A sinus lift washington dc is one of the most common procedures performed prior to placement of a dental implant. In order to facilitate bone growth to support a dental implant, the sinus membrane is pushed up and grafting material is placed. After a certain amount of time, this grafting material will facilitate the regeneration of enough bone to properly secure a dental implant. Though not always necessary, a sinus lift if performed on approximately 20% of patients who are having dental implants placed.
One of the biggest reasons people avoid having a sinus lift and/or dental implant procedure performed is concern over the pain and discomfort they will experience during the procedure. While there will be a recovery period following the sinus lift procedure that will be somewhat uncomfortable, local anesthetics and dental sedation options all but guarantee that the patient will experience minimal to no discomfort while the procedure is being performed.
If you have been avoiding having a sinus lift performed out of concern that it will be too painful, talk to your dentist or periodontist about dental sedation options. In general, the lightest form of dental sedation will be recommended, which is typically administered via pill (oral sedation) or as a gas (Nitrous Oxide), but for patients who have extreme dental phobia or for patients who are scheduled to have long and surgically invasive procedures performed, IV sedation is also an option. If IV sedation is used, most patients will have no memory of the procedure being performed.
Following your sinus lift procedure, you may begin to experience some discomfort once the effects of the sedation and local anesthetic wear off, which is why it is highly recommended that you clear your schedule for at least a few days following your sinus lift procedure. Facial swelling, discomfort, pain and bruising are very common and can typically be managed with over the counter pain medication, ice therapy, and/or a combination of both. If applying ice to the area of swelling, be sure to leave the ice pack on for no longer than 10-15 minutes and taking at least a 10-15-minute pause in between. If you are prescribed antibiotics or pain medication, be certain that you take as prescribed until the prescription runs out, and that you have updated your periodontist on any important medical events that have occurred recently.
While every patient will have slightly different aftercare instructions depending on their unique needs, one of the most important things for patients who have a sinus lift performed to be aware of is to avoid sneezing and/or blowing your nose for the first month following your procedure. If you must sneeze, open your mouth while doing so. It is also important to not spit or rinse forcefully and to use a soft bristle toothbrush over the surgical area.
If you still have any questions regarding the amount of pain involved in having a sinus lift, or if you have had a sinus lift and are experiencing pain that does not feel normal, contact your periodontist for an evaluation.
刚好前几天有朋友问我有关根管治疗（又叫杜牙根）的问题，因为我两样都做过，所以我的经验是植牙比较好，当然每个人的情况不一样，各有各的考量。适合别人的，不一定适合自己。
有些是牙齿状况的问题，还有就是经济方面的考量。
根管治疗和配牙套，很多保险会 Cover，就算不是全部 Cover ，起码 Cover 一部分。
但是植牙，很多保险都不 Cover 的，有些保险是每年只为植牙付一定的金额。（我曾经工作过的一个公司的牙医保险，每年只为植牙付1000元，超出部分要自己负担。
这个问题难有绝对的好坏，适合自己就是最好的。
里面是前天的对话，大家自己参考，自己判断。（这里是旧金山湾区）
我只凭自己的经历，说说自己对两种处理牙齿方法的看法而已。
很希望有经验的朋友，特别是两种都做过的朋友，分享他们的经验。
我帖子里面的朋友，就是连续做了三只牙的根管治疗，还是没法保住，根管治疗了没几天就要拔牙了。
请看清楚，他说是 3只牙，三个不同的牙医，同样没法保住牙齿。
我知道他植了一只牙，so far so good.
