Does a Sinus Lift Bone Graft For Dental Implants Affect Breathing?

Does a Sinus Lift Bone Graft For Dental Implants Affect Breathing?

Does a Sinus Lift Bone Graft For Dental Implants Affect Breathing?

Does a sinus lift bone graft for dental implants affect breathing?  A patient asked me this today. 

She does not have enough bone in her upper molar area so she needs me to rebuild the bone.  That is the purpose of this procedure.  It allows you to have dental implants for upper back teeth, if the bone is deficient.

Over the last ten years, this question has come up several times in my Burbank, California office.  It has been my personal experience that breathing through the nose stays exactly the same or actually improves for some!  I have probably been told 40-60 times by my patients that their sinuses feel "clearer."

It is probably related to fact that the sinus is opened for this procedure.  Although the opening is quite small, it may allow you to "clear out" whatever may have been there for years.

I have never seen a sinus worsen, although that is possible.  Most complications that do occur would be an infection that may be treated with a second round of antibiotics.

The skill of your implant dentist is probably the most critical factor.


  1. Lori

    My 89 year old father just had tooth #2 extracted which was part of a bridge, so he has lost two of his molars and is now uncomfortable eating. He was told that in order to get an implant he would need a sinus lift bone graft. How long would it take until he has a functioning implant, and is this a safe procedure for a 90 year old? Are there other options? Thank you.

    October 9, 2018 at 2:52 am Reply
    1. RamseyAminDDS

      I just did 12 implants on a 90 year old! The sinus can often be treated in a single surgery with the implant through an internal method. Best to replace both molars and connect the two. If he is healthy enough to extract the tooth then he is likely healthy enough to have an implant.

      October 9, 2018 at 4:24 am Reply
  2. Trish

    I had bone graft in front (central incisor part) a month ago. I just remembered during the surgery, I had a hard time breathing. It was a nightmare, whenever the dentist touches my nose I feel like my nose is being covered or pinched to the point that I couldn’t breathe. I tried to breathe through my mouth but it wasn’t as comfortable as breathing through nose. Even my nose isn’t being touched, it still felt like that the amount of air i’m breathing is very limited. I just want to know if it’s normal? Whenever I think about it, it makes me scared for the next surgery.

    April 11, 2018 at 9:42 pm Reply
    1. RamseyAminDDS

      It is probably related to anxiety if it goes away. You should be IV sedated for the next surgery if this is the case. It is way easier that way!

      April 12, 2018 at 3:07 am Reply
  3. Hildy glick

    A very confusing subject for the layman. My daughter needs an implant or bridge we are swayed toward implant. She does need a sinus lift and after reading this and other articles, I don’t know how bad a traditional sinus lift is compared to the IRaise procedure… (which you called a gimmick).
    Can you advise me please?

    January 9, 2018 at 10:40 am Reply
    1. RamseyAminDDS

      see this post for a lot of details.

      Please keep in mind that the skill set and experience of your surgeons is highly variable. I would ask how many of these have the done and how long they’ve been doing it for. This type of procedure is delicate and technique sensitive.

      January 29, 2018 at 1:54 am Reply
  4. Kristine

    I went for a second opinion today after “parting ways” with the periodontist, I chose to get (2) implants. (Dr. Howard-EXPERT 2nd opinion)

    From the beginning, I knew I did not have enough bone, so grafting was discussed and done after #5 & #12 were extracted.
    The required 3-D x-ray was also done, and I noticed later on, that there was a doctor form attached and “check sinus” was clearly written, as an area to view, but not discussed with me.
    #12 is fine but #5 failed, 3 months after I got the crowns placed. I had a very chronic and painful inner earache, a month after the implants were placed with IV sedation.
    My primary care doctor said “it (ear) does not look red”. (which is why I wrote, inner ear)
    An ENT called my home after I went to a walk in clinic for this same earache. It was driving me crazy! He asked if I had gotten dental implants and then stated he thought one or both was infected and they might fail. Only my orthodontist agreed that an earache can be related, even without a sinus graft. (3) months later…#5 fails.

