create a more balanced, harmonious facial appearance by changing the shape, size or contour of the nose.

      Rhinoplasty, commonly referred to as a “nose job,” is one of the most commonly performed facial surgeries. In addition to the procedure being performed for aesthetic improvement, a nose job may also be performed to resolve breathing problems associated with a deviated septum, birth defect, or trauma. If you have been considering a rhinoplasty, we want to assist you to take a closer look at the process.

      Consultation

      The first step in finding out more about a rhinoplasty is to get in touch with us for an online consultation on WhatsApp number +90 542 512 51 64. During this consultation, you will get the opportunity to discuss your concerns and get all of your questions answered. You will have the opportunity to tell us the type of nose you envision for yourself. Feel free to send us a photo of a celebrity or other person who has what you consider to be the perfect nose for you.

      During your personalized Rhinoplasty consultation, we will ask you about your medical history, as well as any issue of substance abuse, tobacco use, or alcohol use. Furthermore, you will need to send us a picure or a list of all medication and supplements you are currently taking. Part of the consultation involves a full and accurate medical history. Tell us about any past surgeries, procedures and complications you have experienced in your life. We can then make a decision based upon your general health, and whether you are a good candidate for the procedure.

      During your consultation, we will make recommendations about best course of action to take for your nose job to achieve the most attractive result. Every person is different, and the nose structure may need to be altered significantly or just minimally, depending upon what needs to be achieved. We will also advise you about any further cosmetic procedures available to give you the best possible appearance, such as a facelift, neck lift, brow lift, or chin augmentation.

      The Procedure

      • The Evening & Morning Before Rhinoplasty Surgery: As with all surgeries, you will need to stop eating and drinking fluids for a specific period of time the evening prior to your nose job, most often midnight. In some cases, defined by your physician, you may need to take certain medications with a small sip of water, e.g. beta-blockers, cholesterol medications, or other medicines.
      • The Rhinoplasty Surgery: When you go into the operating room, you will be administered general anesthesia. Our surgeon will begin making the incisions for the procedure once you’re sedated. In order to reduce the appearance of scars, the incisions will be made on the interior of the nose. Tiny incisions may be required where the nostrils (nares) meet the cheek for changes made in the shape, size, and appearance of large or misshapen nostrils. Your nose will be reshaped to match the vision you expressed in your consultation.

      Most nose jobs require several hours if other procedures will be performed at the same time. After closing the incisions and addressing any issues with the nasal wall, or septum, you will be sent to the recovery room.

      1.How long will it take to recover?

      The healing process for your rhinoplasty begins immediately when you awaken in the recovery room. Your nose may be stuffed with packing to sustain the altered structures. In addition, your surgeon will place a stint on the exterior of your nose to hold the newly-shaped nose in place.

      Rhinoplasty recovery times vary from person to person. Any incisions will be closed with dissolvable stitches, which will disappear on their own after a week or so. It’ll be at least two weeks before the bruising fades, and several months before your nose settles into its new shape following surgery. Before you leave the hospital, we’ll let you know what to do and what not to do after rhinoplasty to make sure you recover quickly. You’ll also have several appointments so we can check your nose job recovery is going well before you fly back home.

      We’re often asked how long a rhinoplasty surgery takes, but there’s no simple answer; it’ll vary according to the procedure you choose to have. Typically, though, rhinoplasty surgery takes around two hours under general anaesthetic. You will probably require an overnight stay in hospital following the procedure, and so you should allow for a full 24 hours for the whole process.

      There are several different types of nose jobs, each tackling different concerns. Reduction rhinoplasty, also known as nose reduction surgery, makes the nose smaller. Septorhinoplasty alters the external appearance and the internal septum, while rhinotip or nose tip surgery alters the tip of the nose and nostrils. Whether you’re thinking about having a nose job to make your nostrils smaller or considering nose straightening surgery, we will discuss the right method for you and the results you can realistically expect.

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        Extractions

        When it comes to dental procedures, tooth extraction — or having teeth “pulled” is among patients’ most dreaded prospects. Also referred to as exodontia, tooth extraction involves removing a tooth from its socket in the jaw bone. Before your dentist considers extraction, every effort will be made to try to repair and restore your tooth. However, sometimes it is necessary.

