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Scaini R, Berzaghi A, Saibene AM, Taschieri S, Testori T. Dental Evaluation: Oral Surgery-Related Complications. Otolaryngol Clin North Am 2024:S0030-6665(24)00109-9. [PMID: 39214738 DOI: 10.1016/j.otc.2024.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
The article provides an in-depth review focused on diagnosing oral surgery-related complications that may cause odontogenic sinusitis (ODS). It emphasizes the importance of evaluating patients with prior oral surgical procedures to determine whether the prior procedure is an ongoing infectious source of the ODS. Specifically, diagnostic evaluations will be described for detecting oroantral communications and fistulas, dental implant dislocation or protrusion, and whether implants and graft placed in maxillary sinuses are infected. It highlights the role of different oral examination techniques, optimal imaging modalities, and the importance of otolaryngologic collaboration to evaluate for infectious ODS.
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Affiliation(s)
- Riccardo Scaini
- Implantology and Oral Rehabilitation Section, IRCCS Istituto Ortopedico Galeazzi, Università Degli Studi di Milano, IRCCS Galeazzi S. Ambrogio Hospital, Via Cristina Belgioioso 173, 20157 Milano, Italy.
| | - Andrea Berzaghi
- Department of Surgery, Medicine and Dentistry, University of Modena and Reggio Emilia, Modena, Italy
| | - Alberto Maria Saibene
- Otolaryngology Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, Università Degli Studi di Milano, San Paolo Hospital via Antonio di Rudinì 8, 20142 Milan, Italy
| | - Silvio Taschieri
- Biomedical, Surgical and Dental Sciences Department, IRCCS Ospedale Galeazzi, Università Degli Studi di Milano, IRCCS Galeazzi S. Ambrogio Hospital, Via Cristina Belgioioso 173, 20157 Milano, Italy
| | - Tiziano Testori
- Implantology and Oral Rehabilitation Section, IRCCS Istituto Ortopedico Galeazzi, Università Degli Studi di Milano, IRCCS Galeazzi S. Ambrogio Hospital, Via Cristina Belgioioso 173, 20157 Milano, Italy; Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA; Department of Oral Medicine, Infection and Immunity, Harvard University, School of Dental Medicine, Boston, MA, USA
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Park WB, Okany KP, Park W, Han JY, Lim HC, Kang P. Atypical and Late-Developed Sinus Graft Complications Following Maxillary Sinus Augmentation: Successful Management with Guided Bone Regeneration. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1246. [PMID: 39202527 PMCID: PMC11355990 DOI: 10.3390/medicina60081246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2024] [Revised: 07/16/2024] [Accepted: 07/23/2024] [Indexed: 09/03/2024]
Abstract
Complications that occur after maxillary sinus floor augmentation (MSA) can be divided into early and late complications. Early complication is a side effect that occurs during the MSA procedure or during the initial healing period. Usually, late complication refers to a side effect that occurs after 3 weeks of MSA. However, in the longer term, there are cases that occur during the follow-up period after the prosthesis is delivered, and most of them present with peri-implantitis. In the present two cases, sinus graft complications occurred 1-2 years after prosthesis delivery but were independent of peri-implantitis and had atypical features showing asymptomatic results. Although the route of the infection source is unclear, the lesions were presumed to be caused by slow and delayed inflammation of oral bacteria infiltrating the bone graft area of the maxillary sinus. Within the limitations of present case reports, bone defects were successfully managed with a guided bone regeneration (GBR) procedure that included thorough defect degranulation, surface decontamination of exposed implant, and regrafting. Periodic monitoring of radiographic images is required for the detection of unusual sinus graft complications in sinus-augmented sites.
