Atypical Case of Three Dental Implants Displaced into the Maxillary Sinus
Identifieur interne : 006194 ( Ncbi/Merge ); précédent : 006193; suivant : 006195Atypical Case of Three Dental Implants Displaced into the Maxillary Sinus
Auteurs : João Felipe Bonatto Bruniera [Brésil] ; Yara Teresinha Corrêa Silva-Sousa [Brésil] ; Paulo Esteves Pinto Faria [Brésil]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
Oral rehabilitation with dental implants has become a routine treatment in contemporary dentistry. The displacement of dental implants into the sinus membrane, a complication related to the maxillary sinus, is one of the most common accidents reported in the literature. The treatment for this complication is the surgical removal of the implant. A 60-year-old woman with three dental implants displaced into the maxillary sinus (one implant displaced into the left maxillary sinus and two implants displaced into the right maxillary sinus) underwent surgery for removal of the implants. The surgery to remove the implants was performed under local anesthesia through the Caldwell-Luc technique. The patient was subsequently administered antibiotic, anti-inflammatory, and analgesic drugs. The patient returned 7 days after the surgery for suture removal and is being regularly monitored to determine whether future rehabilitation of the edentulous area is necessary. In conclusion, surgical removal of the dental implant displaced into the maxillary sinus is the treatment of choice. This technique is appropriate because it allows the use of local anesthesia and provides direct visualization for the removal of the implants.
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DOI: 10.1155/2015/896423
PubMed: 26635979
PubMed Central: 4617880
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Sinus</title><author><name sortKey="Bruniera, Joao Felipe Bonatto" sort="Bruniera, Joao Felipe Bonatto" uniqKey="Bruniera J" first="João Felipe Bonatto" last="Bruniera">João Felipe Bonatto Bruniera</name><affiliation wicri:level="2"><nlm:aff id="I1">University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Silva Sousa, Yara Teresinha Correa" sort="Silva Sousa, Yara Teresinha Correa" uniqKey="Silva Sousa Y" first="Yara Teresinha Corrêa" last="Silva-Sousa">Yara Teresinha Corrêa Silva-Sousa</name><affiliation wicri:level="2"><nlm:aff id="I1">University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Faria, Paulo Esteves Pinto" sort="Faria, Paulo Esteves Pinto" uniqKey="Faria P" first="Paulo Esteves Pinto" last="Faria">Paulo Esteves Pinto Faria</name><affiliation wicri:level="2"><nlm:aff id="I1">University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Oral rehabilitation with dental implants has become a routine treatment in contemporary dentistry. The displacement of dental implants into the sinus membrane, a complication related to the maxillary sinus, is one of the most common accidents reported in the literature. The treatment for this complication is the surgical removal of the implant. A 60-year-old woman with three dental implants displaced into the maxillary sinus (one implant displaced into the left maxillary sinus and two implants displaced into the right maxillary sinus) underwent surgery for removal of the implants. The surgery to remove the implants was performed under local anesthesia through the Caldwell-Luc technique. The patient was subsequently administered antibiotic, anti-inflammatory, and analgesic drugs. The patient returned 7 days after the surgery for suture removal and is being regularly monitored to determine whether future rehabilitation of the edentulous area is necessary. In conclusion, surgical removal of the dental implant displaced into the maxillary sinus is the treatment of choice. This technique is appropriate because it allows the use of local anesthesia and provides direct visualization for the removal of the implants.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kim, S G" uniqKey="Kim S">S.-G. Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Annibali, S" uniqKey="Annibali S">S. Annibali</name></author><author><name sortKey="Ripari, M L A" uniqKey="Ripari M">M. L. A. Ripari</name></author><author><name sortKey="Monaca, G" uniqKey="Monaca G">G. Monaca</name></author><author><name sortKey="Tonoli, F" uniqKey="Tonoli F">F. Tonoli</name></author><author><name sortKey="Cristalli, M P" uniqKey="Cristalli M">M. P. Cristalli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fusari, P" uniqKey="Fusari P">P. Fusari</name></author><author><name sortKey="Doto, M" uniqKey="Doto M">M. Doto</name></author><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M. Chiapasco</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kitamura, A" uniqKey="Kitamura A">A. Kitamura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M. Chiapasco</name></author><author><name sortKey="Felisati, G" uniqKey="Felisati G">G. Felisati</name></author><author><name sortKey="Maccari, A" uniqKey="Maccari A">A. Maccari</name></author><author><name sortKey="Borloni, R" uniqKey="Borloni R">R. Borloni</name></author><author><name sortKey="Gatti, F" uniqKey="Gatti F">F. Gatti</name></author><author><name sortKey="Di Leo, F" uniqKey="Di Leo F">F. Di Leo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vairaktaris, E" uniqKey="Vairaktaris E">E. Vairaktaris</name></author><author><name sortKey="Moschos, M M" uniqKey="Moschos M">M. M. Moschos</name></author><author><name sortKey="Vassiliou, S" uniqKey="Vassiliou S">S. Vassiliou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caldwell, G" uniqKey="Caldwell G">G. Caldwell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Iida, S" uniqKey="Iida S">S. Iida</name></author><author><name sortKey="Tanaka, N" uniqKey="Tanaka N">N. Tanaka</name></author><author><name sortKey="Kogo, M" uniqKey="Kogo M">M. Kogo</name></author><author><name sortKey="Matsuya, T" uniqKey="Matsuya T">T. Matsuya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mantovani, M" uniqKey="Mantovani M">M. Mantovani</name></author><author><name sortKey="Pipolo, C" uniqKey="Pipolo C">C. Pipolo</name></author><author><name sortKey="Messina, F" uniqKey="Messina F">F. Messina</name></author><author><name sortKey="Felisati, G" uniqKey="Felisati G">G. Felisati</name></author><author><name sortKey="Torretta, S" uniqKey="Torretta