Skip to main content
Top
Published in: Head & Face Medicine 1/2014

Open Access 01-12-2014 | Research

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

Authors: Gurkan Kayabasoglu, Alpen Nacar, Aytug Altundag, Melih Cayonu, Mehmet Muhtarogullari, Cemal Cingi

Published in: Head & Face Medicine | Issue 1/2014

Login to get access

Abstract

Introduction

Dental 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.

Methods

A 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.

Results

Four 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.

Conclusion

The 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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Froum SJ: Dental Implant Complications. Etiology, Prevention and Treatment. 2010, West Sussex: Wiley&Sons Froum SJ: Dental Implant Complications. Etiology, Prevention and Treatment. 2010, West Sussex: Wiley&Sons
2.
go back to reference Timmenga NM, Raghoebar GM, Boering G, Weissenbruch R: Maxillary sinus function after sinus lifts for the insertion of dental implants. J Oral Maxillofac Surg. 1997, 5: 936-939.CrossRef Timmenga NM, Raghoebar GM, Boering G, Weissenbruch R: Maxillary sinus function after sinus lifts for the insertion of dental implants. J Oral Maxillofac Surg. 1997, 5: 936-939.CrossRef
3.
go back to reference Kretzschmar DP: Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003, 96: 128-135. 10.1016/S1079-2104(03)00306-8.CrossRefPubMed Kretzschmar DP: Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003, 96: 128-135. 10.1016/S1079-2104(03)00306-8.CrossRefPubMed
4.
go back to reference Chiapasco MF, Felisati G, Gatti F, Di Leo F: The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols. Int J Oral Maxillofac Surg. 2009, 38: 1273-1278. 10.1016/j.ijom.2009.09.001.CrossRefPubMed Chiapasco MF, Felisati G, Gatti F, Di Leo F: The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols. Int J Oral Maxillofac Surg. 2009, 38: 1273-1278. 10.1016/j.ijom.2009.09.001.CrossRefPubMed
5.
go back to reference Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L: Volumetric changes after sinus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A non-randomized study. J Cranio Maxillofacial Surg. 2014, 42: 113-118. 10.1016/j.jcms.2013.03.004.CrossRef Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L: Volumetric changes after sinus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A non-randomized study. J Cranio Maxillofacial Surg. 2014, 42: 113-118. 10.1016/j.jcms.2013.03.004.CrossRef
6.
go back to reference Timmenga NM, Raghoebar GM, Weissenbruch R, Vissink A: Maxillary sinusitis after augmentation of the maxillary sinus floor: a report of 2 cases. J Oral Maxillofac Surg. 2001, 59: 200-204. 10.1053/joms.2001.20494.CrossRefPubMed Timmenga NM, Raghoebar GM, Weissenbruch R, Vissink A: Maxillary sinusitis after augmentation of the maxillary sinus floor: a report of 2 cases. J Oral Maxillofac Surg. 2001, 59: 200-204. 10.1053/joms.2001.20494.CrossRefPubMed
7.
go back to reference Ueda M, Kaneda T: Maxillary sinusitis caused by dental implants: report of two cases. J Oral Maxillofac Surg. 1992, 50: 285-287. 10.1016/0278-2391(92)90328-W.CrossRefPubMed Ueda M, Kaneda T: Maxillary sinusitis caused by dental implants: report of two cases. J Oral Maxillofac Surg. 1992, 50: 285-287. 10.1016/0278-2391(92)90328-W.CrossRefPubMed
8.
go back to reference Raghoebar GM, Weissenbruch R, Vissink A: Rhino-sinusitis related to endosseous implants extending into the nasal cavity. A case report. Int J Oral Maxillofac Surg. 2004, 33: 312-314. 10.1006/ijom.2002.0485.CrossRefPubMed Raghoebar GM, Weissenbruch R, Vissink A: Rhino-sinusitis related to endosseous implants extending into the nasal cavity. A case report. Int J Oral Maxillofac Surg. 2004, 33: 312-314. 10.1006/ijom.2002.0485.CrossRefPubMed
9.
go back to reference Regev E, Smith RA, Perrott DH, Pogrel MA: Maxillary sinus complications related to endosseous implants. Int J Oral Maxillofac Implants. 1995, 10: 451-461.PubMed Regev E, Smith RA, Perrott DH, Pogrel MA: Maxillary sinus complications related to endosseous implants. Int J Oral Maxillofac Implants. 1995, 10: 451-461.PubMed
10.
go back to reference Davis JM, Campbell LA: Fatal air embolism during dental implant surgery: a report of three cases. Can J Anaesth. 1990, 37: 112-121. 10.1007/BF03007491.CrossRef Davis JM, Campbell LA: Fatal air embolism during dental implant surgery: a report of three cases. Can J Anaesth. 1990, 37: 112-121. 10.1007/BF03007491.CrossRef