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Affiliation(s)
- Won-Bae Park
- Department of Periodontology, School of Dentistry, Kyung Hee University; Seoul 02447, Republic of Korea;
- Private Practice in Periodontics and Implant Dentistry, Seoul 02771, Republic of Korea
| | - Kenechi P. Okany
- Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences Columbia University College of Dental Medicine, #PH7E-110, 630 W. 168 St., New York, NY 10032, USA;
| | - Wonhee Park
- Department of Dentistry, Division of Dentistry, College of Medicine, Hanyang University, Gyeongchun-ro, Guri-si 11923, Republic of Korea;
| | - Ji-Young Han
- Department of Periodontology, Division of Dentistry, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea;
| | - Hyun-Chang Lim
- Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyunghee Daero 23, Dongdaemoon-gu, Seoul 02447, Republic of Korea
| | - Philip Kang
- Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences Columbia University College of Dental Medicine, #PH7E-110, 630 W. 168 St., New York, NY 10032, USA;
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Lin SW, Yuan K, Chang YY. Perigraftitis in a dental implant patient with treated breast cancer: A case report with histological assessment. J Dent Sci 2024; 19:669-670. [PMID: 38303800 PMCID: PMC10829706 DOI: 10.1016/j.jds.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 10/10/2023] [Indexed: 02/03/2024] Open
Affiliation(s)
- Shu-Wei Lin
- Division of Periodontics, Department of Stomatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Kuo Yuan
- Division of Periodontics, Department of Stomatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Ying-Ying Chang
- Division of Periodontics, Department of Stomatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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Comuzzi L, Tumedei M, Piattelli A, Tartaglia G, Del Fabbro M. Radiographic Analysis of Graft Dimensional Changes in Transcrestal Maxillary Sinus Augmentation: A Retrospective Study. MATERIALS 2022; 15:ma15092964. [PMID: 35591298 PMCID: PMC9102007 DOI: 10.3390/ma15092964] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 04/14/2022] [Accepted: 04/15/2022] [Indexed: 01/02/2023]
Abstract
Background. The maxillary sinus lift is a popular and predictable technique associated with implant-supported rehabilitation of the severely atrophic maxilla. The aim of the present retrospective study was to investigate the effectiveness of transcrestal maxillary sinus augmentation and the graft resorption pattern using different heterologous bone substitutes. Methods. A total of 75 sinus-grafting procedures were performed and 89 implants were placed in 66 patients, 24 males and 42 females, with mean age 67.9 ± 10.64 years (range 43−84 years). Nineteen subjects were smokers. The mean follow-up period was 93.33 ± 54.71 months (range 14−240 months). Clinical and radiographical evaluations were performed. Graft height and width were measured at baseline and at the latest follow-up. Results. Mesiodistal and vertical resorption averaged 9.3 ± 20.7% (standard deviation), and 5.04 ± 9.9% of the postoperative size, respectively, considering the graft as the unit. Linear regression analysis showed that graft resorption in both the vertical and the mesiodistal dimension is independent of the follow-up time. Conversely, there was a trend for greater resorption when increasing the postoperative graft size, in both vertical (p = 0.001) and horizontal (p = 0.007) dimensions. When grouping the dimensional changes by graft particle size (only small (<300 μm) particles, combination of small and medium (>500 μm)/large (>1000 μm) particles, and only medium/large particles), there was a trend for greater resorption associated with smaller particles, but it was not significant; neither in the mesiodistal nor in the vertical dimension (p = 0.17 and p = 0.25, respectively). No implant was lost during the observation period. In conclusion, the transcrestal technique for maxillary sinus augmentation documented a high level of predictability. The low clinical morbidity and the contextual dental implant positioning is clinically useful in relation to a significant reduction of the time required for implant restoration, a consistent decrease of the number of surgical phases, and a cost-effectiveness approach for the rehabilitation. The graft resorption pattern in all cases was compatible with persistent implant protection and support.
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Affiliation(s)
- Luca Comuzzi
- Independent Researcher, San Vendemmiano, 31020 Conegliano, Italy;
| | - Margherita Tumedei
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy; (M.T.); (G.T.)
| | - Adriano Piattelli
- Dental School, Saint Camillus International University for Health Sciences (Unicamillus), 00131 Rome, Italy;
- Dental School, University of Belgrade, 11000 Belgrade, Serbia
- Casa di Cura Villa Serena, 65013 Città Sant’Angelo, Italy
- Fondazione Villaserena per la Ricerca, 65013 Città Sant’Angelo, Italy
| | - Gianluca Tartaglia
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy; (M.T.); (G.T.)
- IRCCS Fondazione Ca’Granda IRCCS Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy; (M.T.); (G.T.)
- IRCCS Orthopedic Institute Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, Italy
- Correspondence: ; Tel.: +39-02-50319950; Fax: +39-02-50319960
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