    Having an implant removed is no picnic. Plus, I am a chronic pain patient (long story- 4 level cervical fusion) Being on “gas” for 2 hours, twice in 3 months, and I had vitamin B-12 deficiency, and still working on replenishing this. NOBODY CARES.
    Pain medication was an ice pack and a 2 oz bottle of Listerine…no kidding!

    May 2015, and I am told that there is bone loss already, and I cannot get the crown.
    I had been calling and complaining all along about shooting pain and this earache. We were going out of the country on vacation and he did not order any antibiotic! The dentist that was evaluating me for braces on my bottom teeth, called in Z-pack. It quieted everything down and the earache too! He saved our vacation. (He also took a paradex right when we returned) June 2015 x-ray shows NO bone loss.
    Two other dental surgeons, viewed this same x-ray a month after I took the antibiotic. The periodontist who did the work REFUSED to look at the paradex x-ray, because it came from another office!
    Anyway….the other(s) said that it looked fine and they saw NO BONE LOSS. Both said, “why not try a temporary for a few months and see how it goes”. The periodontist will not give my dentist the “ok” to put the crown on, that I already paid for. He thinks the Z-pack was why everything looks good….. for now.

    I went for another opinion to a dental surgeon who ONLY does Dental Implants, and he concurred about the “temp crown”. He also said, that I should have had a sinus lift, so I would have been able to get more implants behind #5 & #12. He said, “now, it is too late, because the bottom teeth are growing up, to fill in the gap where there are no back UPPER teeth.
    Too late to make #5 have the sinus lift. Waiting to see if pain returns.
    My dentist called and said he would wait until September, and then if I have no “issues or pain”, he would MAYBE place the crown that is already paid for.
    He still thinks a “ball & socket procedure”, is best long term for me, but he would have to remove the #12 implant that is perfectly fine to do it!!! WHY WOULD he think, I want to rip out the good side? I paid $3,750.00 for (2) crowns and my insurance kicked in for one. (I was never reimbursed for what was paid either, so technically, the crown should be free)
    I read about a procedure called I-RAISE Sinus Lift Implant developed by Israel-based Maxillent LTD. Does any surgeon in the US do this yet?
    Any ideas/opinion on anything I can do if #5 fails again? Would I then be able to get the sinus lift after getting #5 removed?
    Bottom teeth “growing up to meet gap in upper area”….what does this mean going forward in time?
    I guess I am angry that I was never told about this sinus lift, until he confessed that he, should have done that.
    Time is my enemy, and now it appears I have little or no options, after all the time and money I have invested so far, plus all the radiation of all these additional x-rays from various offices.
    From day one, I was told, that the bone grafting was the “end all be all”, to ensuring a perfect outcome.
    The only dentist I trust, is the one that said “it is too late for a sinus lift, and there is no room for any more implants.”
    He is who I needed from day one.
    I should have been afforded the same honesty that I gave though my medical history and that would have had to been, an actual SURGEON, not a periodontist. Anyone reading this, do not make the mistakes I did when choosing a dental implant surgeon.
    I need a “Botched Dental Implant surgeon”, to help me find a way to remedy this.
    Please, please if you have any idea(s) or options for this insane situation, I would be so sincerely grateful.
    Thank you~

    July 17, 2015 at 11:08 pm Reply
    1. RamseyAminDDS

      I am so sorry you have has been negative experience. Typically a dental implant with a sinus lift in my practice is a very straight forward process. There is literally 1% complication rate. These 1% of patients can be easily corrected also.

      I would go with a temporary crown option and see how everything does. Keep the temporary crowns for 1 year.

      I-RAISE Sinus Lift Implant is a gimmick. Any skilled implant dentist with experience can perform a sinus graft very easily. These products are intended more for inexperienced dental implant surgeons

      Good luck,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      July 27, 2015 at 5:21 am Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!