Management of Perioperative Pathologic Conditions Involving Maxillary Sinus for Dental Implant Placement and Sinus Augmentation: Report of Case Series and Literature Review

Jae-Ho Hwang; Sanghoon Lee

doi:10.32542/implantology.2023013

All Issue

2023 Vol.27, Issue 2 Preview Page

Clinical or Case Report

Management of Perioperative Pathologic Conditions Involving Maxillary Sinus for Dental Implant Placement and Sinus Augmentation: Report of Case Series and Literature Review

30 June 2023. pp. 113-123

PDF XML

Abstract

The present case series report aims to demonstrate the outcomes of sinus augmentation under perioperative pathologic conditions of the maxillary sinus. In a preoperative assessment, two patients were diagnosed with mucous retention cysts and chronic maxillary sinus, respectively. In two other patients, postoperative maxillary sinusitis was diagnosed via crestal and lateral approaches after the sinus augmentation. All cases were managed with supplementary medical or surgical therapy to minimize further complications of sinus augmentation. In one patient who refused referral to the tertiary hospital for asymptomatic chronic maxillary sinus, the opacification in the maxillary sinus recurred 18 months after augmentation. However, the abnormality was asymptomatic and still under surveillance. Three other patients presented no further complication and with favorable outcomes of sinus augmentation. In conclusion, bone augmentation in the maxillary sinus demands proper perioperative management to obtain clinical improvement.

Keywords

Dental implants

Maxillary sinus

Maxillary sinusitis

Mucocele

Sinus floor augmentations

References

Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.

Tatum H, Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-29. 10.1016/S0011-8532(22)02107-33516738

Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-6. 10.1902/jop.2004.75.4.51115152813

Suh DW, Lee DK, Lee SH. Clinical evaluation of delayed versus simultaneous implantation with sinus lifting. J Korean Assoc Oral Maxillofac Surg 2009;35:442-50. https://koreascience.kr/article/JAKO200911764897980.page

Park WB, Kang KL, Han JY. Factors influencing long-term survival rates of implants placed simultaneously with lateral maxillary sinus floor augmentation: A 6- to 20-year retrospective study. Clin Oral Implants Res 2019;30:977-88. 10.1111/clr.1350531306519

Romero-Millán JJ, Aizcorbe-Vicente J, Peñarrocha-Diago M, Galindo-Moreno P, Canullo L, Peñarrocha-Oltra D. Implants in the posterior maxilla: open sinus lift versus conventional implant placement. a systematic review. Int J Oral Maxillofac Implants 2019;34:e65-e76. 10.11607/jomi.727430807622

Moreno Vazquez JC, Gonzalez de Rivera AS, Gil HS, Mifsut RS. Complication rate in 200 consecutive sinus lift procedures: guidelines for prevention and treatment. J Oral Maxillofac Surg 2014;72: 892-901. 10.1016/j.joms.2013.11.02324583086

Nolan PJ, Freeman K, Kraut RA. Correlation between Schneiderian membrane perforation and sinus lift graft outcome: a retrospective evaluation of 359 augmented sinus. J Oral Maxillofac Surg 2014;72:47-52. 10.1016/j.joms.2013.07.02024071378

Jamcoski VH, Faot F, Marcello-Machado RM, Melo ACM, Fontao F. 15-Year Retrospective Study on the success rate of maxillary sinus augmentation and implants: influence of bone substitute type, presurgical bone height, and membrane perforation during sinus lift. Biomed Res Int 2023;2023:9144661. 10.1155/2023/914466136860810PMC9970713

Hong SB, Kim JS, Shin SI, Han JY, Herr Y, Chung JH. Clinical treatment of postoperative infection following sinus augmentation. J Periodontal Implant Sci 2010;40:144-9. 10.5051/jpis.2010.40.3.14420607060PMC2895521

Testori T, Weinstein T, Taschieri S, Wallace SS. Risk factors in lateral window sinus elevation surgery. Periodontol 2000 2019;81:91-123. 10.1111/prd.1228631407430

Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B. Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures. J Oral Maxillofac Surg 2015;73:1275-82. 10.1016/j.joms.2015.01.03925921824

Stacchi C, Andolsek F, Berton F, Perinetti G, Navarra CO, Di Lenarda R. Intraoperative complications during sinus floor elevation with lateral approach: a systematic review. Int J Oral Maxillofac Implants 2017;32:e107-18. 10.11607/jomi.488428494033

Molina A, Sanz-Sánchez I, Sanz-Martín I, Ortiz-Vigón A, Sanz M. Complications in sinus lifting procedures: Classification and management. Periodontol 2000 2022;88:103-15. 10.1111/prd.1241435103321

Karabuda C, Arisan V, Özyuvaci H. Effects of sinus membrane perforations on the success of dental implants placed in the augmented sinus. J Periodontol 2006;77:1991-7. 10.1902/jop.2006.06010217209783