他这种情况，难道不是直接植牙更好？
好几个都是做了有十年以上了。。在不同的牙医那里做的，基本上没有失败过。
只有一个牙，当时做根管治疗和做牙套的医生不是同一个，所以做完根管，没有马上去第二个牙医那里做牙套套上， 导致那颗牙最终被拔掉，之后只好在那个位置再植一颗牙。（不过那是我自己的疏忽，和牙医没啥关系）。
最近有几个牙 的牙套，二十几年了，有磨损，重又换了个牙套。一切很好。
所以我的经验是根管治疗配牙套，没啥问题。
根管治疗后牙易脆裂，上牙套就是为加固和保护，年轻人牙还算坚硬能维持久些，而上年纪的牙酥了维持不了几年，迟早还得拔，最终还是得植牙也是没有办法的办法。
的主要来源。如果大家都主动把自己崩了，医学院录取率要高很多。
老了牙肉有点萎缩,牙套和牙肉的密合性差一点点牙医建议植牙.
决定植牙前,看此坛网友写植牙先做Sinus Lifting手术(上颚窦提升)文章.
研究了一下,放弃植牙念头,准备重新装个新牙套.
https://www.precisioninperio.com/how-painful-is-a-sinus-lift/
How Painful Is A Sinus Lift?A sinus lift washington dc is one of the most common procedures performed prior to placement of a dental implant. In order to facilitate bone growth to support a dental implant, the sinus membrane is pushed up and grafting material is placed. After a certain amount of time, this grafting material will facilitate the regeneration of enough bone to properly secure a dental implant. Though not always necessary, a sinus lift if performed on approximately 20% of patients who are having dental implants placed.
One of the biggest reasons people avoid having a sinus lift and/or dental implant procedure performed is concern over the pain and discomfort they will experience during the procedure. While there will be a recovery period following the sinus lift procedure that will be somewhat uncomfortable, local anesthetics and dental sedation options all but guarantee that the patient will experience minimal to no discomfort while the procedure is being performed.
If you have been avoiding having a sinus lift performed out of concern that it will be too painful, talk to your dentist or periodontist about dental sedation options. In general, the lightest form of dental sedation will be recommended, which is typically administered via pill (oral sedation) or as a gas (Nitrous Oxide), but for patients who have extreme dental phobia or for patients who are scheduled to have long and surgically invasive procedures performed, IV sedation is also an option. If IV sedation is used, most patients will have no memory of the procedure being performed.
Following your sinus lift procedure, you may begin to experience some discomfort once the effects of the sedation and local anesthetic wear off, which is why it is highly recommended that you clear your schedule for at least a few days following your sinus lift procedure. Facial swelling, discomfort, pain and bruising are very common and can typically be managed with over the counter pain medication, ice therapy, and/or a combination of both. If applying ice to the area of swelling, be sure to leave the ice pack on for no longer than 10-15 minutes and taking at least a 10-15-minute pause in between. If you are prescribed antibiotics or pain medication, be certain that you take as prescribed until the prescription runs out, and that you have updated your periodontist on any important medical events that have occurred recently.
While every patient will have slightly different aftercare instructions depending on their unique needs, one of the most important things for patients who have a sinus lift performed to be aware of is to avoid sneezing and/or blowing your nose for the first month following your procedure. If you must sneeze, open your mouth while doing so. It is also important to not spit or rinse forcefully and to use a soft bristle toothbrush over the surgical area.
If you still have any questions regarding the amount of pain involved in having a sinus lift, or if you have had a sinus lift and are experiencing pain that does not feel normal, contact your periodontist for an evaluation.