        Reasons for Extraction

        • Severe Tooth Damage/Trauma – Some teeth have such extensive decay and damage (broken or cracked) that repair is not possible. For example, teeth affected by advanced gum (periodontal) disease may need to be pulled. As gum disease worsens, the tooth, supported by less surrounding bone, — often loosens to such an extent that extraction is the only solution.
        • Malpositioned/Nonfunctioning Teeth – To avoid possible complications that may result in an eventual, negative impact on oral health, your dentist may recommend removing teeth that are malaligned and/or essentially useless (teeth that have no opposing teeth to bite against).
        • Orthodontic Treatment – Orthodontic treatment, such as braces, may require the removal of teeth to make needed space for improved teeth alignment.
        • Extra Teeth – Also referred to as supernumerary teeth, extra teeth may block other teeth from erupting.
        • Radiation – Head and neck radiation therapy may require the extraction of teeth in the field of radiation in order to help avoid possible complications, such as infection.
        • Chemotherapy – Chemotherapy weakens the immune system, increasing the risk of tooth infections, heightening the risk of extraction.
        • Organ Transplant – Immunosuppressive medications prescribed after organ transplantation can increase the likelihood of tooth infection. As such, some teeth require removal prior to an organ transplant.

        The 2 types of Extraction

        When you undergo a tooth extraction procedure, your dentist will numb the area with a local anesthetic. You may also receive an anti-anxiety medication or an intravenous sedative. If the dental extraction involves an impacted tooth, the tooth may be broken into pieces before it is removed.

        Pulling teeth falls into two basic categories: simple and surgical. Here’s what to expect from each:

        • Simple Extractions – A simple tooth extraction involves the removal of a tooth that is visible in the mouth. This could mean removing a badly damaged or decayed tooth, or removing teeth prior to getting braces. General dentists can do simple tooth extractions. When you undergo simple tooth extractions, you will receive local anesthesia. In addition, some dental professionals administer anti-anxiety medication or use conscious sedation for simple cases of pulling teeth. In most cases, over-the-counter pain medication is sufficient for pain management after these procedures.
        • Surgical Extractions – A surgical tooth extraction is an operation by an oral surgeon involving removal of teeth that are not visible in the mouth, because they have not come in or because the tooth has broken off. Individuals with special medical conditions may receive general anesthesia when pulling teeth involving surgery. You may also receive prescriptions for pain medication to use immediately after surgical teeth-pulling procedures.

        The Procedure

        Your dentist will explain how to prepare for your procedure. They’ll ask about your dental and medical history. It’s important to let them know about any medical conditions, allergies or recent surgery, as well as any medicines you’re taking.

        Your dentist will discuss with you what will happen before, including any pain you might have. If you’re unsure about anything, ask. No question is too small. Being fully informed will help you feel more at ease and will allow you to give your consent for the procedure to go ahead.

        You’ll usually have your tooth (or teeth) removed under a local anaesthetic. This completely blocks pain from your gums, although you’ll still feel pressure. You’ll stay awake during the procedure, so you’ll be aware of what’s happening. If you’re very anxious about having your tooth removed, it might be possible to have a sedative, which relieves anxiety, makes you feel sleepy and helps you to relax.

        Having a general anaesthetic for an extraction is usually only an option for young children or adults with learning disabilities. However, your dentist may decide it’s right for you if several of your teeth need to be removed, or the extraction is going to be more difficult than usual.

        If you’re going to have a general anaesthetic, your dentist will refer you to a hospital to have your procedure.

        • Once you’re sitting comfortably in a chair, your dentist will inject a local anaesthetic into the area around your tooth or teeth. They’ll wait a few minutes to allow the injection to work and ask you a few questions to see if it’s taking effect.
        • The roots of your tooth sit in a socket (hole) in your gum. Your dentist will widen your tooth socket and gently loosen your tooth before they remove it. Sometimes your dentist may need to put a stitch in the empty socket to help it heal.
        • You’ll feel some pressure in your mouth when you have a tooth removed but it shouldn’t be painful. If you do feel any pain, let your dentist know straightaway.
        1.Aftercare for tooth removal

        Your gum may bleed for a few minutes after you have your tooth taken out. Your dentist will give you a piece of soft padding to bite on to stop the bleeding and you’ll be able to leave the clinic once it’s stopped.

