Retrieval of Root Fragment in Maxillary Sinus Via Anterolateral Wall of the Sinus to Preserve Alveolar Bone

Hu, Ying; Chen, Yang; Xu, Guang Zhou; Wang, Yong; Abdelrehem, Ahmed

doi:10.1097/scs.0000000000001286

Cited by 7 publications

(11 citation statements)

References 10 publications

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“…In addition, extraction of these roots poses several risks of complications, such as nerve injury (inferior alveolar, lingual, and mental nerves) and displacement of the roots into the maxillary sinus. 15 16 In particular, dental surgery in older patients carries a high risk of these complications.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

et al. 2015

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PURPOSEThe aim of this study was to determine the frequency of significant panoramic radiographic findings and eventual treatment requirements before conventional or implant supported prosthetic treatment in asymptomatic edentulous patients.MATERIALS AND METHODSA total of 743 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system. We analyzed the radiographic findings, including impacted teeth, retained root fragments, foreign bodies, severe atrophy of the posterior maxillary alveolar bone, mucous retention cysts, soft tissue calcifications and radiopaque-radiolucent conditions.RESULTSFour-hundred-eighty-seven (65.6%) patients had no radiographic finding. A total of 331 radiographic findings were detected in 256 (34%) patients. In 52.9% (n=175) of these conditions, surgical treatment was required before application of implant-supported fixed prosthesis. However, before application of conventional removable prosthesis surgical treatment was required for 6% (n=20) of these conditions.CONCLUSIONThe edentulous patients who will have implant placement for implant-supported fixed prosthesis can frequently require additional surgical procedures to eliminate pathological conditions.

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Section: Discussionmentioning

confidence: 99%

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

et al. 2015

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“… 66 The use of piezosurgery and endoscopy is also described for other scenarios, such as when displaced root fragments from the maxillary sinus need to be removed. 67 Other indications in the field of oral surgery are the use of the piezosurgical device for the removal of the third molar, 68 – 72 and additionally even for the removal of an osteoma associated with a third molar, 73 or lower third molar germectomy. 74 There are many other indications for the use of the piezoelectric device in maxillofacial surgery.…”

Section: Clinical Applicationsmentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

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Piezosurgery, or the use of piezoelectric devices, is being applied increasingly in oral and maxillofacial surgery. The main advantages of this technique are precise and selective cuttings, the avoidance of thermal damage, and the preservation of soft-tissue structures. Through the application of piezoelectric surgery, implant-site preparation, bone grafting, sinus-floor elevation, edentulous ridge splitting or the lateralization of the inferior alveolar nerve are very technically feasible. This clinical overview gives a short summary of the current literature and outlines the advantages and disadvantages of piezoelectric bone surgery in implant dentistry. Overall, piezoelectric surgery is superior to other methods that utilize mechanical instruments. Handling of delicate or compromised hard- and soft-tissue conditions can be performed with less risk for the patient. With respect to current and future innovative surgical concepts, piezoelectric surgery offers a wide range of new possibilities to perform customized and minimally invasive osteotomies.

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“…All these publications are Level 4 and therefore have a low level of scientific evidence (Tab. I) [1,2,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Corpus Research Methodologymentioning

confidence: 99%

“…Nevertheless, today's endoscopes help to limit these disadvantages [19,21,22,25]. They provide excellent visibility of the surgical site, which reduces the bone access window.…”

Section: Managementmentioning

confidence: 99%

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Teeth roots displacement in the maxillary sinus: characteristics and management

Seigneur¹,

Cloître²,

Malard

et al. 2020

J Oral Med Oral Surg

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Introduction: Teeth displacement in the maxillary sinus is one of the most frequently described peri-extraction complications in oral surgery. Roots or whole teeth accidentally displaced during an avulsion process are the most common cause of foreign bodies in the maxillary sinus. It exposes the patient to more or less serious complications that can go as far as development of pneumonia or septic thrombosis of the cavernous sinus in rare cases. Several therapeutic solutions can be proposed to manage this complication, ranging from therapeutic abstention to the removal of the dental component using various techniques. Corpus: The pedagogical objectives of this article are to explain the main characteristics of this complication as well as its treatment. Through a systematic review of the literature according to the PRISMA methodology, the risk factors, prevention, diagnosis, complications, and management of teeth displacement will be discussed. A treatment decision tree will be proposed to guide practitioners in the management of a tooth or dental root displaced into the sinus. Conclusion: This article summarizes the importance of pre-extraction radiographic examinations for preventive purposes and their analysis to guide the practitioner in the choice of an appropriate surgical technique. Furthermore, the surgical management in almost all cases must be carried out early to prevent later infectious complications.

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Retrieval of Root Fragment in Maxillary Sinus Via Anterolateral Wall of the Sinus to Preserve Alveolar Bone

Abstract: The functional surgery for the retrieval of a displaced root from the maxillary sinus is recommended owing to quick recovery, preservation of alveolar bone, and minimal complications.

Cited by 7 publications

References 10 publications

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

Piezosurgery in implant dentistry

Teeth roots displacement in the maxillary sinus: characteristics and management

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