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
Dental implant odontogenic maxillary sinusitis migration of foreign body endoscopic sinüs surgery
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
Supporting Institution
No funding was received for this study.
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
Abstract
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.
Keywords
Dental implant odontojenik maksiller sinüzit yabancı cisim migrasyonu endoskopik sinüs cerrahisi
Ethical Statement
Bu olgunun bildirilmesi için etik onay gerekmemiş olup, olgu sunumu yazılmadan önce hastadan izin alınmıştır.
Supporting Institution
Destekleyen kurum bulunmamaktadır.
Thanks
23-27 Ekim 2024 tarihleri arasında 45. Ulusal KBB Kongresi'nde e-poster olarak sunulmuştur.
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 Reports |
| Authors | |
| Publication Date | December 31, 2024 |
| Submission Date | November 8, 2024 |
| Acceptance Date | December 21, 2024 |
| Published in Issue | Year 2024Volume: 46 Issue: 4 |
