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Displacement of a dental implant into the maxillary sinus after internal sinus floor elevation: report of a case and review of literature

Identifieur interne : 000E72 ( Pmc/Checkpoint ); précédent : 000E71; suivant : 000E73

Displacement of a dental implant into the maxillary sinus after internal sinus floor elevation: report of a case and review of literature

Auteurs : Xiaojun Ding ; Qing Wang ; Xuehua Guo ; Youcheng Yu

Source :

RBID : PMC:4483913

Abstract

Background: Dental implant placement in the posterior maxilla may be complicated by implant migration into the maxillary sinus. Purpose: To report the clinical and radiological characteristics of a patient who experienced dental implant displacement into the maxillary sinus following sinus floor elevation, and to compare our findings with those of other published reports of the displacement of dental implants. Materials and methods: Implant placement and maxillary sinus elevation were performed simultaneously. The location of the displaced implant was monitored for 8 years, until the ectopic implant was surgically removed using the lateral window approach. The contributing factors, treatment modality, and clinical outcome for our patient were compared with those of patients reported in the literature. Results: The clinical characteristics of our case were similar to those of patients with displaced implants who were also asymptomatic for long periods. The clinical outcome of our case was consistent with that of patients who underwent similar surgeries. Conclusions: Transnasal endoscopic removal of an ectopic implant may be suitable in cases in which the ectopic implant is accessible. Transoral direct approaches are adequate in most cases in which endoscopic approaches may be confounded. The bony-window transoral technique may allow the removal of large implants.


Url:
PubMed: 26131057
PubMed Central: 4483913


Affiliations:


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PMC:4483913

Le document en format XML

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<name sortKey="Wang, Qing" sort="Wang, Qing" uniqKey="Wang Q" first="Qing" last="Wang">Qing Wang</name>
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<name sortKey="Guo, Xuehua" sort="Guo, Xuehua" uniqKey="Guo X" first="Xuehua" last="Guo">Xuehua Guo</name>
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<name sortKey="Yu, Youcheng" sort="Yu, Youcheng" uniqKey="Yu Y" first="Youcheng" last="Yu">Youcheng Yu</name>
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<p>Background: Dental implant placement in the posterior maxilla may be complicated by implant migration into the maxillary sinus. Purpose: To report the clinical and radiological characteristics of a patient who experienced dental implant displacement into the maxillary sinus following sinus floor elevation, and to compare our findings with those of other published reports of the displacement of dental implants. Materials and methods: Implant placement and maxillary sinus elevation were performed simultaneously. The location of the displaced implant was monitored for 8 years, until the ectopic implant was surgically removed using the lateral window approach. The contributing factors, treatment modality, and clinical outcome for our patient were compared with those of patients reported in the literature. Results: The clinical characteristics of our case were similar to those of patients with displaced implants who were also asymptomatic for long periods. The clinical outcome of our case was consistent with that of patients who underwent similar surgeries. Conclusions: Transnasal endoscopic removal of an ectopic implant may be suitable in cases in which the ectopic implant is accessible. Transoral direct approaches are adequate in most cases in which endoscopic approaches may be confounded. The bony-window transoral technique may allow the removal of large implants.</p>
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<article-title>Displacement of a dental implant into the maxillary sinus after internal sinus floor elevation: report of a case and review of literature</article-title>
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<surname>Ding</surname>
<given-names>Xiaojun</given-names>
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<surname>Wang</surname>
<given-names>Qing</given-names>
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<institution>Department of Stomatology, Zhongshan Hospital, Shanghai Medical School, Fudan University</institution>
<addr-line>Shanghai 200032, China</addr-line>
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<bold>Address correspondence to:</bold>
Dr. Youcheng Yu, Department of Stomatology, Zhongshan Hospital, Shanghai Medical School, Fudan University, 111 Yixueyuan Road, Shanghai 200032, China. Tel: 086-21-64041990-2585; Fax: 086-021-64038472; E-mail:
<email>dingxiaojun051214@163.com</email>
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<year>2015</year>
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<pub-date pub-type="epub">
<day>15</day>
<month>4</month>
<year>2015</year>
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<volume>8</volume>
<issue>4</issue>
<fpage>4826</fpage>
<lpage>4836</lpage>
<history>
<date date-type="received">
<day>05</day>
<month>11</month>
<year>2014</year>
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<date date-type="accepted">
<day>05</day>
<month>1</month>
<year>2015</year>
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<copyright-statement>IJCEM Copyright © 2015</copyright-statement>
<copyright-year>2015</copyright-year>
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<abstract>
<p>Background: Dental implant placement in the posterior maxilla may be complicated by implant migration into the maxillary sinus. Purpose: To report the clinical and radiological characteristics of a patient who experienced dental implant displacement into the maxillary sinus following sinus floor elevation, and to compare our findings with those of other published reports of the displacement of dental implants. Materials and methods: Implant placement and maxillary sinus elevation were performed simultaneously. The location of the displaced implant was monitored for 8 years, until the ectopic implant was surgically removed using the lateral window approach. The contributing factors, treatment modality, and clinical outcome for our patient were compared with those of patients reported in the literature. Results: The clinical characteristics of our case were similar to those of patients with displaced implants who were also asymptomatic for long periods. The clinical outcome of our case was consistent with that of patients who underwent similar surgeries. Conclusions: Transnasal endoscopic removal of an ectopic implant may be suitable in cases in which the ectopic implant is accessible. Transoral direct approaches are adequate in most cases in which endoscopic approaches may be confounded. The bony-window transoral technique may allow the removal of large implants.</p>
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