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Spontaneous bone formation on the maxillary sinus floor in association with surgery to remove a migrated dental implant: a case report.

Identifieur interne : 000C67 ( PubMed/Corpus ); précédent : 000C66; suivant : 000C68

Spontaneous bone formation on the maxillary sinus floor in association with surgery to remove a migrated dental implant: a case report.

Auteurs : A. Scarano ; A. Piattelli ; G. Iezzi ; G. Varvara

Source :

RBID : pubmed:25503094

English descriptors

Abstract

A variety of surgical techniques have been developed to reconstruct the posterior maxilla when bone volume is insufficient. For some decades, sinus augmentation, using various bone substitutes, has been used to reconstruct the posterior maxilla for dental implant placement. Even if new bone formation is achieved in the sinus after bone grafting, the possibility of new bone formation with only a membrane elevation in the maxillary sinus has been reported in human and animal studies. The aim of this case report was to document an unexpected healing pattern after the removal of a dental implant migrated in the maxillary sinus.

PubMed: 25503094

Links to Exploration step

pubmed:25503094

Le document en format XML

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<title xml:lang="en">Spontaneous bone formation on the maxillary sinus floor in association with surgery to remove a migrated dental implant: a case report.</title>
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<name sortKey="Scarano, A" sort="Scarano, A" uniqKey="Scarano A" first="A" last="Scarano">A. Scarano</name>
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<nlm:affiliation>Department of Oral Science Nano and Biotechnology University of Chieti‑Pescara, Chieti, Italy - ascarano@unich.it.</nlm:affiliation>
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<name sortKey="Piattelli, A" sort="Piattelli, A" uniqKey="Piattelli A" first="A" last="Piattelli">A. Piattelli</name>
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<name sortKey="Iezzi, G" sort="Iezzi, G" uniqKey="Iezzi G" first="G" last="Iezzi">G. Iezzi</name>
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<name sortKey="Varvara, G" sort="Varvara, G" uniqKey="Varvara G" first="G" last="Varvara">G. Varvara</name>
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<title xml:lang="en">Spontaneous bone formation on the maxillary sinus floor in association with surgery to remove a migrated dental implant: a case report.</title>
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<name sortKey="Scarano, A" sort="Scarano, A" uniqKey="Scarano A" first="A" last="Scarano">A. Scarano</name>
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<nlm:affiliation>Department of Oral Science Nano and Biotechnology University of Chieti‑Pescara, Chieti, Italy - ascarano@unich.it.</nlm:affiliation>
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<name sortKey="Piattelli, A" sort="Piattelli, A" uniqKey="Piattelli A" first="A" last="Piattelli">A. Piattelli</name>
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<name sortKey="Iezzi, G" sort="Iezzi, G" uniqKey="Iezzi G" first="G" last="Iezzi">G. Iezzi</name>
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<name sortKey="Varvara, G" sort="Varvara, G" uniqKey="Varvara G" first="G" last="Varvara">G. Varvara</name>
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<series>
<title level="j">Minerva stomatologica</title>
<idno type="eISSN">1827-174X</idno>
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<date when="2014" type="published">2014</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Bone Transplantation</term>
<term>Dental Implants (adverse effects)</term>
<term>Device Removal</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus</term>
<term>Middle Aged</term>
<term>Osteogenesis</term>
<term>Prosthesis Failure</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Foreign-Body Migration</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Transplantation</term>
<term>Device Removal</term>
<term>Humans</term>
<term>Male</term>
<term>Maxillary Sinus</term>
<term>Middle Aged</term>
<term>Osteogenesis</term>
<term>Prosthesis Failure</term>
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<front>
<div type="abstract" xml:lang="en">A variety of surgical techniques have been developed to reconstruct the posterior maxilla when bone volume is insufficient. For some decades, sinus augmentation, using various bone substitutes, has been used to reconstruct the posterior maxilla for dental implant placement. Even if new bone formation is achieved in the sinus after bone grafting, the possibility of new bone formation with only a membrane elevation in the maxillary sinus has been reported in human and animal studies. The aim of this case report was to document an unexpected healing pattern after the removal of a dental implant migrated in the maxillary sinus.</div>
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<DateCompleted>
<Year>2016</Year>
<Month>06</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>12</Month>
<Day>16</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1827-174X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>63</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2014</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Minerva stomatologica</Title>
<ISOAbbreviation>Minerva Stomatol</ISOAbbreviation>
</Journal>
<ArticleTitle>Spontaneous bone formation on the maxillary sinus floor in association with surgery to remove a migrated dental implant: a case report.</ArticleTitle>
<Pagination>
<MedlinePgn>351-9</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">A variety of surgical techniques have been developed to reconstruct the posterior maxilla when bone volume is insufficient. For some decades, sinus augmentation, using various bone substitutes, has been used to reconstruct the posterior maxilla for dental implant placement. Even if new bone formation is achieved in the sinus after bone grafting, the possibility of new bone formation with only a membrane elevation in the maxillary sinus has been reported in human and animal studies. The aim of this case report was to document an unexpected healing pattern after the removal of a dental implant migrated in the maxillary sinus.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In October 2009 a 49-year-old man with a partially edentulous maxilla underwent implant placement. Specifically, a total of 5 implants were inserted, 2 in the left and 3 in the right posterior maxilla. Four months later, at the time of abutment connection, the implant at the site of the maxillary left first molar was accidentally pushed in the sinus. A surgical removal of the implant from the maxillary sinus was proposed and the patient consented to the surgical intervention. Computed axial tomography (CAT) scan images revealed opacification of the left maxillary sinus with mucosal thickening, and the dental implant displaced within the sinus. The planned treatment sequence was: 1) removal of the implant; 2) sinus augmentation procedure after 5 months; 3) implant insertion 5 months after the bone graft. The implant was removed. Five months later, the patient was admitted for the bone-grafting augmentation procedure. A new CAT scan image revealed normal mucosal thickness and no opacification of the left maxillary sinus; bone formation was evident. The surgery was undertaken with local anesthesia and conscious sedation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At reentry, the sinus wall was found to be totally healed. Newly formed bone (21.2%) with wide osteocyte lacunae and large marrow spaces (73.8%) were present with newly formed vessels and no inflammatory cell infiltrate.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The surgical trauma and the creation of a secluded space between the bone surfaces and the healed sinus mucosa resulted in a spontaneous bone formation in the maxillary sinus. The surgical approach described may be used to achieve bone formation to enable placement of dental implants without the addition of any grafting material.</AbstractText>
</Abstract>
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<Affiliation>Department of Oral Science Nano and Biotechnology University of Chieti‑Pescara, Chieti, Italy - ascarano@unich.it.</Affiliation>
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<Language>eng</Language>
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<Country>Italy</Country>
<MedlineTA>Minerva Stomatol</MedlineTA>
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<ISSNLinking>0026-4970</ISSNLinking>
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<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<MeshHeading>
<DescriptorName UI="D016025" MajorTopicYN="Y">Bone Transplantation</DescriptorName>
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<DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<MeshHeading>
<DescriptorName UI="D020878" MajorTopicYN="N">Device Removal</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D005548" MajorTopicYN="N">Foreign-Body Migration</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010012" MajorTopicYN="Y">Osteogenesis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011475" MajorTopicYN="N">Prosthesis Failure</DescriptorName>
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