Skip to main content
Top
Published in: Maxillofacial Plastic and Reconstructive Surgery 1/2017

Open Access 01-12-2017 | Review

Treatment of dental implant displacement into the maxillary sinus

Authors: Jun-Hyeong An, Sang-Hoon Park, Jeong Joon Han, Seunggon Jung, Min-Suk Kook, Hong-Ju Park, Hee-Kyun Oh

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2017

Login to get access

Abstract

Background

Displacement of dental implants into the maxillary sinus is rare, but it primarily occurs in patients with severe pneumatization of the maxillary sinus and/or deficiency of the alveolar process. Some complications such as the infection of the paranasal sinuses and formation of the oroantral fistula can be followed by the displacement of a dental implant. Therefore, the displaced implant has to be removed immediately with surgical intervention show and another plan for rehabilitation should be considered.

Main body

The conventional procedure for the removal of a displaced implant from the maxillary sinus involves sinus bone grafting and new implant placement performed in two or more steps with a significant time gap in between. Simplification of these surgical procedures can decrease the treatment duration and patient discomfort.

Conclusions

In this review, we discuss the anatomical characteristics of the maxillary sinus and the complications associated with implant displacement into the sinus.
Literature
1.
go back to reference Raghoebar GM, Vissink A (2003) Treatment for an endosseous implant migrated into the maxillary sinus not causing maxillary sinusitis: case report. Int J Oral Maxillofac Implants 18(5):745–749PubMed Raghoebar GM, Vissink A (2003) Treatment for an endosseous implant migrated into the maxillary sinus not causing maxillary sinusitis: case report. Int J Oral Maxillofac Implants 18(5):745–749PubMed
2.
go back to reference Chiapasco M, Zaniboni M, Rimondini L (2008) Dental implants placed in grafted maxillary sinuses: a retrospective analysis of clinical outcome according to the initial clinical situation and a proposal of defect classification. Clin Oral Implants Res 19(4):416–428CrossRefPubMed Chiapasco M, Zaniboni M, Rimondini L (2008) Dental implants placed in grafted maxillary sinuses: a retrospective analysis of clinical outcome according to the initial clinical situation and a proposal of defect classification. Clin Oral Implants Res 19(4):416–428CrossRefPubMed
3.
go back to reference Galindo P, San chez-Fernandez E, Avila G, Cutando A, Fernandez JE (2005) Migration of implants into the maxillary sinus: two clinical cases. Int J Oral Maxillofac Implants 20(2):291–295PubMed Galindo P, San chez-Fernandez E, Avila G, Cutando A, Fernandez JE (2005) Migration of implants into the maxillary sinus: two clinical cases. Int J Oral Maxillofac Implants 20(2):291–295PubMed
4.
go back to reference Kluppel LE, Santos SE, Olate S, Freire Filho FW, Moreira RW, de Moraes M (2010) Implant migration into maxillary sinus: description of two asymptomatic cases. Oral Maxillofac Surg 14(1):63–66CrossRefPubMed Kluppel LE, Santos SE, Olate S, Freire Filho FW, Moreira RW, de Moraes M (2010) Implant migration into maxillary sinus: description of two asymptomatic cases. Oral Maxillofac Surg 14(1):63–66CrossRefPubMed
5.
go back to reference Testori T, Drago L, Wallace SS, Capelli M, Galli F, Zuffetti F et al. (2012) Prevention and treatment of postoperative infections after sinus elevation surgery: clinical consensus and recommendations. Int J Dent 365809:1–5.CrossRef Testori T, Drago L, Wallace SS, Capelli M, Galli F, Zuffetti F et al. (2012) Prevention and treatment of postoperative infections after sinus elevation surgery: clinical consensus and recommendations. Int J Dent 365809:1–5.CrossRef
6.
go back to reference Gosau M, Rink D, Driemel O, Draenert FG (2009) Maxillary sinus anatomy: a cadaveric study with clinical implications. Anat Rec (Hoboken) 292(3):352–354CrossRef Gosau M, Rink D, Driemel O, Draenert FG (2009) Maxillary sinus anatomy: a cadaveric study with clinical implications. Anat Rec (Hoboken) 292(3):352–354CrossRef
7.
go back to reference van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB (2000) Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 11(3):256–265CrossRefPubMed van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB (2000) Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 11(3):256–265CrossRefPubMed
8.
go back to reference Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM (2008) Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 66(7):1426–1438CrossRefPubMed Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM (2008) Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 66(7):1426–1438CrossRefPubMed
9.
