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Unusual Case of Osseointegrated Dental Implant Migration into Maxillary Sinus Removed 12 Years after Insertion

Identifieur interne : 006F24 ( Ncbi/Merge ); précédent : 006F23; suivant : 006F25

Unusual Case of Osseointegrated Dental Implant Migration into Maxillary Sinus Removed 12 Years after Insertion

Auteurs : Mauro Laureti [Italie] ; Nicola Ferrigno [Italie] ; Daniele Rosella [Italie] ; Piero Papi [Italie] ; Francesca Mencio [Italie] ; Francesca De Angelis [Italie] ; Giorgio Pompa [Italie] ; Stefano Di Carlo [Italie]

Source :

RBID : PMC:5368374

Abstract

Displacement of dental implants into the maxillary sinus is not an uncommon event in implant dentistry and may lead to serious complications, such as sinusitis. To avoid systemic problems, performing the removal of the foreign body as soon as possible is suggested. Despite the fact that early implants dislocation has been reported several times, late migration into maxillary sinus has been described by just a few studies. The purpose of this study was to report a rare case of dental implant migration into maxillary sinus after 12 years of function. A 61-year-old woman came to our attention in June 2015 after being visited by an otolaryngologist and being diagnosed with sinusitis and presence of a foreign body into the right maxillary sinus. A panoramic radiograph and a CT scan showed the migration of dental implant sited in 1.6 positions into the maxillary sinus. The implant was removed following a Caldwell-Luc procedure under local anesthesia. Postoperative course was uncomplicated and the patient reported no symptoms of sinusitis after 12 months of follow-up.


Url:
DOI: 10.1155/2017/9634672
PubMed: 28392949
PubMed Central: 5368374

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PMC:5368374

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<p>Displacement of dental implants into the maxillary sinus is not an uncommon event in implant dentistry and may lead to serious complications, such as sinusitis. To avoid systemic problems, performing the removal of the foreign body as soon as possible is suggested. Despite the fact that early implants dislocation has been reported several times, late migration into maxillary sinus has been described by just a few studies. The purpose of this study was to report a rare case of dental implant migration into maxillary sinus after 12 years of function. A 61-year-old woman came to our attention in June 2015 after being visited by an otolaryngologist and being diagnosed with sinusitis and presence of a foreign body into the right maxillary sinus. A panoramic radiograph and a CT scan showed the migration of dental implant sited in 1.6 positions into the maxillary sinus. The implant was removed following a Caldwell-Luc procedure under local anesthesia. Postoperative course was uncomplicated and the patient reported no symptoms of sinusitis after 12 months of follow-up.</p>
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</back>
</TEI>
<pmc article-type="case-report">
<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</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28392949</article-id>
<article-id pub-id-type="pmc">5368374</article-id>
<article-id pub-id-type="doi">10.1155/2017/9634672</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Unusual Case of Osseointegrated Dental Implant Migration into Maxillary Sinus Removed 12 Years after Insertion</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Laureti</surname>
<given-names>Mauro</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ferrigno</surname>
<given-names>Nicola</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-4055-2072</contrib-id>
<name>
<surname>Rosella</surname>
<given-names>Daniele</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2564-530X</contrib-id>
<name>
<surname>Papi</surname>
<given-names>Piero</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mencio</surname>
<given-names>Francesca</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7922-8870</contrib-id>
<name>
<surname>De Angelis</surname>
<given-names>Francesca</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pompa</surname>
<given-names>Giorgio</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Di Carlo</surname>
<given-names>Stefano</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
</contrib-group>
<aff id="I1">Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, Italy</aff>
<author-notes>
<corresp id="cor1">*Daniele Rosella:
<email>daniele.rosella@gmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Jamil A. Shibli</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>9634672</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>12</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>20</day>
<month>2</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>6</day>
<month>3</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 Mauro Laureti et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<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>Displacement of dental implants into the maxillary sinus is not an uncommon event in implant dentistry and may lead to serious complications, such as sinusitis. To avoid systemic problems, performing the removal of the foreign body as soon as possible is suggested. Despite the fact that early implants dislocation has been reported several times, late migration into maxillary sinus has been described by just a few studies. The purpose of this study was to report a rare case of dental implant migration into maxillary sinus after 12 years of function. A 61-year-old woman came to our attention in June 2015 after being visited by an otolaryngologist and being diagnosed with sinusitis and presence of a foreign body into the right maxillary sinus. A panoramic radiograph and a CT scan showed the migration of dental implant sited in 1.6 positions into the maxillary sinus. The implant was removed following a Caldwell-Luc procedure under local anesthesia. Postoperative course was uncomplicated and the patient reported no symptoms of sinusitis after 12 months of follow-up.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>(a) Preoperative panoramic, (b) lateral cephalogram, and (c, d) CT scan radiographies showed the migration of dental implant sited in 1.6 positions into right maxillary sinus and clear signs of sinusitis.</p>
</caption>
<graphic xlink:href="CRID2017-9634672.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Preoperative clinical view of right posterior maxilla after the prosthesis was removed. The dental implant sited in position 1.6 results missed due to its dislocation into the sinus cavity.</p>
</caption>
<graphic xlink:href="CRID2017-9634672.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>(a) Clinical situation after the flap was raised. (b) Photograph of the right maxillary sinus after a lateral window access showing sinusitis secondary to implant displacement. (c) Picture of the implant removal with forceps. (d) Maxillary sinus situation after its surgical revision. (e) Extra-oral view of the removed implant. (f) Clinical situation after the flap was sutured and the fixed prosthesis was cemented. (g) Radiographic view of the right maxillary sinus soon after the implant was removed.</p>
</caption>
<graphic xlink:href="CRID2017-9634672.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>(a) Clinical view of the healed surgical area. (b) Lateral cephalogram without any sign of the foreign body into the sinus. (c, d) The CT scans show normal mucosal thickness and no opacification of the right maxillary sinus.</p>
</caption>
<graphic xlink:href="CRID2017-9634672.004"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Italie</li>
</country>
<region>
<li>Latium</li>
</region>
<settlement>
<li>Rome</li>
</settlement>
</list>
<tree>
<country name="Italie">
<region name="Latium">
<name sortKey="Laureti, Mauro" sort="Laureti, Mauro" uniqKey="Laureti M" first="Mauro" last="Laureti">Mauro Laureti</name>
</region>
<name sortKey="De Angelis, Francesca" sort="De Angelis, Francesca" uniqKey="De Angelis F" first="Francesca" last="De Angelis">Francesca De Angelis</name>
<name sortKey="Di Carlo, Stefano" sort="Di Carlo, Stefano" uniqKey="Di Carlo S" first="Stefano" last="Di Carlo">Stefano Di Carlo</name>
<name sortKey="Ferrigno, Nicola" sort="Ferrigno, Nicola" uniqKey="Ferrigno N" first="Nicola" last="Ferrigno">Nicola Ferrigno</name>
<name sortKey="Mencio, Francesca" sort="Mencio, Francesca" uniqKey="Mencio F" first="Francesca" last="Mencio">Francesca Mencio</name>
<name sortKey="Papi, Piero" sort="Papi, Piero" uniqKey="Papi P" first="Piero" last="Papi">Piero Papi</name>
<name sortKey="Pompa, Giorgio" sort="Pompa, Giorgio" uniqKey="Pompa G" first="Giorgio" last="Pompa">Giorgio Pompa</name>
<name sortKey="Rosella, Daniele" sort="Rosella, Daniele" uniqKey="Rosella D" first="Daniele" last="Rosella">Daniele Rosella</name>
</country>
</tree>
</affiliations>
</record>

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