        Before you leave the clinic, your dentist or surgeon will give you advice about looking after your teeth and gums. They may recommend painkillers and an antibacterial mouthwash. They might also prescribe you some antibiotics to reduce your chances of developing an infection.

        If you have had a general anaesthetic or sedative, you’ll need to rest until the effects of the anaesthetic or sedative have worn off. Ask a friend or family member to stay with you for a day or so while the anaesthetic wears off.

        You don’t always need a follow-up appointment after you’ve had a tooth removed. But if you had a complicated procedure, you might need to go back to see your dentist so they can check how you’re healing. You’ll be given a date for this while you’re still in Antalya.

        Most people can go back to their normal routine the same day. Only if you have a more difficult surgical extraction, will it take a few days to recover. See how you feel and follow your dentist’s advice.

        If you had local anaesthetics, it may take a few hours before the feeling comes back into your mouth. Don’t have any hot food or drinks until it comes back otherwise you might burn or scald your mouth. Also take care not to bite your tongue, particularly when you speak, drink or eat. Rest as much as possible and keep your head up to reduce the bleeding.

        Your mouth may feel sore once the anaesthetic wears off. If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen.

        Some people find that their pain is worse about three days after the procedure, but then settles down again within a week to 10 days. This is completely normal.

        • Don’t rinse your mouth out for at least 24 hours after a tooth removal. This could disturb any blood clot that has formed, and you may start bleeding again.
        • After 24 hours, rinse gently with a salt water mouthwash (made using salt and hot, but not boiling water), four times a day to keep the area clean.
        • Eat soft food once you first have your tooth removed, so you don’t have to chew much.
        • If your gum bleeds, bite down on a clean pad of material such as a clean handkerchief for at least 15 minutes.
        • Don’t drink alcohol for at least 24 hours and don’t smoke for as long as possible, but at least for the rest of the day.
        • Brush your teeth but keep your toothbrush away from the healing wound, to begin with, brushing closer to it each day. You could try softening your toothbrush in hot water before you brush.

        You may have stitches, depending on which tooth was removed, and why. The stitches will dissolve by themselves within a week to 10 days, so you won’t need to have them removed.

        It’s important to brush these carefully for three to four days after your surgery to stop food getting trapped. But be careful so you don’t dislodge any newly-formed blood clots that may have formed over your empty tooth socket.

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          Wisdom Teeth

          Wisdom teeth do not always grow properly aligned with the rest of your flat teeth at the back of the mouth (molars). In fact, having well-aligned wisdom teeth is very rare. Most of the time, they do not grow properly through the gum line due to misalignment, lack of space, and the proximity of adjacent teeth.

          If your wisdom teeth are severely misaligned, a dentist may recommend a wisdom teeth removal procedure. Not to worry, wisdom teeth removal is a simple, inexpensive procedure that offers huge benefits for your oral health.

          When should you have your Wisdom Teeth removed?

          Some of the most common signs that you need to undergo Wisdom Teeth removal are:

          • You have tooth decay (dental cavities, dental caries, a hole in your tooth).
          • You are suffering from an infection on your wisdom tooth.
          • Your wisdom tooth has an existing cyst.
          • You can’t keep your wisdom teeth clean.

          Things to consider

          Apart from the cost of wisdom teeth removal, there are other important factors that you should know. This way, you can go into the procedure fully prepared for what is to come.

          • Wisdom teeth aftermath: Know that the process of removing a wisdom tooth can be slightly painful. Sometimes, side effects may include the following: bruising, swelling, malaise, and sometimes limited jaw opening or trismus.
          • Wisdom teeth recovery phase: Since you are still in pain, you need to rest to recover fully, so you might miss days at school or work.
          • Wisdom teeth complications: Our specialists use their experience and skill to reduce the possibility of complications. However, in rare cases, there may be some complications during the procedure. Some of the less likely but possible wisdom teeth complications are numbness of wisdom teeth including the lips, tongue and cheek; damage to teeth, gum, bone, jaw joints; sinus exposure and infection.

