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A retrospective analysis of the relationship between rhinosinusitis and sinus lift dental implantation.

Kayabasoglu G, Nacar A, Altundag A, Cayonu M, Muhtarogullari M, Cingi C - Head Face Med (2014)

Bottom Line: Four of the patients (4.2%) had a complication of postoperative sinusitis and were treated medically.In one patient, the implant was unsuccessful (even after treatment) and was removed.None of the patients needed surgery due to the sinusitis or any associated complications.

View Article: PubMed Central - PubMed

Affiliation: Otolaryngology Head and Neck Surgery Department, Sakarya University Medical School, Adnan Menderes Cad No.145, Adapazarı Sakarya, Istanbul, Turkey. gurkan@kayabasoglu.com.

ABSTRACT

Introduction: Dental implants have been associated with the occurrence of postoperative rhinosinusitis. In some patients, preoperative sinus lifting must be performed to increase the chances of successful implant placement. This retrospective study examines the relationship of dental implants after sinus lifting with the occurrence of postoperative rhinosinusitis.

Methods: A total of 268 dental implants were inserted in 94 patients (62 Males, 32 Females) between 2011-2013. The ages ranged from 29-71 (in males) and 33-64 (in females). Additionally, bilateral sinus lifing was performed in 51 patients, and unilateral sinus lifting was performed in 43 of the patients. Patients were evaluated for sinus pathology for a period of 5-47 months postoperatively using a satisfaction questionnaire, conventional radiographic examination, and nasal endoscopic examination.

Results: Four of the patients (4.2%) had a complication of postoperative sinusitis and were treated medically. In one patient, the implant was unsuccessful (even after treatment) and was removed. None of the patients needed surgery due to the sinusitis or any associated complications.

Conclusion: The risk for postoperative rhinosinusitis was found to be higher in patients who suffer from chronic sinusitis and in cases in which a large amount of graft was utilized for sinus lifting. These predisposing factors need to be considered when evaluating patients for dental implants and sinus lift procedures.

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Maxillary sinusitis after sinus lifting and bone graft.
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Fig3: Maxillary sinusitis after sinus lifting and bone graft.

Mentions: A total of 268 dental implants were inserted in 94 patients (62 Males, 32 Females) between 2011–2013. The ages ranged from 29–71 (in males) and 33–64 (in females.). 145 sinus lift procedures (bilateral in 51 patients, unilateral in 43 patients) were performed during the implantation. Postoperative unilateral maxillary sinusitis was detected in 4 of 94 patients; these 4 patients had undergone bilateral sinus lifting. (Figure 3) Of these patients, 3 had reported chronic sinusitis in their history, and 1 required an unusually high volume of graft material due to increased maxillary reabsorption. Two of the 4 patients also had ipsilateral ethmoid sinusitis (Additional file 1), 3 of the 4 patients had suffered from purulent exudative leakage from an intraoral fistula, and 1 had symptoms of mild acute sinusitis. For the patients with an intraoral fistula, infected graft materials were aspirated from sinus cavity and they were placed on a 10-day course of clindamycin. 2 of the 4 patients exhibited total recovery. 1 patient lost an implant due to a lack of response to the treatment, and the other was given an additional 10-day course of amoxicillin-clavulanic acid and exhibited full recovery. No further surgical intervention was required in any of the patients.Figure 3


A retrospective analysis of the relationship between rhinosinusitis and sinus lift dental implantation.

Kayabasoglu G, Nacar A, Altundag A, Cayonu M, Muhtarogullari M, Cingi C - Head Face Med (2014)

Maxillary sinusitis after sinus lifting and bone graft.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4414305&req=5

Fig3: Maxillary sinusitis after sinus lifting and bone graft.
Mentions: A total of 268 dental implants were inserted in 94 patients (62 Males, 32 Females) between 2011–2013. The ages ranged from 29–71 (in males) and 33–64 (in females.). 145 sinus lift procedures (bilateral in 51 patients, unilateral in 43 patients) were performed during the implantation. Postoperative unilateral maxillary sinusitis was detected in 4 of 94 patients; these 4 patients had undergone bilateral sinus lifting. (Figure 3) Of these patients, 3 had reported chronic sinusitis in their history, and 1 required an unusually high volume of graft material due to increased maxillary reabsorption. Two of the 4 patients also had ipsilateral ethmoid sinusitis (Additional file 1), 3 of the 4 patients had suffered from purulent exudative leakage from an intraoral fistula, and 1 had symptoms of mild acute sinusitis. For the patients with an intraoral fistula, infected graft materials were aspirated from sinus cavity and they were placed on a 10-day course of clindamycin. 2 of the 4 patients exhibited total recovery. 1 patient lost an implant due to a lack of response to the treatment, and the other was given an additional 10-day course of amoxicillin-clavulanic acid and exhibited full recovery. No further surgical intervention was required in any of the patients.Figure 3

Bottom Line: Four of the patients (4.2%) had a complication of postoperative sinusitis and were treated medically.In one patient, the implant was unsuccessful (even after treatment) and was removed.None of the patients needed surgery due to the sinusitis or any associated complications.

View Article: PubMed Central - PubMed

Affiliation: Otolaryngology Head and Neck Surgery Department, Sakarya University Medical School, Adnan Menderes Cad No.145, Adapazarı Sakarya, Istanbul, Turkey. gurkan@kayabasoglu.com.

ABSTRACT

Introduction: Dental implants have been associated with the occurrence of postoperative rhinosinusitis. In some patients, preoperative sinus lifting must be performed to increase the chances of successful implant placement. This retrospective study examines the relationship of dental implants after sinus lifting with the occurrence of postoperative rhinosinusitis.

Methods: A total of 268 dental implants were inserted in 94 patients (62 Males, 32 Females) between 2011-2013. The ages ranged from 29-71 (in males) and 33-64 (in females). Additionally, bilateral sinus lifing was performed in 51 patients, and unilateral sinus lifting was performed in 43 of the patients. Patients were evaluated for sinus pathology for a period of 5-47 months postoperatively using a satisfaction questionnaire, conventional radiographic examination, and nasal endoscopic examination.

Results: Four of the patients (4.2%) had a complication of postoperative sinusitis and were treated medically. In one patient, the implant was unsuccessful (even after treatment) and was removed. None of the patients needed surgery due to the sinusitis or any associated complications.

Conclusion: The risk for postoperative rhinosinusitis was found to be higher in patients who suffer from chronic sinusitis and in cases in which a large amount of graft was utilized for sinus lifting. These predisposing factors need to be considered when evaluating patients for dental implants and sinus lift procedures.

Show MeSH
Related in: MedlinePlus