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What Is a Sinus Lift? Bone Augmentation for Upper-Jaw Implants

June 26, 2026·6 min read

Sinus lifting (sinus elevation) is a surgical operation performed in the back of the upper jaw when there is not enough bone for an implant beneath the sinus cavity. During it, the sinus membrane is lifted upward and bone material is placed into the freed space, creating the height needed for the implant.

Dentist wearing a protective mask
Sinus lifting is a surgical procedure carried out by a professional dentist under sterile conditions.

Why does the problem arise specifically in the upper jaw?

Directly above the back (molar) region of the upper jaw lies an air-filled cavity — the maxillary sinus. After a tooth is lost, two processes occur at the same time: below, the bone that held the tooth root gradually shrinks (resorption), while above, the sinus cavity expands downward (pneumatisation). As a result, the bone height needed for a reliable implant decreases.

Dentist in latex gloves examining a patient
Bone volume in the upper jaw is assessed via an examination and 3D tomography.

For a standard implant to hold firmly, at least 10 mm of bone depth is usually required. If the tooth was lost long ago, only 3–5 mm of bone may remain in this region. It is precisely to fill this gap that sinus lifting is used.

When is sinus lifting needed?

The decision is made based on a 3D CT (cone-beam tomography) taken before implantation. The doctor measures the exact bone height and determines the need:

  • Sufficient bone (≈10 mm and more): No sinus lift needed — the implant is placed directly.
  • Moderate deficiency (≈5–8 mm): The closed (transcrestal) method is often sufficient.
  • Severe deficiency (less than ≈4 mm): An open (lateral) sinus lift is required.
Dentist working on a patient's tooth
The need for sinus lifting is determined based on the doctor's examination before implantation.

How is the operation performed?

An open sinus lift is performed under local anaesthesia, painlessly. The operation is carried out step by step, carefully:

Dentist working with gloves during an operation
An open sinus lift is performed under local anaesthesia, painlessly.
Surgical operation in a dental clinic
The operation is performed step by step: the membrane is lifted, bone material is placed.

Over 4–6 months the placed bone material is replaced by your own living bone, creating a firm base that will hold the implant for life.

What is the difference between the open and closed method?

There are two main techniques. The choice depends on the volume of bone augmentation needed — the less augmentation, the less intervention:

Dentist checking the implant area
The choice between the open and closed method depends on the volume of bone augmentation needed.

Brief summary

Sinus lifting eliminates bone deficiency in the upper jaw and makes reliable implantation possible even in cases where it was previously said “an implant cannot be placed”. A well-planned operation is safe and predictable.

Patient pleased with treatment
A well-planned sinus lift opens the way to a healthy, lifelong implant result.

Frequently Asked Questions

Is sinus lifting painful?

The operation is performed under local anaesthesia, and no pain is felt during the procedure. In the following few days, mild swelling and discomfort are easily managed with ordinary painkillers.

Can an implant be placed on the same day as a sinus lift?

Yes, when bone deficiency is small (closed/transcrestal method), the sinus lift and implant are often done in the same session. When extensive augmentation (open method) is required, the implant is usually placed 4–6 months later.

What bone material is used?

Bone-substitute granules (of synthetic or natural origin) are most often used. Over time the material is replaced by your own living bone. The specific choice is determined individually based on CT results.

Have a question?

In a free consultation, Dr. Bakhtiyar will review your CT results and explain a plan suited to you.

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What Is a Sinus Lift? — Upper-Jaw Implants | Baku | Implant Center