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Endoscope-assisted Removal of Dental Implants Displaced Into the Maxillary Sinus: A Report of 27 Patients

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Purpose: Dental implant displacement into the maxillary sinus can be performed intraoperatively, during the healing phase and after loading. We aimed to describe the etiology, sequela, and treatment in each stage by presenting 27 sinus migration cases. Conclusion: Implant displacement was predominant during the healing period and for the osteotome technique. Unnoticed membrane perforation during implant placement in the posterior maxilla may cause dental implant displacement into the maxillary sinus. Osteotome sinus floor elevation should be utilized carefully to prevent implant migration. The lateral approach with endoscope visualization facilitated displaced implant removal.

Abstract

Purpose: Dental implant displacement into the maxillary sinus can be performed intraoperatively, during the healing phase and after loading. We aimed to describe the etiology, sequela, and treatment in each stage by presenting 27 sinus migration cases. Conclusion: Implant displacement was predominant during the healing period and for the osteotome technique. Unnoticed membrane perforation during implant placement in the posterior maxilla may cause dental implant displacement into the maxillary sinus. Osteotome sinus floor elevation should be utilized carefully to prevent implant migration. The lateral approach with endoscope visualization facilitated displaced implant removal.

참고문헌 (10)

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  6. Bakhshalian N, "Accidental migration of a dental implant into the ethmoid sinus following a transalveolar sinus elevation procedure", Clin Implant Dent Relat Res, 17, pp.360~364 (2015)
  7. Cha HS, "Simultaneous sinus lift and implant installation : prospective study of consecutive two hundred seventeen sinus lift and four hundred sixty-two implants", Clin Implant Dent Relat Res, 16, pp.337~347 (2014)
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  10. Galindo-Moreno P, "Dental implant migration in grafted maxillary sinus", Implant Dent, 20, pp.400~405 (2011)

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