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

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.

Maxillary Sinus Augmentation and Implant Installation in Patients With Pseudocysts and Mucous Retention Cysts

“…Previous studies influenced the rationale for adopting different treatment methods for MRC measuring 20 mm or larger and tending to exhibit progressive enlargement over time 17,18 . Consequently, a complete removal of moderate to large MRCs was deemed advantageous for achieving favorable long-term outcomes 19 …”