S">S. Torretta</name></author><author><name sortKey="Pignataro, L" uniqKey="Pignataro L">L. Pignataro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Widmark, G" uniqKey="Widmark G">G. Widmark</name></author><author><name sortKey="Ekholm, S" uniqKey="Ekholm S">S. Ekholm</name></author><author><name sortKey="Borrman, H" uniqKey="Borrman H">H. Borrman</name></author><author><name sortKey="Grang Rd, U" uniqKey="Grang Rd U">U. Grangård</name></author><author><name sortKey="Holmberg, K" uniqKey="Holmberg K">K. Holmberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Felisati, G" uniqKey="Felisati G">G. Felisati</name></author><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M. Chiapasco</name></author><author><name sortKey="Lozza, P" uniqKey="Lozza P">P. Lozza</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26635979</article-id><article-id pub-id-type="pmc">4617880</article-id><article-id pub-id-type="doi">10.1155/2015/896423</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Atypical Case of Three Dental Implants Displaced into the Maxillary Sinus</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Bruniera</surname><given-names>João Felipe Bonatto</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Silva-Sousa</surname><given-names>Yara Teresinha Corrêa</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Faria</surname><given-names>Paulo Esteves Pinto</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="I1">University of Ribeirão Preto (UNAERP), Avenue Costábile Romano 2201, 14096-900 Ribeirão Preto, SP, Brazil</aff><author-notes><corresp id="cor1">*Paulo Esteves Pinto Faria: <email>pfaria@unaerp.br</email></corresp><fn fn-type="other"><p>Academic Editor: Gianmario Schierano</p></fn></author-notes><pub-date pub-type="ppub"><year>2015</year></pub-date><pub-date pub-type="epub"><day>8</day><month>10</month><year>2015</year></pub-date><volume>2015</volume><elocation-id>896423</elocation-id><history><date date-type="received"><day>5</day><month>6</month><year>2015</year></date><date date-type="rev-recd"><day>13</day><month>8</month><year>2015</year></date><date date-type="accepted"><day>10</day><month>9</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 João Felipe Bonatto Bruniera et al.</copyright-statement><copyright-year>2015</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Oral rehabilitation with dental implants has become a routine treatment in contemporary dentistry. The displacement of dental implants into the sinus membrane, a complication related to the maxillary sinus, is one of the most common accidents reported in the literature. The treatment for this complication is the surgical removal of the implant. A 60-year-old woman with three dental implants displaced into the maxillary sinus (one implant displaced into the left maxillary sinus and two implants displaced into the right maxillary sinus) underwent surgery for removal of the implants. The surgery to remove the implants was performed under local anesthesia through the Caldwell-Luc technique. The patient was subsequently administered antibiotic, anti-inflammatory, and analgesic drugs. The patient returned 7 days after the surgery for suture removal and is being regularly monitored to determine whether future rehabilitation of the edentulous area is necessary. In conclusion, surgical removal of the dental implant displaced into the maxillary sinus is the treatment of choice. This technique is appropriate because it allows the use of local anesthesia and provides direct visualization for the removal of the implants.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(a) A panoramic and a tridimensional reconstruction CT scan showing the implants displaced into the maxillary sinus cavity with a significant opacification of the right maxillary sinus; however, the left sinus does not present the opacification. (b) Photography showing the frontal clinical view. (c) A CT scan in axial sections showing implant displacement into the maxillary sinus cavity with a significant opacification of the right maxillary sinus. The left sinus does not present the opacification.</p></caption><graphic xlink:href="CRID2015-896423.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>(a) Clinical photograph showing the clinical view of the right side. (b) Clinical photograph showing the clinical view of the left side. (c) Clinical photograph showing membrane perforation through the right bone window to gain full access into the sinus cavity. (d) Clinical photograph showing membrane perforation through the left bone window to gain full access into the sinus cavity. (e) Clinical photograph showing the implant removed with a Kelly clamp in the right sinus. (f) Clinical photograph showing the implant removed with a Kelly clamp in the left sinus. (g) Clinical photograph showing a porcine collagen membrane (Geistlich Bio-Gide, Switzerland) installed in the lateral bone window to protect the right sinus cavity. (h) Clinical photograph showing a porcine collagen membrane (Geistlich Bio-Gide, Switzerland) installed in the lateral bone window to protect the left sinus cavity. (i) Clinical photograph showing the surgical flap sutured (right side). (j) Clinical photograph showing the surgical flap sutured (left side).</p></caption><graphic xlink:href="CRID2015-896423.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>(a) Panoramic view showing a healthy maxillary sinus cavity after 12 months. (b), (c) Tridimensional reconstruction computed tomography scan showing preserved bony structures. (d) and (e) Occlusal slice showing unobstructed maxillary sinus cavities.</p></caption><graphic xlink:href="CRID2015-896423.003"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Bruniera, Joao Felipe Bonatto" sort="Bruniera, Joao Felipe Bonatto" uniqKey="Bruniera J" first="João Felipe Bonatto" last="Bruniera">João Felipe Bonatto Bruniera</name></region><name sortKey="Faria, Paulo Esteves Pinto" sort="Faria, Paulo Esteves Pinto" uniqKey="Faria P" first="Paulo Esteves Pinto" last="Faria">Paulo Esteves Pinto Faria</name><name sortKey="Silva Sousa, Yara Teresinha Correa" sort="Silva Sousa, Yara Teresinha Correa" uniqKey="Silva Sousa Y" first="Yara Teresinha Corrêa" last="Silva-Sousa">Yara Teresinha Corrêa Silva-Sousa</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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