go back to reference Ulm CW, Solar P, Gsellmann B, Matejka M, Watzek G (1995) The edentulous maxillary alveolar process in the region of the maxillary sinus—a study of physical dimension. Int J Oral Maxillofac Surg 24(4):279–282CrossRefPubMed Ulm CW, Solar P, Gsellmann B, Matejka M, Watzek G (1995) The edentulous maxillary alveolar process in the region of the maxillary sinus—a study of physical dimension. Int J Oral Maxillofac Surg 24(4):279–282CrossRefPubMed
10.
go back to reference Chanavaz M (1990) Maxillary sinus: anatomy, physiology, surgery, and bone grafting related to implantology—eleven years of surgical experience (1979-1990). J Oral Implantol 16(3):199–209PubMed Chanavaz M (1990) Maxillary sinus: anatomy, physiology, surgery, and bone grafting related to implantology—eleven years of surgical experience (1979-1990). J Oral Implantol 16(3):199–209PubMed
11.
go back to reference Fugazzotto P, Melnick PR, Al-Sabbagh M (2015) Complications when augmenting the posterior maxilla. Dent Clin N Am 59(1):97–130CrossRefPubMed Fugazzotto P, Melnick PR, Al-Sabbagh M (2015) Complications when augmenting the posterior maxilla. Dent Clin N Am 59(1):97–130CrossRefPubMed
12.
go back to reference Regev E, Smith RA, Perrott DH, Pogrel MA (1995) Maxillary sinus complications related to endosseous implants. Int J Oral Maxillofac Implants 10(4):451–461PubMed Regev E, Smith RA, Perrott DH, Pogrel MA (1995) Maxillary sinus complications related to endosseous implants. Int J Oral Maxillofac Implants 10(4):451–461PubMed
13.
go back to reference Nolan PJ, Freeman K, Kraut RA (2014) Correlation between Schneiderian membrane perforation and sinus lift graft outcome: a retrospective evaluation of 359 augmented sinus. J Oral Maxillofac Surg 72(1):47–52CrossRefPubMed Nolan PJ, Freeman K, Kraut RA (2014) Correlation between Schneiderian membrane perforation and sinus lift graft outcome: a retrospective evaluation of 359 augmented sinus. J Oral Maxillofac Surg 72(1):47–52CrossRefPubMed
14.
go back to reference Gonzalez-Garcia A, Gonzalez-Garcia J, Diniz-Freitas M, Garcia-Garcia A, Bullon P (2012) Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update. Med Oral Patol Oral Cir Bucal 17(5):e769–e774CrossRefPubMedPubMedCentral Gonzalez-Garcia A, Gonzalez-Garcia J, Diniz-Freitas M, Garcia-Garcia A, Bullon P (2012) Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update. Med Oral Patol Oral Cir Bucal 17(5):e769–e774CrossRefPubMedPubMedCentral
15.
go back to reference Papaspyridakos P, Ostuni A, Han C, Lal K (2013) Posterior maxillary segmental osteotomy for the implant reconstruction of a vertically deficient ridge: a 3-year clinical report. J Prosthet Dent 110(2):69–75CrossRefPubMed Papaspyridakos P, Ostuni A, Han C, Lal K (2013) Posterior maxillary segmental osteotomy for the implant reconstruction of a vertically deficient ridge: a 3-year clinical report. J Prosthet Dent 110(2):69–75CrossRefPubMed
16.
go back to reference Li J, Lee K, Chen H, Ou G (2013) Piezoelectric surgery in maxillary sinus floor elevation with hydraulic pressure for xenograft and simultaneous implant placement. J Prosthet Dent 110(5):344–348CrossRefPubMed Li J, Lee K, Chen H, Ou G (2013) Piezoelectric surgery in maxillary sinus floor elevation with hydraulic pressure for xenograft and simultaneous implant placement. J Prosthet Dent 110(5):344–348CrossRefPubMed
17.
go back to reference Galindo-Moreno P, Padial-Molina M, Sanchez-Fernandez E, Hernandez-Cortes P, Wang HL, O'Valle F (2011) Dental implant migration in grafted maxillary sinus. Implant Dent 20(6):400–405CrossRefPubMed Galindo-Moreno P, Padial-Molina M, Sanchez-Fernandez E, Hernandez-Cortes P, Wang HL, O'Valle F (2011) Dental implant migration in grafted maxillary sinus. Implant Dent 20(6):400–405CrossRefPubMed
18.
go back to reference Moses JJ, Arredondo A (1997) Sinus lift complications: avoiding problems and finding solutions. Dent Implantol Updat 8(9):70–72 Moses JJ, Arredondo A (1997) Sinus lift complications: avoiding problems and finding solutions. Dent Implantol Updat 8(9):70–72
19.
go back to reference Kim GS, Lee JW, Chong JH, Han JJ, Jung S, Kook MS et al (2016) Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study. Maxillofac Plast Reconstr Surg 38(1):50CrossRefPubMedPubMedCentral Kim GS, Lee JW, Chong JH, Han JJ, Jung S, Kook MS et al (2016) Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study. Maxillofac Plast Reconstr Surg 38(1):50CrossRefPubMedPubMedCentral
20.
go back to reference Chiapasco M, Felisati G, Maccari A, Borloni R, Gatti F, Di Leo F (2009) 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 38(12):1273–1278CrossRefPubMed Chiapasco M, Felisati G, Maccari A, Borloni R, Gatti F, Di Leo F (2009) 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 38(12):1273–1278CrossRefPubMed
21.