11.
go back to reference Fokkens W, Lund V, Mullol J: European position paper on rhinosinusitis and nasal polyps. Rhinology. 2012, 50 (Suppl 23): 1-198.PubMed Fokkens W, Lund V, Mullol J: European position paper on rhinosinusitis and nasal polyps. Rhinology. 2012, 50 (Suppl 23): 1-198.PubMed
12.
go back to reference Bonfils P, Halimi P, Le Bihan C, Norès JM, Avan P, Landais P: Correlation between nasosinusal symptoms and topographic diagnosis in chronic rhinosinusitis. Ann Otol Rhinol Laryngol. 2005, 114: 74-83. 10.1177/000348940511400114.CrossRefPubMed Bonfils P, Halimi P, Le Bihan C, Norès JM, Avan P, Landais P: Correlation between nasosinusal symptoms and topographic diagnosis in chronic rhinosinusitis. Ann Otol Rhinol Laryngol. 2005, 114: 74-83. 10.1177/000348940511400114.CrossRefPubMed
13.
go back to reference Sbordone L, Sbordone C, Toti P, Menchini-Fabris GB, Califano L, Guidetti F: Sinus en block inlay grafting with lateral approach and bone lid replacement: report of a series of cases. J Oral Maxillofac Surg. 2010, 68: 221-226. 10.1016/j.joms.2009.07.052.CrossRefPubMed Sbordone L, Sbordone C, Toti P, Menchini-Fabris GB, Califano L, Guidetti F: Sinus en block inlay grafting with lateral approach and bone lid replacement: report of a series of cases. J Oral Maxillofac Surg. 2010, 68: 221-226. 10.1016/j.joms.2009.07.052.CrossRefPubMed
14.
go back to reference Osguthorpe JD, Hadley JA: Rhinosinusitis. Current concepts in evaluation and management. Med Clin North Am. 1999, 83: 27-41. 10.1016/S0025-7125(05)70085-7.CrossRefPubMed Osguthorpe JD, Hadley JA: Rhinosinusitis. Current concepts in evaluation and management. Med Clin North Am. 1999, 83: 27-41. 10.1016/S0025-7125(05)70085-7.CrossRefPubMed
15.
go back to reference Chiu AG, Kennedy DW: Disadvantages of minimal techniques for surgical management of chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg. 2004, 12: 38-42. 10.1097/00020840-200402000-00011.CrossRefPubMed Chiu AG, Kennedy DW: Disadvantages of minimal techniques for surgical management of chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg. 2004, 12: 38-42. 10.1097/00020840-200402000-00011.CrossRefPubMed
16.
go back to reference Misch CE: The pharmacologic management of maxillary sinus elevation surgery. J Oral Implant. 1992, 18: 15-16. Misch CE: The pharmacologic management of maxillary sinus elevation surgery. J Oral Implant. 1992, 18: 15-16.
17.
go back to reference Drettner B: The permeability of the maxillary ostium. Acta Otolaryngol. 1965, 60: 304-10.3109/00016486509127015.CrossRef Drettner B: The permeability of the maxillary ostium. Acta Otolaryngol. 1965, 60: 304-10.3109/00016486509127015.CrossRef
18.
go back to reference Aust R, Drettner B: Oxygen tension in the human maxillary sinus under normal and pathological conditions. Acta Otolaryngol. 1974, 78: 264-10.3109/00016487409126354.CrossRefPubMed Aust R, Drettner B: Oxygen tension in the human maxillary sinus under normal and pathological conditions. Acta Otolaryngol. 1974, 78: 264-10.3109/00016487409126354.CrossRefPubMed
19.
go back to reference Timmenga NM, Raghoebar GM, Boering G: Maxillary sinus clearance after sinuslifting for the insertion of dental implants. J Oral Maxillofac Surg. 1997, 55: 936-10.1016/S0278-2391(97)90063-X.CrossRefPubMed Timmenga NM, Raghoebar GM, Boering G: Maxillary sinus clearance after sinuslifting for the insertion of dental implants. J Oral Maxillofac Surg. 1997, 55: 936-10.1016/S0278-2391(97)90063-X.CrossRefPubMed
20.
go back to reference Jung JH, Choi BH, Zhu SJ: The effects of exposing dental implants to the maxillary sinus cavity on sinus complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006, 102: 602-604. 10.1016/j.tripleo.2005.10.061.CrossRefPubMed Jung JH, Choi BH, Zhu SJ: The effects of exposing dental implants to the maxillary sinus cavity on sinus complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006, 102: 602-604. 10.1016/j.tripleo.2005.10.061.CrossRefPubMed
21.
go back to reference Sbordone L, Toti P, Menchini-Fabris GB, Sbordone C, Guidetti F: Implant success in sinus-lifted maxillae and native bone: a 3-year clinical and computerized tomographic follow-up. Int J Oral Maxillofac Implants. 2009, 24: 316-324.PubMed Sbordone L, Toti P, Menchini-Fabris GB, Sbordone C, Guidetti F: Implant success in sinus-lifted maxillae and native bone: a 3-year clinical and computerized tomographic follow-up. Int J Oral Maxillofac Implants. 2009, 24: 316-324.PubMed
