Management of the maxillary sinus complications after dental implantation: a systematic review and meta-analysis

Abstract

Background and aim: Endoscopic sinus surgery owing to its satisfactory prognosis and low complication is considered as the first line of surgical procedure. Implant failure is often reported despite efforts in recent years. The purpose of this study was to review the factors leading to side effects in dental implantation of the maxillary sinus. Material and Methods: The systematic search was performed on electronic databases of MEDLINE, PubMed, Cochrane Library, Embase, ISI, Google scholar to find corresponding articles regarding dental literature during 2010 to 2019. Electronic title management was carried out by Endnote X9 software. Searches were based on the keywords of “dental implants”, “Implants”,” dental”,” maxilla”, “sinusitis”. Results: The searched potentially relevant titles and abstracts were related to 294 articles, 104 of which were excluded due to lack of study inclusion criteria. At last, 11 articles were included into the final analysis. Postoperative sinusitis was found in 78 patients within 9 articles among 1195 patients. The implant failure was reported in 136 cases and the sinus membrane perforation in 185 sinuses within 11 articles among 1372 sinus lift procedures. Conclusion: The findings showed that the risk factors of sinusitis after implant surgery were Schneiderian membrane rupture and preoperative sinusitis, as well as smoking and residual bone height were the parameters elevating the dental implant failure risk.KEYWORDSSinusitis; Dental implants; Implant failure.

Odontogenic maxillary sinusitis associated with foreign body displacement after tooth extraction: report of an unusual case

“…Procedures performed near these sinuses are common and can inadvertently cause injuries to the mucosal lining, leading to an inflammatory process known as sinusitis. Among these cavities, the maxillary sinus (MS) is the most affected, with odontogenic origin as the most prevalent source of maxillary sinusitis, caused by pathological, traumatic or iatrogenic conditions such as insertion of foreign bodies (FBs) [1][2][3].…”