Migration of the Dental Implant Into Sinus and Secondary Odontogenic Maxillary Sinusitis: Case Report

Ahmet Aksoy; Kazım Tuğberk Salık; Burak Avşar; Deniz Ergül

doi:10.7197/cmj.1581479

TR EN

Dental İmplantın Sinüse Migrasyonu ve Sekonder Odontojenik Maksiller Sinüzit: Olgu Sunumu

Öz

Maksiller sinüs ile posterior maksiller diş apeksleri arasındaki yakın ilişki nedeniyle bu bölgeye yapılan girişimsel işlemler sonrası oro-antral fistül ve maksiller sinüzit gelişebilmektedir. Bu olguda, 53 yaşında bir erkek hastaya 7 ay önce sol 2. premolar dişine implant uygulanmış, ancak implantın maksiller sinüse migrasyonu tespit edilmiştir. Nazal endoskopik incelemede, sol maksiller sinüs ostiumu düzeyinde ödem ve hiperemi saptanmış, ancak yabancı cisim izlenmemiştir. Paranazal sinüs tomografisinde, sol maksiller sinüs ostiumunu daraltan ve osteomeatal ünitede obstrüksiyon yaratan hiperdens bir imaj rapor edilmiştir. Hastaya cerrahi müdehale planlanmış, genel anestezi altında fonksiyonel endoskopik sinüs cerrahisi uygulanarak implant materyali çıkarılmış ve maksiller sinüs enflame dokulardan arındırılmıştır. Literatüre sunduğumuz bu olguyla; maksiller sinüzit etiyolojisindeki odontojenik faktörlere dikkat çekmeyi, hastalık tanı ve tedavisi için farkındalık oluşturmayı amaçladık.

Anahtar Kelimeler

Migration of the Dental Implant Into Sinus and Secondary Odontogenic Maxillary Sinusitis: Case Report

Abstract

Due to the close relationship between the maxillary sinus and the posterior maxillary tooth apices, oro-antral fistula and maxillary sinusitis may occur after interventional procedures performed in this region. In this case, a 53-year-old male patient placed an implant for his left second premolar tooth 7 months ago, but migration of the implant into the maxillary sinus has been detected. Nasal endoscopic examination revealed edema and hyperemia at the level of the left maxillary sinus ostium, but no foreign body was observed. A hyperdense image was reported on paranasal sinus tomography, narrowing the left maxillary sinus ostium and creating an obstruction in the osteomeatal unit. Surgical intervention was planned for the patient, implant material was removed, and the maxillary sinus was cleared of inflamed tissues by the functional endoscopic sinus surgery performed under general anesthesia. With this case that we present to the literature, we aimed to draw attention to odontogenic factors in the etiology of maxillary sinusitis and to raise awareness for the diagnosis and treatment of the disease.

Keywords

Supporting Institution

No funding was received for this study.

Ethical Statement

Ethical approval was not required for the reporting of this case, and the patient’s consent was obtained prior to writing the case report

Thanks

This case report abstract was presented as an e-poster at the 45th National ENT Congress between 23-27 October 2024.

References

1. Manchisi M.;Bianchi I.;Bernardi S.; Varvara G.;Pinchi V.,(2022),’ Maxillary Sinusitis Caused by Retained Dental Impression Material: An Unusual Case Report and Literature Review’, Nigerian Journal of Clinical Practice 25:4
2. Seigneur M.; Hascoët E ; Chaux A.-G.; Lesclous P.; Hoornaert A.; Cloitre A., (2023), ‘Characteristics and management of dental implants displaced into the maxillary sinus: a systematic review’, Int. J. Oral Maxillofac. Surg. 52: 245–254. International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc.
3. Efeoğlu C, Seçkin T. Sinus maksillariste yabancı cisim. EÜ Dişhek Fak Derg. 2011;32(1):51-54.
4. Altan A, Çolak S, Akbulut N. Endodontik tedavi sonrası maksiller sinüste yabancı Cisim: iki olgu sunumu. ENTCase. 2018
5. Chang P.-H. ;Chen Y.-W.;Huang C.-C.; Fu C.-H; Huang C.-C.;Lee T.-J.,(2020),’ Removal of Displaced Dental Implants in the Maxillary Sinus Using Endoscopic Approaches’, Ear, Nose & Throat Journal 1–4 The Author(s)
6. Bennardo F.; Barone S.; Buffone C.; Colangeli W.; Antonelli A.; Giudice A.,(2022), ‘Removal of dental implants displaced into the maxillary sinus: a retrospective single-center study’, Head & Face Medicine 18:34
7. Zhu, J., Lin, W., Yuan, W., & Chen, L. (2021). New insight on pathophysiology, diagnosis, and treatment of odontogenic maxillary sinusitis. Journal of Nanomaterials, 2021(1), 9997180.
8. Simuntis R, Kubilius R, Vaitkus S. Odontogenic maxillary sinusitis: a review. Stomatologija. 2014;16(2):39-43.