Kim SB, Yun PY, Kim YK. Clinical evaluation of sinus bone graft in patients with mucous retention cyst. Maxillofac Plast Reconstr Surg 2016;38:35. 10.1186/s40902-016-0081-127730098PMC5035652

Park WB, Park JS, Han JY, Shin SI, Lim HC. Removal of inflammatory tissue/product by sinus membrane puncturing during lateral sinus augmentation in asymptomatic patients with severely opacified sinuses: a case series. Appl Sci 2021;11:11831. 10.3390/app112411831

Anavi Y, Allon DM, Avishai G, Calderon S. Complications of maxillary sinus augmentations in a selective series of patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:34-8. 10.1016/j.tripleo.2007.09.02118299227

Janner SFM, Dubach P, Suter VGA, Caversaccio MD, Buser D, Bornstein MM. Sinus floor elevation or referral for further diagnosis and therapy: a comparison of maxillary sinus assessment by ENT specialists and dentists using cone beam computed tomography. Clin Oral Implants Res 2020;31:463-75. 10.1111/clr.1358231991010

Pazera P, Bornstein MM, Pazera A, Sendi P, Katsaros C. Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis using cone-beam computed tomography (CBCT). Orthod Craniofac Res 2011;14:17-24. 10.1111/j.1601-6343.2010.01502.x21205165

Manji A, Faucher J, Resnik RR, Suzuki JB. Prevalence of maxillary sinus pathology in patients considered for sinus augmentation procedures for dental implants. Implant Dent 2013;22:428-35. 10.1097/ID.0b013e31829d1a2023839271

Chen YW, Lee FY, Chang PH, Huang CC, Fu CH, Huang CC, et al. A paradigm for evaluation and management of the maxillary sinus before dental implantation. Laryngoscope 2018;128:1261-7. 10.1002/lary.2685628921521

Kim SW, Lee IH, Kim SW, Kim DH. Points to consider before the insertion of maxillary implants: the otolaryngologist's perspective. J Periodontal Implant Sci 2019;49:346-54. 10.5051/jpis.2019.49.6.34631886027PMC6920034

Yoon JH, Na DG, Byun HS, Koh YH, Chung SK, Dong HJ. Calcification in chronic maxillary sinusitis: comparison of CT findings with histopathologic results. AJNR Am J Neuroradiol 1999;20:571-4. 10319962PMC7056005

Al-Dajani M. Incidence, Risk Factors, and Complications of Schneiderian Membrane Perforation in Sinus Lift Surgery: A Meta-Analysis. Implant Dent 2016;25:409-15. 10.1097/ID.000000000000041126974034

Proussaefs P, Lozada J, Kim J, Rohrer MD. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study. Int J Oral Maxillofac Implants 2004;19:413-20. 15214227

Timmenga NM, Raghoebar GM, Boering G, van Weissenbruch R. Maxillary sinus function after sinus lifts for the insertion of dental implants. J Oral Maxillofac Surg 1997;55:936-9. 10.1016/S0278-2391(97)90063-X9294502

Manor Y, Mardinger O, Bietlitum I, Nashef A, Nissan J, Chaushu G. Late signs and symptoms of maxillary sinusitis after sinus augmentation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:e1-4. 10.1016/j.tripleo.2010.02.03820610290

Lee SC, Shin YM. Management of sinus infection after immediate implant placement with sinus lift (lateral approach): case report. J Implantol Appl Sci 2021;25:201-8. 10.32542/implantology.2021021

Hong SO, Shim GJ, Kwon YD. Novel approach to the maxillary sinusitis after sinus graft. Maxillofac Plast Reconstr Surg 2017;39:18. 10.1186/s40902-017-0115-328695114PMC5483218

Ayna M, Gulses A, Mede I. Management of infection after grafting of the sinus bone. Br J Oral Maxillofac Surg 2017;55:198-9. 10.1016/j.bjoms.2016.06.02127435501

Oh E, Kraut RA. Effect of sinus membrane perforation on dental implant integration: a retrospective study on 128 patients. Implant Dent 2011;20:13-9. 10.1097/ID.0b013e3182061a7321278522

Information

Publisher :The Korean Academy of Oral & Maxillofacial Implantology
Publisher(Ko) :대한구강악안면임플란트학회
Journal Title :Journal of implantology and applied sciences
Journal Title(Ko) :대한구강악안면임플란트학회지
Volume : 27
No :2
Pages :113-123
Received Date : 2023-04-29
Revised Date : 2023-06-28
Accepted Date : 2023-06-29
DOI :https://doi.org/10.32542/implantology.2023013

Journal of implantology and applied sciences ISSN:2765-7833(Print) 2765-7841(Online) 대한구강악안면임플란트학회지

All Issue