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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; 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