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Clinical treatment of postoperative infection following sinus augmentation

Identifieur interne : 001F11 ( Pmc/Curation ); précédent : 001F10; suivant : 001F12

Clinical treatment of postoperative infection following sinus augmentation

Auteurs : Seung-Bum Hong [Corée du Sud] ; Jae-Suk Kim [Corée du Sud] ; Seung-Il Shin [Corée du Sud] ; Ji-Young Han [Corée du Sud] ; Yeek Herr [Corée du Sud] ; Jong-Hyuk Chung [Corée du Sud]

Source :

RBID : PMC:2895521

Abstract

Purpose

The aim of this case report is to present the successful clinical treatment of two cases of postoperative infection following maxillary sinus augmentation.

Methods

In the two cases of postoperative infection, immediate total removal of the grafted material from the sinus was conducted to stop the spread of the infection, after which a high dose of antibiotics was administrated. Re-augmentation procedures were then conducted after the infection subsided.

Results

No further complications occurred after sinus re-augmentation. The dental implants placed in the re-augmented sinus were clinically osseointegrated, and the implant-supported restorations in the two cases of postoperative infection have been functioning very well for over 2 years.

Conclusions

In the case of infection of the grafted sinuses, it is necessary to completely remove the graft materials and then administer a high dose of antibiotics to treat the acute infection, after which sinus re-augmentation is suggested.


Url:
DOI: 10.5051/jpis.2010.40.3.144
PubMed: 20607060
PubMed Central: 2895521

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PMC:2895521

Le document en format XML

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<journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPIS</journal-id>
<journal-title-group>
<journal-title>Journal of Periodontal & Implant Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">2093-2278</issn>
<issn pub-type="epub">2093-2286</issn>
<publisher>
<publisher-name>Korean Academy of Periodontology</publisher-name>
</publisher>
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<article-id pub-id-type="doi">10.5051/jpis.2010.40.3.144</article-id>
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<title-group>
<article-title>Clinical treatment of postoperative infection following sinus augmentation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Hong</surname>
<given-names>Seung-Bum</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Jae-Suk</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shin</surname>
<given-names>Seung-Il</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Han</surname>
<given-names>Ji-Young</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Herr</surname>
<given-names>Yeek</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chung</surname>
<given-names>Jong-Hyuk</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Gangnam Hyundai Dental Clinic, Seoul, Korea.</aff>
<aff id="A2">
<label>2</label>
Luden Dental Clinic, Seoul, Korea.</aff>
<aff id="A3">
<label>3</label>
Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</aff>
<aff id="A4">
<label>4</label>
Department of Dentistry/Periodontology, Hanyang University School of Medicine, Seoul, Korea.</aff>
<aff id="A5">
<label>5</label>
Department of Periodontology, Institute of Oral Biology, Kyung Hee University School of Dentistry, Seoul, Korea.</aff>
<author-notes>
<corresp>Correspondence: Jong-Hyuk Chung. Department of Periodontology, Institute of Oral Biology, Kyung Hee University School of Dentistry, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea.
<email>chungjh@khu.ac.kr</email>
, Tel: +82-2-958-9383, Fax: +82-2-958-9387</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>6</month>
<year>2010</year>
</pub-date>
<volume>40</volume>
<issue>3</issue>
<fpage>144</fpage>
<lpage>149</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>4</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>5</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2010 Korean Academy of Periodontology</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Purpose</title>
<p>The aim of this case report is to present the successful clinical treatment of two cases of postoperative infection following maxillary sinus augmentation.</p>
</sec>
<sec>
<title>Methods</title>
<p>In the two cases of postoperative infection, immediate total removal of the grafted material from the sinus was conducted to stop the spread of the infection, after which a high dose of antibiotics was administrated. Re-augmentation procedures were then conducted after the infection subsided.</p>
</sec>
<sec>
<title>Results</title>
<p>No further complications occurred after sinus re-augmentation. The dental implants placed in the re-augmented sinus were clinically osseointegrated, and the implant-supported restorations in the two cases of postoperative infection have been functioning very well for over 2 years.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>In the case of infection of the grafted sinuses, it is necessary to completely remove the graft materials and then administer a high dose of antibiotics to treat the acute infection, after which sinus re-augmentation is suggested.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Dental implants</kwd>
<kwd>Maxillary sinus</kwd>
<kwd>Surgical wound infection</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Postoperative infection following sinus augmentation.</p>
</caption>
<graphic xlink:href="jpis-40-144-g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption>
<p>The discharge of pus and graft materials after the incision.</p>
</caption>
<graphic xlink:href="jpis-40-144-g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption>
<p>Postoperative panoramic radiograph following sinus re-augmentation along with the placement of dental implants.</p>
</caption>
<graphic xlink:href="jpis-40-144-g003"></graphic>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption>
<p>Pneumatization on the left maxillary sinus was observed in the preoperative panoramic radiograph.</p>
</caption>
<graphic xlink:href="jpis-40-144-g004"></graphic>
</fig>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption>
<p>Implant placed on positions #25-27 simultaneously with the sinus augmentation.</p>
</caption>
<graphic xlink:href="jpis-40-144-g005"></graphic>
</fig>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption>
<p>Infected graft material was surgically removed and #26i was removed to ease removal of the infected graft.</p>
</caption>
<graphic xlink:href="jpis-40-144-g006"></graphic>
</fig>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption>
<p>The inner portion of the buccal flap and the sinus membrane were fused. The membrane and the residual graft material were inseparably fused together.</p>
</caption>
<graphic xlink:href="jpis-40-144-g007"></graphic>
</fig>
<fig id="F8" position="float">
<label>Figure 8</label>
<caption>
<p>Elevation of the sinus membrane and ostectomy were performed.</p>
</caption>
<graphic xlink:href="jpis-40-144-g008"></graphic>
</fig>
<fig id="F9" position="float">
<label>Figure 9</label>
<caption>
<p>Panoramic radiograph of the dental implants placed in the re-grafted sinus after successfully functioning for 33 months.</p>
</caption>
<graphic xlink:href="jpis-40-144-g009"></graphic>
</fig>
</floats-group>
</pmc>
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