Incisive dental implant migration into the nasal septum

Abstract

We report the clinical case of a female patient who presented to our emergency department due to a septal abscess caused by the displacement of a dental implant into the nasal septum. The patient underwent surgical treatment for endoscopic foreign body excision and septal abscess drainage. Despite the presence of septal cartilage destruction, the L-shaped structure was preserved and no reconstruction was required. Postoperative healing was uneventful.

Accidental migration of a dental implant into the nasal cavity

“…10,12 Sousa Menezes et al described a patient who developed a septal abscess due to the migration of a dental implant into the nasal septum; it was resolved by endoscopic foreign body excision and septal abscess drainage. 8 In our patient, computed tomography and nasal endoscopy findings suggested that the implant was located superficially and that no oronasal fistula was present; therefore, we attempted to remove the implant in an ambulatory surgery setting with the patient under local anesthesia. Importantly, we were able to extract the implant with only minor complications.…”

“… 7 There have been several reports regarding migration of dental implants, most commonly into the maxillary sinus and less commonly to other adjacent craniofacial structures. 1 – 3 , 8 – 10 To the best of our knowledge, there have been no reports regarding the migration of a dental implant into the nasal cavity through the maxillary sinus ostium.…”

“…Notably, dental implants may also migrate into the nasal septum because of technical misplacement associated with disturbance of osseointegration. 8 …”

“…Notably, dental implants may also migrate into the nasal septum because of technical misplacement associated with disturbance of osseointegration. 8 If concomitant developments such as maxillary sinusitis or septal abscess occur, the conventional treatment approach is to perform extraction as soon as possible. 10 There are different methods for resolution of migrated implants, depending on their locations.…”

Accidental migration of dental implant into the nasal cavity: Spontaneous expulsion through the nose

“…Although the nasal floor elevation is less frequent, is a technique also used to place dental implants, usually since 2010 ( 6 - 9 ), although not exempt of complications such as alterations of the nasal flow ( 10 ), migration into the nasal septum ( 11 ) or displacement into the nasal fossa ( 12 ).…”