Surgical treatment of chronic sinus pain developing after dental implant placement: a case report with 3-month follow-up

Year 2024, Volume: 25 Issue: 2, 65 - 68, 28.06.2024

Muhammed Furkan Özcan , Kubilay Barış

Abstract

Dental implant surgery in the maxillary posterior region with insufficient alveolar bone height can be performed in one or two stages, depending on the amount of residual bone. Anatomical structures in the area where the procedure will be performed increase surgical sensitivity, and failure to make the necessary preparations may lead to various complications. During dental implant surgical procedures, various complications may be encountered in the relevant area. A 56-year-old male patient applied to our clinic with the complaint of severe and persistent pain. With panoramic and cone beam computed tomography evaluation, it was determined that the apical parts of the last two implants were in the sinus. After obtaining consent, two adjacent implants were explanted within the same session on the planned day, and the procedure area was closed with buccal fat tissue obtained from the patient and autologous platelet-rich fibrin.

Keywords

Buccal fat pad, dental implant, explantation, maxillary sinus, sinus lifting

Ethical Statement

ETHICAL DECLARATIONS Referee Evaluation Process: Externally peer-reviewed. Conflict of Interest Statement: The authors have no conflicts of interest to declare. Financial Disclosure: The authors declared that this study has received no financial support. Author Contributions: All of the authors declare that they have all participated in the design, execution, and analysis of the paper, and that they have approved the final version

References

• Kang DW, Kim SH, Choi YH, Kim YK. Repeated failure of implants at the same site: a retrospective clinical study. Maxillofac Plast Reconstr Surg. 2019;41:27.
• Wolff R, Hsu A, Heo Y, et al. Two-year follow-up comparison of three surgical techniques for implant placement in posterior maxilla with limited alveolar bone height. Int J Oral Maxillofac Implant. 2022;37:171-180.
• Maruyama N, Maruyama F, Takeuchi Y, et al. Intraindividual variation in core microbiota in peri-implantitis and periodontitis. Sci Rep. 2014;4:6602.
• Hainarosie R, Pietrosanu C, Cherecheanu A, et al. Risk factors for dental implant failure and medicolegal implications. Rom J Leg Med. 2019;27:52-56.
• Lovasova K, Kachlik D, Rozpravkova M, Matusevska M, Ferkova J, Kluchova D. Three-dimensional CAD/CAM imaging of the maxillary sinus in ageing process. Ann Anat-Anatomisc Anzeiger. 2018;218:69-82.
• Kozuma A, Sasaki M, Seki K, et.al. Preoperative chronic sinusitis as significant cause of postoperative infection and implant loss after sinus augmentation from a lateral approach. Oral Maxillofac Surg. 2017;21(2):193-200.
• Molteni M, Bulfamante AM, Pipolo C, et al. Odontogenic sinusitis and sinonasal complications of dental treatments: a retrospective case series of 480 patients with critical assessment of the current classification. Acta Otorhinolaryngol Ital. 2020;40(4):282-289.
• Saibene AM, Pipolo C, Borloni R, Felisati G. ENT and dentist cooperation in the management of odontogenic sinusitis: a review. Acta Otorhinolaryngol Ital. 2021;41(1):116-123.
• Bravo Cordero G, Minzer Ferrer S, Fernández L. Odontogenic sinusitis, oro-antral fistula and surgical repair by Bichat’s fat pad: literature review. Acta Otorrinolaringol Esp. 2016;67(2):107-113.
• Saibene AM, Collurà F, Pipolo C, et al. Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol. Eur Arch Otorhinolaryngol. 2019;276(2):401-406.