Complications and Management of Implants Migrated into the Maxillary Sinus

Manor, Yifat; Anavi, Yakir; Gershonovitch, Ron; Lorean, Adi; Mijiritsky, Eithan

doi:10.11607/prd.3328

Cited by 24 publications

(29 citation statements)

References 13 publications

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“…Implant migration into the sinus, often with the co-occurrence of sinus infection, had a higher prevalence in the elevation group. When implant migration occurs, implants may be removed, thus leading to implant failure 67. Technical complications, including screw loosening, crown loosening and chipping, were mainly associated with inappropriate loading, which could be resolved by improving supra rehabilitation structure.…”

Section: Discussionmentioning

confidence: 99%

Short implants (≤6 mm) versus longer implants with sinus floor elevation in atrophic posterior maxilla: a systematic review and meta-analysis

Yan

et al. 2019

BMJ Open

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ObjectivesTo compare the use of short implants (≤6 mm) in atrophic posterior maxilla versus longer implants (≥10 mm) with sinus floor elevation.DesignA systematic review and meta-analysis based on randomised controlled trials (RCTs).Data sourcesElectronic searches were conducted in PubMed, Embase and the Cochrane CENTRAL. Retrospective and prospective hand searches were also performed.Eligibility criteriaRCTs comparing short implants (≤6 mm) and longer implants (≥10 mm) with sinus floor elevation were included. Outcome measures included implant survival (primary outcome), marginal bone loss (MBL), complications and patient satisfaction.Data extraction and synthesisRisks of bias in and across studies were evaluated. Meta-analysis, subgroup analysis and sensitivity analysis were undertaken. Quality of evidence was assessed according to Grading of Recommendations Assessment, Development and Evaluation.ResultsA total of seven RCTs involving 310 participants were included. No significant difference in survival rate was found for 1–3 years follow-up (RR 1.01, 95% CI 0.97 to 1.04, p=0.74, I²=0%, moderate-quality evidence) or for 3 years or longer follow-up (RR 1.00, 95% CI 0.97 to 1.04, p=0.79, I²=0%, moderate-quality evidence). However, short implants (≤6 mm) showed significantly less MBL in 1–3 years follow-up (MD=−0.13 mm, 95% CI −0.21 to 0.05; p=0.001, I²=87%, low-quality evidence) and in 3 years or longer follow-up (MD=−0.25 mm, 95% CI −0.40 to 0.10; p=0.001, I²=0%, moderate-quality evidence). In addition, short implant (≤6 mm) resulted in fewer postsurgery reaction (RR 0.11, 95% CI 0.14 to 0.31, p<0.001, I²=40%, moderate-quality evidence) and sinus perforation or infection (RR 0.11, 95% CI 0.02 to 0.63, p=0.01, I²=0%, moderate-quality evidence).ConclusionsFor atrophic posterior maxilla, short implants (≤6 mm) are a promising alternative to sinus floor elevation, with comparable survival rate, less MBL and postsurgery reactions. Additional high-quality studies are needed to evaluate the long-term effectiveness of short implants (≤6 mm).Trial registeration numberThe protocol has been registered at PROSPERO (CRD42018103531).

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Section: Discussionmentioning

confidence: 99%

Short implants (≤6 mm) versus longer implants with sinus floor elevation in atrophic posterior maxilla: a systematic review and meta-analysis

Yan

et al. 2019

BMJ Open

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“…Funding This study received no funding. [16] **Antrostomy through canine fossa and 'double-barrel approach'-operation through two trocars inserted via lateral wall [17]…”

Section: Resultsmentioning

confidence: 99%

“…Displaced foreign bodies should be always removed from maxillary sinus, to prevent sinonasal complications [1,11,[14][15][16] or accidental dangerous spontaneous displacement [18]. FESS facilitates performing no intervention within the maxillary sinus wall and maintaining natural ostium drainage-resulting in low surgical trauma and low rate of complications.…”

Section: Discussionmentioning

confidence: 99%

The Management of Foreign Body Displacement into the Maxillary Sinus as a Complication of Maxillofacial Interventions: Systematic Review

Wojtera

Woźna

Komisarek

2020

Indian J Otolaryngol Head Neck Surg

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Displacement of foreign bodies into the maxillary sinus shows an increasing tendency, especially in regard to raising amount of dental implant installation procedures. The purpose of our study was to compare the efficiency and the rate of late complications among the methods of removal of foreign bodies from maxillary sinus. We performed a systematic review following PRISMA Checklist, searching Pubmed and Google Scholar databases for studies investigating the methods of removal of foreign bodies from maxillary sinus. The inclusion criteria embraced the examined group of at least 10 cases and the follow up period of minimum 3 months. We qualified 7 papers from 531 identified in primary search. Among qualified studies functional endoscopic sinus surgery used in order to remove foreign body from maxillary sinus had no late complications, whereas they occurred in 0–5% cases of using replaceable or pedicled bone approaches and in 15–18% cases of Caldwell-Luc approach. FESS probably should become a gold standard in retrieving foreign bodies from maxillary sinus, however poor evidence requires further investigation, especially in prospective, randomized trials.

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“…Although small fragments may remain asymptomatic, removal is recommended, as even after long asymptomatic periods, complications such as oroantral fistulaes, mucoceles, cellulitis or, more commonly, maxillary sinusitis, which can affect 48% to 73% of patients, may arise (Hara et al, 2018;Manor et al, 2018;Gnigou et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

Santos

Oliveira

Neto

et al. 2021

RSD

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During the surgical removal of maxillary molars, tooth or fragment displacement into the maxillary sinus may occur. The presence of foreign bodies inside these cavities leads to complications such as mucoceles, cellulitis, oroantral fistulae and maxillary sinusitis, to prevent the arise and worsening of complications, these events must be addressed in an early stage. This article aims to report the removal of a tooth root from the maxillary sinus, through the modified Caldwell-Luc (CLM) approach and describe the current indications for the Caldwell Luc technique. It reports an upper third molar surgery in which a patient had the distal root of the left superior third molar displaced into the maxillary sinus, later showing signs of sinus opacification and loss of patency of the maxillary ostium obstructed by the root. After antibiotic treatment, the root was recovered through the CLM technique by local anesthesia, without complications. Foreign bodies in the maxillary sinuses must be urgently addressed, avoiding the development of infectious conditions, the CLM approach is the choice approach to manage these complications by a simple and safe way.

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Complications and Management of Implants Migrated into the Maxillary Sinus

Cited by 24 publications

References 13 publications

Short implants (≤6 mm) versus longer implants with sinus floor elevation in atrophic posterior maxilla: a systematic review and meta-analysis

Short implants (≤6 mm) versus longer implants with sinus floor elevation in atrophic posterior maxilla: a systematic review and meta-analysis

The Management of Foreign Body Displacement into the Maxillary Sinus as a Complication of Maxillofacial Interventions: Systematic Review

Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

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