22.
go back to reference Sbordone L, Levin L, Guidetti F, Sbordone C, Glikman A, Schwartz-Arad D: Apical and marginal bone alterations around implants in maxillary sinus augmentation grafted with autogenous bone or bovine bone material and simultaneous or delayed dental implant positioning. Clin Oral Impl Res. 2011, 22: 485-491. 10.1111/j.1600-0501.2010.02030.x.CrossRef Sbordone L, Levin L, Guidetti F, Sbordone C, Glikman A, Schwartz-Arad D: Apical and marginal bone alterations around implants in maxillary sinus augmentation grafted with autogenous bone or bovine bone material and simultaneous or delayed dental implant positioning. Clin Oral Impl Res. 2011, 22: 485-491. 10.1111/j.1600-0501.2010.02030.x.CrossRef
23.
go back to reference Sbordone C, Toti P, Guidetti F, Califano L, Bufo P, Sbordone L: Volume changes of autogenous bone after sinus lifting and grafting procedures: a 6-year computerized tomographic follow-up. J Cranio Maxillofacial Surg. 2013, 41: 235-241. 10.1016/j.jcms.2012.09.007.CrossRef Sbordone C, Toti P, Guidetti F, Califano L, Bufo P, Sbordone L: Volume changes of autogenous bone after sinus lifting and grafting procedures: a 6-year computerized tomographic follow-up. J Cranio Maxillofacial Surg. 2013, 41: 235-241. 10.1016/j.jcms.2012.09.007.CrossRef
24.
go back to reference Martuscelli R, Toti P, Sbordone L, Guidetti F, Ramaglia L, Sbordone C: Five-year outcome of bone remodeling around implant in the maxillary sinus: assessment of differences between implants placed into autogenous inlay bone blocks and in ungrafted maxilla. Int J Oral Maxillofac Surg. 2014, 43: 1117-1126. 10.1016/j.ijom.2014.03.016.CrossRefPubMed Martuscelli R, Toti P, Sbordone L, Guidetti F, Ramaglia L, Sbordone C: Five-year outcome of bone remodeling around implant in the maxillary sinus: assessment of differences between implants placed into autogenous inlay bone blocks and in ungrafted maxilla. Int J Oral Maxillofac Surg. 2014, 43: 1117-1126. 10.1016/j.ijom.2014.03.016.CrossRefPubMed
25.
go back to reference Jung JH, Choid BH, Jeong SM, Li J, Lee SH, Lee HJ: A retrospective study of the effects on sinus complications of exposing dental implants to the maxillary sinus cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007, 103: 623-625. 10.1016/j.tripleo.2006.09.024.CrossRefPubMed Jung JH, Choid BH, Jeong SM, Li J, Lee SH, Lee HJ: A retrospective study of the effects on sinus complications of exposing dental implants to the maxillary sinus cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007, 103: 623-625. 10.1016/j.tripleo.2006.09.024.CrossRefPubMed
26.
go back to reference Broyne PJ: Analysis of performance of root-form endosseous implants placed in the maxillary sinus. J Long Term Eff Med Implants. 1993, 3: 143-159. Broyne PJ: Analysis of performance of root-form endosseous implants placed in the maxillary sinus. J Long Term Eff Med Implants. 1993, 3: 143-159.
27.
go back to reference Branemark PI, Adell R, Albrektsson T, Lekholm U, Lindstrom J, Rockler A: An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus. J Oral Maxillofac Surg. 1984, 42: 497-505. 10.1016/0278-2391(84)90008-9.CrossRefPubMed Branemark PI, Adell R, Albrektsson T, Lekholm U, Lindstrom J, Rockler A: An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus. J Oral Maxillofac Surg. 1984, 42: 497-505. 10.1016/0278-2391(84)90008-9.CrossRefPubMed
28.
go back to reference Quiney RE, Brimble E, Hodge M: Maxillary sinusitis from dental osseointegrated implants. J Laryngol Otol. 1990, 104: 333-334. 10.1017/S0022215100112630.CrossRefPubMed Quiney RE, Brimble E, Hodge M: Maxillary sinusitis from dental osseointegrated implants. J Laryngol Otol. 1990, 104: 333-334. 10.1017/S0022215100112630.CrossRefPubMed
Metadata
Title
A retrospective analysis of the relationship between rhinosinusitis and sinus lift dental implantation
Authors
Gurkan Kayabasoglu
Alpen Nacar
Aytug Altundag
Melih Cayonu
Mehmet Muhtarogullari
Cemal Cingi
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2014
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/1746-160X-10-53

Other articles of this Issue 1/2014

Head & Face Medicine 1/2014 Go to the issue