          The Procedure

          Your dentist or oral surgeon may use one of three types of anesthesia, depending on the expected complexity of the wisdom tooth extraction and your comfort level. The 3 types are local anesthesia, sedation anesthesia and general anesthesia.

          During wisdom tooth extraction, your dentist or oral surgeon:

          • Makes an incision in the gum tissue to expose the tooth and bone
          • Removes bone that blocks access to the tooth root
          • Divides the tooth into sections if it’s easier to remove in pieces
          • Removes the tooth
          • Cleans the site of the removed tooth of any debris from the tooth or bone
          • Stitches the wound closed to promote healing, though this isn’t always necessary
          • Places gauze over the extraction site to control bleeding and to help a blood clot form
          1.Are there any risks involved?

          Most wisdom tooth extractions don’t result in long-term complications. However, removal of impacted wisdom teeth occasionally requires a surgical approach that involves making an incision in the gum tissue and removing bone. Rarely, complications can include:

          • Painful dry socket, or exposure of bone when the post-surgical blood clot is lost from the site of the surgical wound (socket)
          • Infection in the socket from bacteria or trapped food particles
          • Damage to nearby teeth, nerves, jawbone or sinuses

          The differences are:

          • Local anesthesia: Your dentist or oral surgeon administers local anesthesia with one or more injections near the site of each extraction. Before you receive an injection, your dentist or surgeon will likely apply a substance to your gums to numb them. You’re awake during the tooth extraction. Although you’ll feel some pressure and movement, you shouldn’t experience pain.
          • Sedation anesthesia: Your dentist or oral surgeon gives you sedation anesthesia through an intravenous line in your arm. Sedation anesthesia suppresses your consciousness during the procedure. You don’t feel any pain and will have limited memory of the procedure. You’ll also receive local anesthesia to numb your gums.
          • General anesthesia: In special situations, you may be offered general anesthesia. You may inhale medication through your nose or have an IV line in your arm, or both. Then you lose consciousness. Your surgical team closely monitors your medication, breathing, temperature, fluids and blood pressure. You’ll experience no pain and have no memory of the procedure. Local anesthesia is also given to help with postoperative discomfort.

          If you receive sedation anesthesia or general anesthesia, you’re taken to a recovery room after the procedure. If you have local anesthesia, your brief recovery time is likely in the dental chair.

          As you heal from your surgery, follow your dentist’s instructions on:

          • Bleeding: Some oozing of blood may occur the first day after wisdom tooth removal. Try to avoid excessive spitting so that you don’t dislodge the blood clot from the socket. Replace gauze over the extraction site as directed by your dentist or oral surgeon.
          • Pain management: You may be able to manage pain with an over-the-counter pain reliever, such as acetaminophen (Tylenol, others), or a prescription pain medication from your dentist or oral surgeon. Prescription pain medication may be especially helpful if bone has been removed during the procedure. Holding a cold pack against your jaw also may relieve pain.
          • Swelling and bruising: Use an ice pack as directed by your dentist or surgeon. Any swelling of your cheeks usually improves in two or three days. Bruising may take several more days to resolve.
          • Activity: After your surgery, plan to rest for the remainder of the day. Resume normal activities the next day, but for at least a week, avoid strenuous activity that might result in losing the blood clot from the socket.
          • Beverages: Drink lots of water after the surgery. Don’t drink alcoholic, caffeinated, carbonated or hot beverages in the first 24 hours. Don’t drink with a straw for at least a week because the sucking action can dislodge the blood clot from the socket.
          • Food: Eat only soft foods, such as yogurt or applesauce, for the first 24 hours. Start eating semisoft foods when you can tolerate them. Avoid hard, chewy, hot or spicy foods that might get stuck in the socket or irritate the wound.
          • Cleaning your mouth: Don’t brush your teeth, rinse your mouth, spit or use mouthwash during the first 24 hours after surgery. Typically you’ll be told to resume brushing your teeth after the first 24 hours. Be particularly gentle near the surgical wound when brushing and gently rinse your mouth with warm salt water every two hours and after meals for a week.
          • Tobacco use: If you smoke, don’t do so for at least 72 hours after surgery — and wait longer than that if possible. If you chew tobacco, don’t use it for at least a week. Using tobacco products after oral surgery can delay healing and increase the risk of complications.
          • Stitches: You may have stitches that dissolve within a few weeks or no stitches at all. If your stitches need to be removed, schedule an appointment to have them taken out.
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            Apical Resection

