Do You Need a Sinus Lift for Dental Implants?

A sinus lift adds bone to the upper jaw so an implant has a solid base. Here is who needs one, what the procedure involves and what recovery is like.

CategoryImplants
Reading time6 min
PublishedJul 18, 2024
UpdatedNov 1, 2026

The short answer

A sinus lift adds bone to the upper back jaw by gently lifting the sinus membrane and placing bone graft material underneath. You may need one if you are missing upper back teeth and there isn't enough bone height to hold an implant, often because of bone loss after tooth loss or gum disease. Your dentist confirms this with a 3D scan.

Key takeaways

  • A sinus lift adds bone height in the upper back jaw
  • It is often needed after upper molars have been missing for a while
  • It is usually done under local anesthesia, with discomfort similar to an extraction
  • Healing takes a few months before the implant can be placed

Sinus lifts are becoming more common as more people choose dental implants. The procedure adds bone to the upper jaw when there isn't enough to support an implant. Here is how to tell if you might need one, what the procedure involves and how it helps.

What is a sinus lift?

A sinus lift (also called a sinus augmentation) adds bone to the upper jaw in the area of the back teeth. The sinus sits just above these teeth. When there isn't enough bone height between the jaw and the sinus, the sinus membrane is gently lifted and bone graft material is placed underneath it. Once it heals, the new bone gives an implant a stable base.

Signs you may need a sinus lift

Missing upper back teeth

When upper teeth, especially molars, are missing for a while, the bone in that area shrinks. A sinus lift can rebuild the bone needed for an implant.

Bone loss from gum disease

Periodontal disease can cause significant bone loss in the jaw. If there isn't enough bone left to support an implant, a sinus lift may be needed. Read Bone Grafting for Dental Implants.

Naturally thin bone or a large sinus

Some people naturally have less bone in the upper jaw, or a sinus that sits low. A sinus lift builds up the bone so an implant can be placed.

What happens during a sinus lift?

  • Planning: your dentist takes X-rays or a 3D scan to measure the bone and see the sinus.
  • Access: a small opening is made in the gum to reach the bone.
  • Lifting the membrane: the sinus membrane is gently lifted.
  • Bone graft: bone graft material is placed in the space below the lifted membrane.
  • Healing: the gum is closed with stitches and the area heals.

Healing usually takes several months, and this time is important for the implant's long-term success. Learn more on our sinus lift page.

Told you need more bone for an implant? Book a consultation with Dr. Desai.

Book a consultation

Benefits of a sinus lift

  • A stable base for implants: more bone height gives the implant a solid foundation and improves the chance of success.
  • Preserves the jaw: rebuilding the bone helps maintain the structure of the upper jaw.

Is a sinus lift painful?

Many people worry that a sinus lift will be painful or risky. In reality:

  • Comfort: it is usually done under local anesthesia, and most patients feel only mild discomfort afterward, similar to having a tooth removed.
  • A routine procedure: a sinus lift is a well-established procedure with a high success rate. Dr. Desai performs sinus lifts here in our Tustin office.

Read Does Dental Implant Surgery Hurt? for more on comfort and sedation.

Recovery and aftercare

Follow your dentist's instructions closely. Common tips include:

  • Don't blow your nose: for the time your dentist recommends, since pressure can move the graft. Sneeze with your mouth open.
  • Take medication as directed: use prescribed pain relievers and antibiotics as instructed.
  • Rest: take it easy for a few days.

Risks and how they are managed

Complications are uncommon. The main ones are:

  • Infection: following your hygiene and aftercare instructions lowers the risk.
  • A tear in the sinus membrane: if it happens, it can usually be repaired during the procedure.

A careful assessment with imaging before surgery and a sterile setting during it help keep the procedure safe.

How to find out if you need a sinus lift

Your dentist will look at your jaw and sinus on X-rays or a 3D scan to see if you have enough bone for an implant. If you need a sinus lift, you'll get a treatment plan that covers each step, from the graft to the final tooth. Read Am I a Candidate for Dental Implants?

Sinus lifts and implants in Tustin

Dr. Desai has postgraduate training in periodontics and oral implantology and performs sinus lifts and implant treatment for patients from Tustin, Irvine, City of Orange, Santa Ana and the rest of Orange County. Larwin Square Dentistry is at 604 E 1st St in the Larwin Square Shopping Center in Tustin. We're open Monday to Wednesday and Friday from 9:00 AM to 5:30 PM, and every Saturday from 8:00 AM to 2:30 PM. Call (714) 505-9462 or book online.

Questions patients ask

How long does it take to heal from a sinus lift?

The gum heals in a couple of weeks, but the new bone usually needs several months to mature before an implant can be placed.

Is a sinus lift painful?

It is usually done under local anesthesia. Most people describe the soreness afterward as similar to having a tooth removed.

Can the implant be placed at the same time as a sinus lift?

Sometimes, if there is enough bone to hold the implant steady. Your dentist will decide based on your scan.

Why can't I blow my nose after a sinus lift?

Blowing your nose creates pressure in the sinus that can move the graft. Your dentist will tell you how long to avoid it.

Find out if you need a sinus lift

If you've been told you don't have enough bone for an implant, book a consultation. Dr. Desai will review your scan and explain your options.

Learn more about Dental Implants →

Written and reviewed by Hiral Desai, DDS, MDS, D. ABDSM

UCLA School of Dentistry; Diplomate, American Board of Dental Sleep Medicine; postgraduate training in periodontics and oral implantology; 15+ years of experience, including family and emergency dentistry in the USA and Australia; published research. About Dr. Desai

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This guide is general information, not a diagnosis. Book a visit for advice about your own teeth.