Clinical progress of teeth and implant displaced into the maxillary sinus: retrospective clinical study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Because of the unique anatomical characteristics of the maxillary sinus, a tooth or implant may be accidentally displaced into the maxillary sinus for various reasons. The medical records, including symptoms, clinical examinations, a description of surgery and radiographs, were reviewed for 19 patients who were treated for the displacement of a tooth and implants into the maxillary sinus, between 2003 and 2015. Sixteen cases (84%) were implant displacement, while three other cases (16%) involved tooth displacement. Eleven cases (57.9%) were asymptomatic, while eight cases (42.1%) displayed symptoms. Psychological stress and nasal obstruction were the most common signs and symptoms, followed by nasal discharge, pain, and purulent discharge. Attempts at removal of the displaced material were made in 14 out of 19 (74%) cases; 5 patients (26%) were observed with using antibiotics. For removal, a majority of patients underwent surgery with the Caldwell-Luc approach while using general anesthesia. All of the symptoms disappeared after removing the displaced material. In these cases, clinicians should perform thorough assessments of the local anatomy using radiography prior to treatment. The appropriate healing period and type of treatment should be selected based the patient’s bone quality and bone mass, while avoiding an excessive use of instruments.
Abstract
Because of the unique anatomical characteristics of the maxillary sinus, a tooth or implant may be accidentally displaced into the maxillary sinus for various reasons. The medical records, including symptoms, clinical examinations, a description of surgery and radiographs, were reviewed for 19 patients who were treated for the displacement of a tooth and implants into the maxillary sinus, between 2003 and 2015. Sixteen cases (84%) were implant displacement, while three other cases (16%) involved tooth displacement. Eleven cases (57.9%) were asymptomatic, while eight cases (42.1%) displayed symptoms. Psychological stress and nasal obstruction were the most common signs and symptoms, followed by nasal discharge, pain, and purulent discharge. Attempts at removal of the displaced material were made in 14 out of 19 (74%) cases; 5 patients (26%) were observed with using antibiotics. For removal, a majority of patients underwent surgery with the Caldwell-Luc approach while using general anesthesia. All of the symptoms disappeared after removing the displaced material. In these cases, clinicians should perform thorough assessments of the local anatomy using radiography prior to treatment. The appropriate healing period and type of treatment should be selected based the patient’s bone quality and bone mass, while avoiding an excessive use of instruments.
참고문헌 (13)
- A. Gonzalez-Garcia, "Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: A review and update", Medicina Oral Patología Oral y Cirugia Bucal, 17, pp.e769~e774 (2012), Medicina Oral, S.L.[DOI]
- Seiji Iida, "Migration of a dental implant into the maxillary sinus", International Journal of Oral and Maxillofacial Surgery, 29(5), pp.358~359 (2000), Elsevier BV[DOI]
- Annabelle Bouquet, "Contributions of reformatted computed tomography and panoramic radiography in the localization of third molars relative to the maxillary sinus", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 98(3), pp.342~347 (2004), Elsevier BV[DOI]
- Qi Man Gao, "Removal of Long-Term Broken Roots Displaced Into the Maxillary Sinus by Endoscopic Assistant", Journal of Craniofacial Surgery, 27(1), pp.e77~e80 (2016), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Paul A. Fugazzotto, "Augmentation of the Posterior Maxilla: A Proposed Hierarchy of Treatment Selection", Journal of Periodontology, 74(11), pp.1682~1691 (2003), Wiley-Blackwell[DOI]
- Bjarni E. Pjetursson, "Maxillary sinus floor elevation using the (transalveolar) osteotome technique with or without grafting material. Part I: implant survival and patients' perception", Clinical Oral Implants Research, 20(7), pp.667~676 (2009), Wiley-Blackwell[DOI]
- Woolley EJ, "Subdural empyema resulting from displacement of a root into the maxillary antrum", Br Dent J, 182, pp.430~432 (1997)
- Kim YK, "Complication Q&A in dentistry", pp.29~30 (2015), DaehanNarae Publishing
- Abubekir Eltas, "Accidental Displacement of Dental Implants Into Both Maxillary Sinuses During Surgery", Journal of Oral Implantology, 41(5), pp.601~603 (2015), American Academy of Implant Dentistry[DOI]
- de Jong MA, "Removal of dental implants displaced into the maxillary sinus: A case series", Eur J Oral Implantol, 9, pp.427~433 (2016)
- Akira Kitamura, "Removal of a migrated dental implant from a maxillary sinus by transnasal endoscopy", British Journal of Oral and Maxillofacial Surgery, 45(5), pp.410~411 (2007), Elsevier BV[DOI]
- Elina Matti, "Transnasal Endoscopic Removal of Dental Implants from the Maxillary Sinus", The International Journal of Oral & Maxillofacial Implants, 28(3), pp.905~910 (2013), Quintessence Publishing[DOI]
- M. Chiapasco, "The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols", International Journal of Oral and Maxillofacial Surgery, 38(12), pp.1273~1278 (2009), Elsevier BV[DOI]