A retrospective analysis of the relationship between rhinosinusitis and sinus lift dental implantation

Abstract

IntroductionDental implants have been associated with the occurrence of postoperative rhinosinusitis. In some patients, preoperative sinus lifting must be performed to increase the chances of successful implant placement. This retrospective study examines the relationship of dental implants after sinus lifting with the occurrence of postoperative rhinosinusitis.MethodsA total of 268 dental implants were inserted in 94 patients (62 Males, 32 Females) between 2011–2013. The ages ranged from 29–71 (in males) and 33–64 (in females). Additionally, bilateral sinus lifing was performed in 51 patients, and unilateral sinus lifting was performed in 43 of the patients. Patients were evaluated for sinus pathology for a period of 5–47 months postoperatively using a satisfaction questionnaire, conventional radiographic examination, and nasal endoscopic examination.ResultsFour of the patients (4.2%) had a complication of postoperative sinusitis and were treated medically. In one patient, the implant was unsuccessful (even after treatment) and was removed. None of the patients needed surgery due to the sinusitis or any associated complications.ConclusionThe risk for postoperative rhinosinusitis was found to be higher in patients who suffer from chronic sinusitis and in cases in which a large amount of graft was utilized for sinus lifting. These predisposing factors need to be considered when evaluating patients for dental implants and sinus lift procedures.Electronic supplementary materialThe online version of this article (doi:10.1186/1746-160X-10-53) contains supplementary material, which is available to authorized users.

A paradigm for evaluation and management of the maxillary sinus before dental implantation

“…We believe that the acute sinusitis in these patients was not associated with the preoperative severity of mucosal thickening, but rather with the recovery capacity of the maxillary sinus . The incidence of postoperative acute sinusitis in the present study was lower than 5%, similar to that in a previous study . Sinusitis without chronic changes can be cured by medical treatment alone.…”

Surgical Treatment of Chronic Rhinosinusitis after Sinus lift

“…[13][14][15] CRS is less common in this setting, with an estimated prevalence of 3-5%. 8,[16][17][18] Several recent publications describe the common presenting symptoms and treatment of odontogenic sinusitis. Overall, these symptoms are similar to those seen in our study population of patients with sinus-lift-associated CRS.…”

“…The traditional surgical approach to an infection in this setting includes removal of the bone graft and implant. Unfortunately, there are a limited number of publications that detail the presentation of this complication [8][9][10] and even fewer that discuss surgical management. 10 Kayabasoglu et al 8 describe four patients with CRS after a sinus lift procedure.…”

“…Unfortunately, there are a limited number of publications that detail the presentation of this complication [8][9][10] and even fewer that discuss surgical management. 10 Kayabasoglu et al 8 describe four patients with CRS after a sinus lift procedure. None of these patients underwent sinus surgery, and the follow-up interval for these four patients was not included in the article.…”

İmplant Tedavi̇si̇nde Di̇agnosti̇k Görüntüleme Tekni̇kleri̇ne Bağli Kompli̇kasyonlar

“…İmplant bir kaç ay içerisinde çene kemiğine osseointegre olmaktadır. Doğal diş fonksiyonuna benzer şekilde çiğneme ve ısırma kuvvetlerine karşı koyabilmektedir 1 . Osseointegrasyon, canlı kemik dokusu ile yükleme altındaki implant yüzeyi arasında direkt yapısal ve fonksiyonel bağlantı olarak tanımlanmıştır 4,5 .…”