            Also known as Apicoectomy, Apical Resection is a surgical procedure to remove the apex or the tip of the tooth’s root. This type of procedure is typically suggested only after a root canal has been performed, and the tooth is still causing you problems.

            Reasons for an Apicoectomy

            As many of us know, infected or inflamed tissue around the root of a tooth can be extremely painful and sometimes debilitating. In the rare instance that a conventional root canal treatment has been performed, but is unable to save your tooth, your endodontist may suggest an Apicoectomy. This will allow for the tooth’s preservation while eliminating any infection. Other reasons why an Apicoectomy may be recommended:

              • Small adjoining root branches: Roots are complex and can contain many tiny branches. If these tiny branches cannot be cleaned and sealed when the root canal treatment is performed, inflammation can persist.
              • Blocked root canal: In some cases, the surgeon is unable to effectively clean a root canal because it is blocked by a fractured file left behind from prior root canal treatment. Infection and debris can quickly affect adjacent teeth.
              • Narrow or curved root canals: When the root canal is poorly shaped, the endodontic files cannot reach the root tip. Continuing infection or re-infection can occur.

            What kind of fillings are available?

            Under local anesthesia, an incision is made in the gum to expose the inflamed tissue and root. The problem area will then be removed using ultrasonic instruments. The root will then be sealed with a small filling and closed up with stitches.

            Although this is a day surgery, the aftercare is crucial to proper healing. Patients are sent home with instructions and pain medication. Discomfort and swelling are normal after surgery. Your connective tissues will fully heal over the next few months.

            1.Is an Apicoectomy the same as a Re-Root Canal?

            A Re-Root Canal is a procedure which is carried out when the initial Root Canal treatment has been unsuccessful, or in the case of recurring infection in the tooth. Re-treatment may be necessary if decay accumulates in the affected tooth, there is a new infection, or if the tooth later cracks or becomes loose.

            An Apicoectomy is different from a Re-Root Canal, as it is a procedure which removes the apex of the tooth, rather than the Root Canal procedure which cleans out infected pulp and fills in the Root Canals afterwards in order to restore the tooth. An Apicoectomy is more complex in nature than a Root Canal procedure.

            The procedure is pain free and done under anaesthesia, so you shouldn’t feel any pain. The procedure is very straightforward and is routine in an endodontic practice. After the procedure, you may experience some pain and swelling, and in some cases, bruising around the area. If you’re in pain, you can take over-the-counter painkillers to combat this.

            After the procedure, you’ll need to eat softer foods and avoid anything which is particularly chewy or crunchy. Brush your teeth carefully as you will have to avoid the area until stitches are removed or fall out on their own. A follow-up appointment will be arranged, to check your progress and to see if the healing is well underway.

            A year or so later, a final X-ray needs to be carried out to check how the bone has healed and if the procedure was successful. Apicoectomy has a high success rate, in the region of 80-95%, so it tends to be a one-off, straightforward procedure with positive outcomes for the patient.

            If you’ve previously had a Root Canal treatment or Re-treatment and are experiencing pain or infection in the area, contact our online consultants on WhatsApp number +90 542 512 51 64 in order to be assessed by a qualified, experienced specialist.

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              Sinus Lift Surgery

              The road to strong and healthy dental implants isn’t always simple, but when necessary, a sinus lift procedure is definitely a step on the road to a full and healthy smile. This relatively common procedure makes it possible to enjoy the full benefits of dental implants, even after significant bone loss.

              What is a Sinus Lift?

