Post-Operative Instructions for Sinus Lift or Bone Augmentation Surgery

Post-Operative Instructions for Sinus Lift or Bone Augmentation Surgery
It is normal a certain amount of pain, swelling, pain or bleeding.

The following instructions are providing to make your post-operative recovery period as pleasant and short as possible.

In case you don’t have insufficient bone structure because of enlarged sinus in the area of upper premolars and molars in the upper jaw and you planning to place dental implants you will be having a Sinus Lift surgery. During this procedure Dr. Igor Roshkovan will augment this area with bone graft substitute in the maxillary sinus. Usually we using freeze dried bone or synthetic artificial bone that is being grafted.

Dr. Igor can offer you to use your own bone for bone grafting. In this scenario you will have two post-surgical wounds: in the recipient site and in the donor side.

PLEASE DO NOT BLOW YOUR NOSE UNDER ANY CIRCUMSTANCES FOR THE NEXT FOUR WEEKS. This may be extended if it’s necessary. You can sniff all you want but NO BLOWING please.

Keep the gauze pack in the mouth and firm bite down at the end of your surgery at least 30 min. After half an hour remove the gauze pack and replace it with another gauze sponge as provided by Dr. Roshkovan Dental Implants staff. Repeat this as necessary.

After Sinus lift surgery should not be excessive bleeding. It is not normal to see bright red blood rapidly pooling in the area of surgery. If this happened and does not drop with pressure please call immediately to the office @ 818-706-7770.

You can expect a small amount of nasal discharge with lightly bloody.
You should report immediately to office if you have excessive bleeding from your nose.
After oral sedation and you were asleep for the sinus lift surgery be sure to eat a soft food before to taking any medications.

These precautions will reduce the chances of post-surgical sickness. You will receive antibiotic prescription before the surgery and you should be continued for the next seven days.
Take your painkiller medications as needed in accordance with the Igor Roshkovan DDS, MSc directions. Codeine or Hydrocodone can be supplemented with Ibuprofen type medications. Be sure you have no allergies reactions that the Dr. Igor Roshkovan and stuff do not know about.
Do not spit saliva or rinse for a minimum of 24 hours.

This tends to prolong bleeding process, disturb the formation of blood clot, opening the wound and delay healing process. There shouldn’t be heavy blood only light.
You have to swallow your saliva. Do not brush your teeth following to the surgery site area for 24 hours and only brush in areas away from your grafted surgery side.

When expectorating, BE GENTLE. If you used a prescribed mouthwash prior to surgery, it should be continued starting 24 hours after your surgery.
You should use a prescribed mouthwash after surgery for next 7 days.
Place the mouthwash in the area of the sinus lift surgery for 30-60 seconds.
Apply ice pack in the areas where the dental surgery was done.
You can expect swelling or discomfort up into the nose, eyes or cheeks after grafting your upper jaw.
You can expect bruising or discoloration after sinus lift but it happened very rare.
DO NOT SMOKE and avoid sport activity. Do not drink with a straw. Do not drink alcoholic beverages while taking your painkillers.


If you have a temporary removable denture to wear do not place it until the numbness in the area is gone, it will take 3-4 hours.
If you have questions about the fit of your flipper or removable upper denture, do not wear it until you see Dr. Roshkovan so could adjust it for you.