https://www.sohu.com/a/422919831_377312
资深牙医的良心告白：能做假牙就不要植牙！_网易订阅 (163.com)
Q1植牙较优于复假牙治疗？
任何医疗的最大目标应该是：治疗者愿意提供较省时、省钱、简单不复杂、安全的诊断及治疗方法，且以病人利益为首要考察。可惜，医疗在资本主义影响下倾向商业化，植牙已不是「林来疯」而是「植牙疯」，成为最夯的医疗方法，这是因为多数民众及牙医师被误导的结果。
植牙是缺牙时的治疗方式之一，但非首选，是没有办法的最终选择。在许多状况下，传统假牙不管是固定或活动假牙，仍能有不错的效果。大部份情况都不是非用植牙医疗不可（杀鸡不必用牛刀）。但是想在传统假牙医疗模式中得到高水准的医疗，并不容易，许多医疗者趁机鼓吹植牙有多棒。
执业牙医30年来，我常接获假牙不舒适、到处求医都没办法得到满意解决的病人说：「不知道，也无从选择何者有较高明医术的治疗者，而困扰不已。」因为许多病人及医疗提供者不太清楚成功疗法的标准，就算病人「感觉还算不错」，但在达人的检视下，离成功标准还远呢！因为病人往往使用植牙一段时间后，不良状况才会慢慢浮现。
传统假牙的治疗模式比植牙悠久。一项大规模文献研究发现，传统固定式假牙10年的生物性并发症，如再度蛀牙、牙周病变、牙髓病变及生物机械性并发症例如假牙松脱、断裂等，约一成左右；但植牙后五年，植体周围炎（牙床骨、牙龈发炎）、植体零件松脱、断裂、人工牙根及复假牙松脱、断裂、失败等约二～五成。
Q2植牙属侵入性医疗，比传统假牙风险高？
植牙除了伤口有感染的风险，其他像是伤口出血、伤口疼痛、伤口肿胀或愈合不良、局部麻醉风险、因并发症或手术效果不如预期，必要时仍需再度手术及其他治疗。
特殊性症状者如：骨髓炎、蜂窝组织炎、鼻窦炎、败血症、皮下气肿、脸部皮肤瘀血肿胀，颜面嘴唇、下颔、牙齿或舌头暂时或永久性麻痹感，开口困难，口内疤痕形成，需要附加额外的手术材料，包括软或硬组织，植牙失败再度手术取出，在第二度手术前，人工牙根可能提早外露而看得见。根据一项研究指出，比较严重的还有伤到下颔神经，造成嘴唇、牙齿、舌头永久性麻痹的约有5～15%。至于其他少见并发症像是伤及舌下血管出血，造成呼吸窘迫而成植物人，或上颚鼻窦手术发炎而致死。
Q3传统假牙的缺点？
传统假牙也有缺点，例如会损伤两边要固定的自然牙、牙齿有时要抽神经等，不过，多跟治疗质量有关，并不是常态。我有个患者上颚、下颚接受植牙，上颚几年后植体从鼻孔穿出，失败，做了四、五副全口活动假牙，陆陆续续都出现状况，令他很不满意，直到重做全口假牙，才说从此不用假牙黏着剂，吃饭、说话可以比较稳，不会脱落，可以吃比较硬的花生，吃东西也较有味道，体重也慢慢增加。
Q4植牙愈来愈多并发症，造成医疗纠纷？
许多人不知道，人工牙根与自然牙根在先天设计上大不同。自然牙先天具有自我保护功能，避免过多不正常咬力伤害自己及其周围的支持组织，减少损害。人工牙根的材质，其大小、方向、型态，无法像自然牙内及牙周膜含有敏锐的感觉神经等构造，用久了会对周边组织造成损伤而不自知，就像糖尿病病人如果脚部神经失去知觉，受伤时并不自知而易感染一样。所以，人工牙根无法完全取代自然牙的全部功能。传统固定式假牙利用自然牙，当然较具优势。缺牙时，能够应用传统假牙复方式为首选考察。