              A sinus lift, also called sinus augmentation, is a procedure that makes it easier to place dental implants. Some patients need dental implants but have suffered bone loss, thus not having sufficient bone support necessary for implants. You can get the support you need by having a sinus augmentation.

              This procedure increases the amount of bone in the upper jaw that is required for dental implants. This is one of the most common bone grafting procedures for dental implant patients.

              Often times, sinus augmentations are one of the many procedures done during a full mouth reconstruction.

              Who needs a Sinus Augmentation?

              Over the last 25 years, dental implants have become more readily available, making them an increasingly common dental procedure. As more people get dental implants to replace missing teeth, sinus lifts also have become more common.

              A sinus augmentation may be necessary if you are missing teeth and jawbone in the back of your jaw, near your sinuses. Jawbone and teeth in this area could be lost due to birth defects, periodontal disease, cancer, other medical conditions, or just the natural healing process. A sinus lift can also be used if your sinuses are too close to your upper jaw and you need more space to place the implant.

              The Procedure

              The sinus lift procedure is a safe and straightforward procedure. and is generally performed at the prosthodontist’s or oral surgeon’s office. The entire process takes between 90 minutes to two hours.

              • First, the patient is sedated using local and/or general anesthesia. If necessary, a doctor may use nitrous oxide, but this is less common.
              • Next, the surgeon will cut the gum tissue where your back teeth used to be to expose the jawbone.
              • With the tissue raised, and the jawbone exposed, the surgeon will cut a small circle in the bone through which they can gently push on the membrane of the sinuses.
              • As the bony piece is lifted into the sinus cavity space the hole is filled with bone graft.
              • After this is done, the procedure is complete and the surgeon will close the incision with sutures.
              1.What Happens After a Sinus Augmentation?

              Patients are able to go home after they wake from the anesthesia. After the sinus lift procedure, most patients experience a little swelling and bleeding, but only minimal discomfort. The most important part of recovery is to keep the bone graft in place, so it’s important to avoid blowing your nose (or sneezing, if possible). Either of these things could cause the bone-graft material to move and loosen the stitches.

              When you go home, you will likely get a saline spray to keep your nose moist, a prescription to prevent congestion and swelling, a prescription for pain medicine, an antibiotic, and/or an antimicrobial mouthwash to help prevent infection. Most patients will be in bed with ice around the area for a day or so until they can resume normal activities.

              You will have a follow-up appointment with the dental specialist, during which, the specialist will examine the surgical site and may remove any stitches that have not dissolved on their own.

              A full recovery from a sinus lift takes a minimum of 6 months for the sinuses to heal and the bone to be strong enough to support dental implants. Although the process may seem slow, you are working towards results that will last a lifetime.

              Dental fillings are a very good way to repair tooth cavities, and they can stop toothache while preventing further tooth decay. But it’s much better to avoid tooth fillings in the first place. You can help to do this, with advice from a dental hygienist or dentist, by:

              • Avoiding/cutting down and managing your intake of sugary or acidic foods and drinks. If you sip on a sugary drink throughout the day, for example, your teeth are exposed to the sugar for longer, and your mouth doesn’t have chance to recover
              • Seeing a dentist and/or dental hygienist regularly
              • Cleaning between your teeth before brushing
              • Brushing your teeth twice a day for two minutes
              • Using the right toothpaste; not all types of toothpaste are the same, and different types are better suited for different needs depending on your age and a variety of other factors
              • Kindly visit our Price List for our prices. Do take note that if your case is severe and you might need more bone graft material, the cost of the surgery typically increases.

              Contact our online consultants to give you advice on WhatsApp number +90 542 512 51 64. You want to ensure you are working with a thorough and qualified professional when considering a Sinus Lift.

              A sinus lift is a surgical procedure and therefore carries some inherent risks. The main risk of this surgery is the piercing or tearing of the membrane. If this happens, it can be repaired and the surgery can continue. Sometimes, in the case of a larger tear, the membrane would need to be given time to heal before the lift can take place again later.

              The bigger risk is a sinus infection. Your surgeon will give you medication to protect against this and you should be careful not to sneeze or blow your nose too heavily to avoid moving the bone graft material or dislodge your stitches.

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