Bokanova Riviera Maya is an ADA-compliant dental clinic with over 36 years of experience. It specializes in dental implants, oral surgery, veneers, crowns, and Smile Design. Procedures follow ISO standards and cost at least 40% less than in the US or UK.
Bokanova Riviera Maya is an ADA-compliant dental clinic with over 36 years of experience. It specializes in dental implants, oral surgery, veneers, crowns, and Smile Design. Procedures follow ISO standards and cost at least 40% less than in the US or UK.
Dr. Barragan specializes in bone regeneration research and surgical techniques, with a PhD focusing on biomaterials for dental implants.
Dr. Esteban Barragan is an implantologist and oral surgeon at Bokanova Dental Center. He is an international speaker and key opinion leader in bone regeneration. Dr. Barragan earned a PhD for his research in biomaterials and surgical techniques. He completed postgraduate training in Barcelona across oral surgery, implantology, and prosthetic dentistry.
Bokanova Riviera Maya is an ADA-compliant dental clinic with over 36 years of experience. It specializes in dental implants, oral surgery, veneers, crowns, and Smile Design. Procedures follow ISO standards and cost at least 40% less than in the US or UK.
The operation elevates the sinus floor, enhancing bone quantity for dental implant placement, improving oral health and appearance.
"},"1240":{"operation":{"name":"Crestal sinus lift","alias":"crestal-sinus-lift","use_for_listing":true},"country_price":{"US":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":190,"max_amount":530,"currency":"USD","clinic_count":12,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":600,"max_amount":1000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":500,"max_amount":1100,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":true,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":true,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AL":true,"BG":true,"EG":true,"GE":true,"HU":true,"RO":true},"description":"This procedure elevates sinus lining through small openings, enhancing bone height for dental implants, less invasive with quick recovery.
"},"1241":{"operation":{"name":"Lateral window sinus lift","alias":"lateral-window-sinus-lift","use_for_listing":true},"country_price":{"US":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":290,"max_amount":710,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":600,"max_amount":1500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1200,"max_amount":1400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"MX":true,"TH":true},"description":"The procedure elevates sinus membrane to allow bone grafting for dental implant placement, improving oral function and aesthetics.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Dental Treatment","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Typical for desk-based work after crestal (transalveolar) sinus elevation with or without simultaneous implant placement; depends on extent of surgery."},"complication_rate_pct":{"min":5,"max":25,"unit":"percent","qualifier":"Any intra- or postoperative complication, mainly membrane perforation (about 5-20%); serious ones under 3%."},"contraindications":["Acute or chronic maxillary sinusitis or other active sinus pathology","Residual bone height under about 4-5 mm","Uncontrolled diabetes or other uncontrolled systemic disease","Active infection in the surgical area","Heavy smoking (relative)","Jaw radiotherapy or IV bisphosphonates (relative; specialist assessment)","Sinus septa or anatomic anomalies making membrane elevation unsafe (relative)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usually performed as an outpatient dental procedure without an overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting are usually avoided for about 1-2 weeks; light activity sooner."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Osseointegration time before final prosthesis with simultaneous implant placement; longer if placement is delayed."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After wound check and surgeon clearance; air pressure changes are a concern if membrane perforation or nosebleed occurred."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"If non-resorbable sutures were used."}},{"purpose":"wound_check","requirement":"routine","after":{"min":3,"max":5,"unit":"days","qualifier":"Early check of healing and sinus-related symptoms before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Radiographic and clinical assessment of osseointegration before loading."}}],"indications":["Insufficient vertical bone in the posterior maxilla for implants","Sinus pneumatization after upper molar or premolar tooth loss"],"main_risks":["Sinus membrane (Schneiderian) perforation","Postoperative infection or sinusitis","Nosebleed (epistaxis) and bleeding","Swelling and bruising","Graft material migration or loss of augmentation","Implant failure or loss of stability","Benign paroxysmal positional vertigo (rare, related to malleting)","Blocked nose and hematoma","Marginal bone loss around the implant"],"pain":"Usually limited postoperative pain and discomfort, controlled with standard analgesics; generally considered less invasive than the lateral window approach.","preparation":["Clinical exam and CBCT or panoramic imaging","Treatment of active dental or sinus infection beforehand","Review of medical history and current medications with the surgeon","Smoking cessation advised","Oral hygiene optimization","Antibiotic prophylaxis and antiseptic rinses as prescribed by the surgeon"],"recovery_timeline":[{"phase":"First days","description":"Mild swelling, minor discomfort and possible slight nasal bleeding.","restrictions":["Avoid nose blowing and sneezing with mouth closed","Avoid straws and smoking","Soft diet"]},{"phase":"Weeks 1-2","description":"Soft tissue healing; swelling resolves; sutures removed if applicable.","restrictions":["Avoid strenuous exercise and heavy lifting","Avoid pressure changes such as diving"]},{"phase":"Months 3-6","description":"Bone healing and osseointegration, followed by prosthetic restoration.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery with return to normal daily eating and activity; no formal rehabilitation program."},"result_longevity":"Sinus augmentation with an osseointegrated implant is typically stable for 10 years or more with good oral hygiene, regular maintenance and no smoking. Longevity depends on implant care and peri-implant health.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Implant failure or repeat augmentation needed within about 3-5 years."},"scars":"No external scar; the approach is intraoral through the implant site, with minimal or no visible mucosal scarring.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Surgical visit with simultaneous implant placement (one-stage) or sinus lift alone then delayed implant (two-stage); prosthetic visits excluded."},"stages":[{"code":"sinus_lift_surgery","label":"Crestal sinus elevation with graft, usually with simultaneous implant","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial surgery."}},{"code":"delayed_implant_placement","label":"Delayed implant placement after graft consolidation (two-stage only)","after":{"min":120,"max":180,"unit":"days","qualifier":"After graft consolidation; two-stage protocol only."}}],"qualifier":"Typical protocol is single-stage surgery in one visit when sufficient primary stability is achievable."},"success":{"metric":"Implant survival after crestal sinus lift","value":95,"unit":"percent","horizon":"3-5 years","population":"Adults with 4-6 mm or more residual bone height and flat sinus floor","evidence_status":"limited"},"techniques":[{"name":"Osteotome (Summers) technique","suits_whom":"Patients with adequate residual bone height (about 5 mm or more) and a relatively flat sinus floor.","recovery":"Brief; mild swelling and discomfort for a few days."},{"name":"Hydraulic or drill-based minimally invasive crestal elevation (e.g., Smart Lift, CAS kit)","suits_whom":"Patients where gentler membrane elevation is desired to reduce perforation risk, including residual height of about 3 mm or more in selected cases.","recovery":"Similar to the osteotome technique, with limited postoperative pain and discomfort."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per single implant site with crestal sinus elevation and simultaneous implant placement."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of upper jaw and sinuses","Intraoral photos of the missing-tooth area","Report of sinusitis or sinus surgery (if available)","List of blood thinners"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Trip 1: surgery with implant, 3-5 days. 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