go back to reference Kitamura A (2007) Removal of a migrated dental implant from a maxillary sinus by transnasal endoscopy. Br J Oral Maxillofac Surg 45(5):410–411CrossRefPubMed Kitamura A (2007) Removal of a migrated dental implant from a maxillary sinus by transnasal endoscopy. Br J Oral Maxillofac Surg 45(5):410–411CrossRefPubMed
22.
go back to reference Varol A, Turker N, Goker K, Basa S (2006) Endoscopic retrieval of dental implants from the maxillary sinus. Int J Oral Maxillofac Implants 21(5):801–804PubMed Varol A, Turker N, Goker K, Basa S (2006) Endoscopic retrieval of dental implants from the maxillary sinus. Int J Oral Maxillofac Implants 21(5):801–804PubMed
23.
go back to reference Tsodoulos S, Karabouta I, Voulgaropoulou M, Georgiou C (2012) Atraumatic removal of an asymptomatic migrated dental implant into the maxillary sinus: a case report. J Oral Implantol 38(2):189–193CrossRefPubMed Tsodoulos S, Karabouta I, Voulgaropoulou M, Georgiou C (2012) Atraumatic removal of an asymptomatic migrated dental implant into the maxillary sinus: a case report. J Oral Implantol 38(2):189–193CrossRefPubMed
24.
go back to reference Nogami S, Yamauchi K, Tanuma Y, Odashima K, Matsui A, Tanaka K et al (2016) Removal of dental implant displaced into maxillary sinus by combination of endoscopically assisted and bone repositioning techniques: a case report. J Med Case Rep 10:1CrossRefPubMedPubMedCentral Nogami S, Yamauchi K, Tanuma Y, Odashima K, Matsui A, Tanaka K et al (2016) Removal of dental implant displaced into maxillary sinus by combination of endoscopically assisted and bone repositioning techniques: a case report. J Med Case Rep 10:1CrossRefPubMedPubMedCentral
25.
go back to reference Arlin ML (2006) Short dental implants as a treatment option: results from an observational study in a single private practice. Int J Oral Maxillofac Implants 21(5):769–776PubMed Arlin ML (2006) Short dental implants as a treatment option: results from an observational study in a single private practice. Int J Oral Maxillofac Implants 21(5):769–776PubMed
26.
go back to reference Chiapasco M, Zaniboni M, Boisco M (2006) Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res 17(Suppl 2):136–159CrossRefPubMed Chiapasco M, Zaniboni M, Boisco M (2006) Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res 17(Suppl 2):136–159CrossRefPubMed
27.
go back to reference Del Fabbro M, Testori T, Francetti L, Weinstein R (2004) Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 24(6):565–577PubMed Del Fabbro M, Testori T, Francetti L, Weinstein R (2004) Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 24(6):565–577PubMed
28.
go back to reference Romeo E, Ghisolfi M, Rozza R, Chiapasco M, Lops D (2006) Short (8-mm) dental implants in the rehabilitation of partial and complete edentulism: a 3- to 14-year longitudinal study. Int J Prosthodont 19(6):586–592PubMed Romeo E, Ghisolfi M, Rozza R, Chiapasco M, Lops D (2006) Short (8-mm) dental implants in the rehabilitation of partial and complete edentulism: a 3- to 14-year longitudinal study. Int J Prosthodont 19(6):586–592PubMed
29.
go back to reference ten Bruggenkate CM, Asikainen P, Foitzik C, Krekeler G, Sutter F (1998) Short (6-mm) nonsubmerged dental implants: results of a Multicenter clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants 13(6):791–798PubMed ten Bruggenkate CM, Asikainen P, Foitzik C, Krekeler G, Sutter F (1998) Short (6-mm) nonsubmerged dental implants: results of a Multicenter clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants 13(6):791–798PubMed
30.
go back to reference Woo IH, Kim JW, Kang SY, Kim YH, Yang BE (2016) Narrow-diameter implants with conical connection for restoring the posterior edentulous region. Maxillofac Plast Reconstr Surg 38(1):31CrossRefPubMedPubMedCentral Woo IH, Kim JW, Kang SY, Kim YH, Yang BE (2016) Narrow-diameter implants with conical connection for restoring the posterior edentulous region. Maxillofac Plast Reconstr Surg 38(1):31CrossRefPubMedPubMedCentral
31.
go back to reference Peleg M, Mazor Z, Garg AK (1999) Augmentation grafting of the maxillary sinus and simultaneous implant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants 14(4):549–556PubMed Peleg M, Mazor Z, Garg AK (1999) Augmentation grafting of the maxillary sinus and simultaneous implant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants 14(4):549–556PubMed
Metadata
Title
Treatment of dental implant displacement into the maxillary sinus
Authors
Jun-Hyeong An
Sang-Hoon Park
Jeong Joon Han
Seunggon Jung
Min-Suk Kook
Hong-Ju Park
Hee-Kyun Oh
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2017
Electronic ISSN: 2288-8586
DOI
https://doi.org/10.1186/s40902-017-0133-1

Other articles of this Issue 1/2017

Maxillofacial Plastic and Reconstructive Surgery 1/2017 Go to the issue