9. Grygorov S, Poberezhnik G, Grygorova A. Actual Issues of Odontogenıc Maxıllary Sınusıtıs (Revıew). Georgian Med News. 2018;(276):46-50.
10. Psillas G, Papaioannou D, Petsali S, Dimas GG, Constantinidis J. Odontogenic maxillary sinusitis: A comprehensive review. J Dent Sci. 2021;16(1):474-481. doi:10.1016/j.jds.2020.08.001
11. Scholfield, D.W., Tan, N.CW. (2023). Embryology of the Nose and Paranasal Sinuses. In: Swift, A.C., Carrie, S., de Souza, C. (eds) Contemporary Rhinology: Science and Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-28690-2_1
12. G., Kranthipraveen, Raj., M, V, Raj., J., S., P., Loh. Pathophysiology and clinical presentation of odontogenic maxillary sinusitis.. Dentistry review, (2022). doi: 10.1016/j.dentre.2022.100044
13. Craig JR, Poetker DM, Aksoy U, et al. Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement. Int Forum Allergy Rhinol. 2021;11(8):1235-1248. doi:10.1002/alr.22777
14. Craig JR. Odontogenic sinusitis: A state-of-the-art review. World J Otorhinolaryngol Head Neck Surg. 2022;8(1):8-15. Published 2022 Mar 22. doi:10.1002/wjo2.9
15. woo Ahn, H., Baek, M. J., Kim, M. R., Lee, S. H., Kim, B. S., An, T. L., ... & Kim, Y. W. Relationship Between Maxillary Fungal Sinusitis and Odontogenic Infection, Dental Implant. Korean Journal of Otorhinolaryngology-Head and Neck Surgery. 2023;66(8), 526-531.
16. Bjørndal L, Amaloo C, Markvart M, et al. Maxillary Sinus Impaction of a Core Carrier Causing Sustained Apical Periodontitis, Sinusitis, and Nasal Stenosis: A 3-year Follow-up. J Endod. 2016;42(12):1851-1858. doi:10.1016/j.joen.2016.07.027
17. Gnigou M, Goutzanis L, Sarivalasis S, Petsinis V. Retrieval of displaced implants inside the maxillary sinus: two case reports and a short review. Int J Implant Dent. 2019;5(1):24. Published 2019 Jun 4. doi:10.1186/s40729-019-0173-7
18. Kim SG, Baik SM. Diagnosis and treatment of maxillary sinusitis after implant placement. Implant Dent. 2010;19(2):115-121. doi:10.1097/ID.0b013e3181d43a76

Details

Primary Language

English

Subjects

Health Services and Systems (Other)

Journal Section

Case Report

Authors

Ahmet Aksoy
0000-0002-7744-8124
Türkiye

Kazım Tuğberk Salık
0009-0004-2956-1036
Türkiye

Burak Avşar ^*
0009-0006-3173-6768
Türkiye

Deniz Ergül
0009-0005-1805-2188
Türkiye

Publication Date

December 31, 2024

Submission Date

November 8, 2024

Acceptance Date

December 21, 2024

Published in Issue

Year 2024 Volume: 46 Number: 4

DOI

https://doi.org/10.7197/cmj.1581479

IZ

https://izlik.org/JA44HB98TA

Cite

RIS / Bibtex

AMA

1.Aksoy A, Salık KT, Avşar B, Ergül D. Migration of the Dental Implant Into Sinus and Secondary Odontogenic Maxillary Sinusitis: Case Report. CMJ. 2024;46(4):292-296. doi:10.7197/cmj.1581479