Transnasal Endoscopy Removal of Dislodged Dental Implant: A Case Report

Lim, Daniel V.; Parumo, R.; Chai, Ma Bee; Shanmuganathan, Jothi

doi:10.1563/aaid-joi-d-16-00172

Cited by 13 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There has been several reports of migration of dental implants into the adjacent craniofacial structures. Most commonly, this affects the maxillary sinus and reports of migration into the sphenoid (one case) and ethmoidal (one case) sinuses, orbital floor (two cases) and also to the mandible body (one case) have been described 1–5…”

Section: Discussionmentioning

confidence: 99%

Incisive dental implant migration into the nasal septum

Menezes¹,

Costa

Moreira

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Incisive dental implant migration into the nasal septum

Menezes¹,

Costa

Moreira

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Dental implants displaced intraoperatively are removed by creating a fenestration in the sinus floor through the alveolar socket and extracting the dental implant using a Klemmer plier or nasal bayonet forceps [38,45] or aspirated using a suction device. We often use the cupped forceps with a long handle.…”

Section: Discussionmentioning

confidence: 99%

Analysis of retrieval of dental implants displaced into ectopic locations between 2015–2017 and 2018–2020: scoping review of literature

Miyao,

Osato,

Miyao

et al. 2022

J Oral Med Oral Surg

View full text Add to dashboard Cite

Purpose: This study aimed to evaluate differences in 10 items of treatment details in patient regarding cases between 2015–2017 (EP) and 2018–2020 (LP) from scoping literature review of displaced dental implant (DDI) retrievals. Materials and methods: PubMed, Google Scholar, and ScienceDirect were searched using key words including “displaced,” “retrieved,” “migrated,” or “accidental" dental implants. Treatment details were analyzed for the differences between EP and LP in 92 cases from 32 articles published in 13 countries. Statistical significance was evaluated using the Mann-Whitney U-test, Fisher’s exact test, and Pearson’s correlation analysis. Results: In the comparison between EP and LP, there was no significant difference in the number of publication countries (11 vs. 10), number of published articles (17 vs. 15), distributions of cases (50 vs. 42), mean age of patients (55.9 ± 1.8 years vs. 55.3 ± 2.5 years), male-female distribution (31/19 vs. 24/18), and distribution of displacement into the maxillary sinus and other regions (46/4 vs. 34/8), and no significant difference in the Pearson’s correlation between publication years and the number of articles. DDI retrievals utilized intraoral and endoscopic surgeries (61.2% and 82.5%), transoral and transnasal approaches (93.8% and 81.8%), and local and general anesthesia (64.7% and 76.3%) during EP and LP, respectively. Moreover, significant differences were observed in all distributions between the two factors (30/19 vs. 7/33 cases, 30/2 vs. 6/27 cases and 2/12 vs. 9/29 cases) in EP and LP, respectively (P < 0.01). Conclusions: These results suggest that most DDI retrievals in otorhinolaryngology since 2018 have been mostly performed using transnasal endoscopic approaches under general anesthesia.

show abstract

“… 27 34 In case of complete displacement of the implant into the maxillary sinus, an endoscopic method of removal may be suggested. 35 36 …”

Section: Discussionmentioning

confidence: 99%

The occurrence of dental implant malpositioning and related factors: A cross-sectional cone-beam computed tomography survey

et al. 2021

View full text Add to dashboard Cite

Purpose Dental implants are widely used for the rehabilitation of edentulous sites. This study investigated the occurrence of dental implant malpositioning as shown on post-implantation cone-beam computed tomography (CBCT) and to identify related factors. Materials and Methods Samples with at least 1 malpositioned dental implant were collected from a central radiology clinic in Tehran, Iran from January 2017 to January 2019. Variables such as demographic characteristics, length and diameter of implants, type of implant, sites of implant insertion, different types of implant malpositioning problems (cortical plate perforation, interference with anatomical structures), angulation of the implant, and the severity of malpositioning were assessed. In addition, the incidence of implant fracture and over-drilling was evaluated. Data were statistically analyzed using the chi-square test, 1-sample t-test, and Spearman correlation coefficients. Results In total, 252 patients referred for implant postoperative CBCT evaluations were assessed. The cases of implant malpositioning included perforation of the buccal cortical plate (19.4%), perforation of the lingual cortical plate (14.3%), implant proximity to an adjacent implant (19.0%), implant proximity to an adjacent tooth (3.2%), interference with anatomical structures (maxillary sinus: 18.3%, mandibular canal: 11.1%, nasal cavity: 6.3%, mental foramen: 5.6%, and incisive canal: 0.4%). Implant fracture and over-drilling were found in 1.6% and 0.8% of cases, respectively. Severity was categorized as mild (9.5%), moderate (35.7%), severe (37.7%), and extreme (17.1%), and 52.4% of implants had inappropriate angulation. Conclusion CBCT imaging is recommended for detecting dental implant malpositioning. The most common and severe type of malpositioning was buccal cortex perforation.

show abstract

Transnasal Endoscopy Removal of Dislodged Dental Implant: A Case Report

Cited by 13 publications

References 12 publications

Incisive dental implant migration into the nasal septum

Incisive dental implant migration into the nasal septum

Analysis of retrieval of dental implants displaced into ectopic locations between 2015–2017 and 2018–2020: scoping review of literature

The occurrence of dental implant malpositioning and related factors: A cross-sectional cone-beam computed tomography survey

Contact Info

Product

Resources

About