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Related Experiment Video

Updated: Apr 23, 2026

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Sinus Lift-Before-Extraction Approach: Our Experience With a Strategic Approach to Implant Site Development.

Fares Kablan1,2, Amjad Shhadeh1,2, Shadi Daoud1,2

  • 1Department of Oral and Maxillofacial Surgery, Galilee College of Dental Sciences, Galilee Medical Center, Nahariya, ISR.

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|April 22, 2026
PubMed
Summary
This summary is machine-generated.

This study shows a staged sinus lift before tooth extraction is effective for bone augmentation in the posterior maxilla. This approach improves bone height for dental implants, maintaining function and aesthetics during healing.

Keywords:
dental implantsfixed prosthesishopeless teethmaxillary sinus augmentationposterior maxilla

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Periodontology

Background:

  • Maxillary sinus augmentation is crucial for dental implant success in atrophic posterior maxilla.
  • Compromised posterior maxillary teeth often necessitate extraction and bone augmentation for rehabilitation.
  • A conventional approach involves extraction followed by sinus augmentation.

Purpose of the Study:

  • To evaluate a sinus lift-before-extraction staged protocol for maxillary sinus augmentation.
  • To assess the feasibility and outcomes of performing lateral sinus augmentation prior to tooth extraction and implant placement.
  • To determine if this approach increases available bone height for subsequent implant-supported rehabilitation.

Main Methods:

  • Retrospective case series of 16 posterior maxillary sites in 13 patients over eight years.
  • Lateral sinus augmentation performed before extraction of compromised teeth.
  • Non-restorable teeth temporarily retained during healing to support provisional restorations.
  • Second-stage procedure involved tooth extraction and implant placement.

Main Results:

  • Sinus augmentation as the initial stage in 13 patients (ages 43-69) showed uneventful healing and minimal morbidity.
  • 39 implants were placed in augmented sites after extraction, achieving successful osseointegration.
  • Mean follow-up of 60 months demonstrated favorable clinical, radiographic, and patient-reported outcomes.
  • Patient satisfaction was favorable with fixed implant-supported prostheses.

Conclusions:

  • A sinus lift-before-extraction staged approach is a feasible option for selected posterior maxillary sites with hopeless teeth.
  • This protocol effectively increases bone height for dental implants.
  • Temporarily retaining teeth preserves interim function and aesthetics, facilitating implant placement post-augmentation.