MIGRATION OF DENTAL IMPLANTS INTO MAXILLARY SINUS DURING THE HEALING PERIOD DUE TO WRONG INDICATION: REPORT OF 2 CASES

Öz

Displacement of dental implants into the maxillary sinus and related anatomic structures is a rare, but increasingly reported complication. Diagnosis of the affected structures related with maxillary sinus and determining the exact position of the dental implant are essential before the removal procedure of the migrated dental implant. After a clinical and radiological examination, an indicated procedure for every case should be decided. In this presented clinical case reports, migrated dental implants into the maxillary sinus cavity in the healing period and the management of this complication were described.

Key Words: Sinus augmention, dental implants, displacement, maxillary sinus, Caldwell-Luc

Anahtar Kelimeler

• Sinus augmention
• dental implants
• displacement
• maxillary sinus
• Caldwell-Luc

MIGRATION OF DENTAL IMPLANTS INTO MAXILLARY SINUS DURING THE HEALING PERIOD DUE TO WRONG INDICATION: REPORT OF 2 CASES

Öz

Displacement of dental implants into the maxillary sinus and related anatomic structures is a rare, but increasingly reported complication. Diagnosis of the affected structures related with maxillary sinus and determining the exact position of the dental implant are essential before the removal procedure of the migrated dental implant. After a clinical and radiological examination, an indicated procedure for every case should be decided. In this presented clinical case reports, migrated dental implants into the maxillary sinus cavity in the healing period and th 
management of this complication were described.

Key Words: Sinus augmention, dental implants, displacement, maxillary sinus, Caldwell-Luc

Dental implatların, maksiler sinüs ya da bağlantılı anatomik yapılara deplase olması oldukça nadirdir fakat bu komplikasyon ile ilgili raporlar artmaktadır. Deplase implantın çıkarılma işleminden önce, maksiler sinüs ve etkilenen dokuların diagnozu ve implantın kesin pozisyonunun belirlenmesi oldukça önemlidir. Yapılan klinik ve radyolojik muayeneden sonra ilgili vaka için uygun cerrahi prosedüre karar verilmelidir. Sunulan klinik vaka raporlarında, iyileşme döneminde maksiler sinüse deplase olan dental implantlar anlatılmaktadır. ve bu komplikasyonun tedavisiDental implatların, maksiler sinüs ya da bağlantılı anatomik yapılara deplase olması oldukça nadirdir fakat bu komplikasyon ile ilgili raporlar artmaktadır. Deplase implantın çıkarılma işleminden önce, maksiler sinüs ve etkilenen dokuların diagnozu ve implantın kesin pozisyonunun belirlenmesi oldukça önemlidir. Yapılan klinik ve radyolojik muayeneden sonra ilgili vaka için uygun cerrahi prosedüre karar verilmelidir. Sunulan klinik vaka raporlarında, iyileşme döneminde maksiler sinüse deplase olan dental implantlar anlatılmaktadır. ve bu komplikasyonun tedavisi

Anahtar Kelimeler

• Sinus augmention,
• dental implants,
• isplacement, maxillary sinus

Kaynakça

1. Ungor C. Radiologic evaluation of putty versus
2. powder form of demineralized bone matrix in sinus floor elevation. J Oral Implantol 2012;38:337-43.
3. Galindo-Moreno P, Padial-Molina M, Avila G, Rios
4. HF, Hernández-Cortés P, Wang HL.Complications associated with implant migration into the maxillary sinus cavity. Clin Oral Implants Res. 2012;23:1152-60.
5. Yavuz MS, Aras MH, Uzun İH. Mini dental implant
6. in the maxillary aesthetic region. J Dent Fac Ataturk Uni 2008;18:66-9.
7. Dimitriou C, Karavelis A, Triardis K. Foreign body in
8. the sphenoid sinus. J Cranio-Max-Fac Surg 1992: 20: 228–9.

9. Haben CM, Balys R, Frenkiel S. Dental implant
10. migration into the ethmoid sinus. J Otolaryngol 2003; 32:342–4
11. lida S, Tanaka N, Kogo M, Matsuya T. Migration of
12. a dental implant into the maxillary sinus. Int. J. Oral Maxillofac Surg. 2000; 29:358-9.
13. Cascone P, Ungari C, Filiaci F, Gabriele G, Ramieri
14. V. A dental implant in the anterior cranial fossa. Int J Oral Maxillofac Surg 2010;39:92-3.
15. González-García A, González-García J, Diniz-Freitas
16. M, García-García A, Bullón P. Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update. Med Oral Patol Oral Cir Bucal 2012;17:769-74.
17. Galindo P, Sanchez-Fernandez E, Avila G. Migration
18. of implants into the maxillary sinus: Two clinical cases. Int J Oral Maxillofacial Implants 2005;20:291–5.
19. Regev E, Smith RA, Perrott DH. Maxillary sinus
20. complications related to endosseous implants. Int J Oral Maxillofac Implants 1995;10:451–61.
21. Raghoebar GM, Vissink A. Treatment for an
22. endosseous implant migrated into the maxillary sinus not causing maxillary sinusitis: case report. Int J Oral Maxillofac Implants 2003;18:745-9.
23. Chiapasco M, Felisati G, Maccari A, Borloni R, Gatti
24. F, Di Leo F. The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols. Int J Oral Maxillofac Surg. 2009; 38:1273-8.
25. Lubbe DE, Aniruth S, Peck T, Liebenberg S.
26. Endoscopic transnasal removal of migrated dental implants. Br Dent J. 2008;204:435-6.
27. Kitamura A. Removal of a migrated dental implant
28. from a maxillary sinus by transnasal endoscopy. Br J Oral Maxillofac Surg 2007;45:410-1.