植牙专家Stuart.J.Froum说，原先植牙都是对软、硬组织较内行的口腔外科及牙周病专家执行治疗；现在则是愈来愈多功力参差不齐的牙医加入行列，当然会增加其并发症，且植牙在大学教育并没有深入的探讨，也没有临床实际训练及经验，许多牙医师毕业后，所受的继续教育多由植牙厂商或私人教师来提供，也未必深入，鲜少认知并发症的林林总总。并且牙医师在学习植牙时，讲者的成功案例，是高度筛选的结果，避开高风险的病人与病况，号称高的成功率，只是显示存活率而已。一项研究显示，约25～50%的植牙病患，在日后会引起植体牙周炎，造成疼痛、患侧不敢咬东西。
在水准较高的国家是由对牙周病、口腔外科等较有软、硬组织处理经验的牙医操刀。但植牙前的诊断、治疗规划及植下人工牙根后续的假牙复，仍需具高水准的复科牙医制作配合。在国内通常由某一科牙医统包整个治疗过程，其质量如何，许多病人无法分辨。复制作或咬合处理不当，引起颞颚关节障碍，头、颈、口腔、颜面疼痛等并发症，时有所闻，大部份病人初期时并无大碍，使用一段时间后感觉不适，严重时才会再度求医。
所以，当你遇到牙医宣称植牙可以咬较硬的食物，比传统假牙还好时，就要小心！事实上，自然牙能够及时分辨咬力的大小，以免咬力过大，伤到自己。传统假牙处理好，也照样能吃比较硬的东西，但有些部分活动假牙及全口假牙能承受的力量仅是自然牙的六分之一，因为植体先天上无自我保护神经。植牙后则自我感觉良好，殊不知长期咬硬的食物，其实就是加速灾难的开始。文献中常发现利用植入的人工牙根与自然牙合并使用的牙桥多年后，自然牙齿移位，证明人工牙根缺乏运作人体精密的生物机械原理，易产生不平衡，咬合不稳，导致牙齿移位。
其实，不少的复及牙齿美容（前牙美容贴片）科医师，对颞颚关节其病变原因、分类、诊断、治疗的深入了解、以及对咬合因素在整个咀嚼系统各部份的知识拥有得并不多。咀嚼系统构造包括耳前关节、头、颈、脸部肌肉、神经、韧带、牙齿、黏膜、骨头，其中一个部位发生状况，都会影响其他组织的健康，环环相扣。整个系统一旦不平衡，久了就造成各部位的伤害，功能失常、疼痛。肇祸的原因很多，包括植牙后的假牙制作不良，致使咬合不正常、引起颞关节障碍、头、颈、颜面、口腔、牙齿疼痛，例如头痛、偏头痛、耳痛、喉咙部位讲话久了会痛，吃东西、打哈欠耳前关节会痛，关节有弹响，颈部疼痛、喉咙有异物感、耳鸣等千奇百怪的症状，到处求医都不得缓解，屡见不鲜。
Q5如何判断牙医师的功力？
首先要能确认诊断、分析关节是否健康稳定，运用各种检查工具和方法，详细确认何种关节构造是否有问题？与咬合的关系是否正常？例如用较精确的半调节式咬合器以及面弓来分析，诊断上下牙齿咬合与颞颚关节是否有异常及不平衡的关系，差异的大小，然后提出全口复健治疗方法，包括戴咬合板、咬合调整、假牙复、牙齿矫正，手术整修牙床骨等。如果使用多数技工所常用的简单式咬合器，制作的假牙绝对会有问题。
咬合大师道森曾经说：「现今毕业的牙医师能够拥有咬合知识、咀嚼系统、解剖、生理、下颚骨生物机械原理的完整了解，理念到技术超准的，毕竟是少数！」多数植牙后的假牙制作不良时，有时病人不会感到不舒服，就是感觉怪怪的，有时不太敢咬硬的东西，等到多年后，才惊觉代志大条了，整个咀嚼系统各部门会无声无息、持续受到破坏，例如耳前关节（颞颚）内结构，如软骨变形、移位、退化等。
总之，缺牙时，条件状况就算不是良好，高品质的传统假牙仍是首要考虑的选择，它比较省时、省钱，较安全且不复杂。
成功率高，少受很多罪。
http://www.jsdental.cn/Health/detail/id/55.html#:~:text=%E7%AD%94%E6%A1%88%E6%98%AF%EF%BC%8C%E4%B8%8D%E4%BC%9A%E3%80%82,%E5%85%B7%E6%9C%89%E8%BE%83%E5%A4%A7%E7%9A%84%E5%BD%B1%E5%93%8D%E3%80%82