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Clinical treatment of postoperative infection following sinus augmentation

  • Hong, Seung-Bum (Gangnam Hyundai Dental Clinic) ;
  • Kim, Jae-Suk (Luden Dental Clinic) ;
  • Shin, Seung-Il (Department of Periodontology, Kyung Hee University School of Dentistry) ;
  • Han, Ji-Young (Department of Dentistry/Periodontology, Hanyang University School of Medicine) ;
  • Herr, Yeek (Department of Periodontology, Institute of Oral Biology, Kyung Hee University School of Dentistry) ;
  • Chung, Jong-Hyuk (Department of Periodontology, Institute of Oral Biology, Kyung Hee University School of Dentistry)
  • Received : 2010.04.09
  • Accepted : 2010.05.28
  • Published : 2010.06.30

Abstract

Purpose: The aim of this case report is to present the successful clinical treatment of two cases of postoperative infection following maxillary sinus augmentation. Methods: In the two cases of postoperative infection, immediate total removal of the grafted material from the sinus was conducted to stop the spread of the infection, after which a high dose of antibiotics was administrated. Re-augmentation procedures were then conducted after the infection subsided. Results: No further complications occurred after sinus re-augmentation. The dental implants placed in the re-augmented sinus were clinically osseointegrated, and the implant-supported restorations in the two cases of postoperative infection have been functioning very well for over 2 years. Conclusions: In the case of infection of the grafted sinuses, it is necessary to completely remove the graft materials and then administer a high dose of antibiotics to treat the acute infection, after which sinus re-augmentation is suggested.

Keywords

References

  1. Albrektsson T. A multicenter report on osseointegrated oral implants. J Prosthet Dent 1988;60:75-84. https://doi.org/10.1016/0022-3913(88)90355-1
  2. Engquist B, Bergendal T, Kallus T, Linden U. A retrospective multicenter evaluation of osseointegrated implants supporting overdentures. Int J Oral Maxillofac Implants 1988;3:129-34.
  3. Jemt T, Lekholm U, Adell R. Osseointegrated implants in the treatment of partially edentulous patients: a preliminary study on 876 consecutively placed fixtures. Int J Oral Maxillofac Implants 1989;4:211-7.
  4. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  5. Misch CE. Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans. Int J Oral Implantol 1987;4:49-58.
  6. Summers RB. The osteotome technique: Part 3--Less invasive methods of elevating the sinus floor. Compendium 1994;15:698-710.
  7. Fugazzotto PA, De PS. Sinus floor augmentation at the time of maxillary molar extraction: success and failure rates of 137 implants in function for up to 3 years. J Periodontol 2002;73:39-44. https://doi.org/10.1902/jop.2002.73.1.39
  8. Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol 2003;8:328-43. https://doi.org/10.1902/annals.2003.8.1.328
  9. Mardinger O, Nissan J, Chaushu G. Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla: technical problems and complications. J Periodontol 2007;78:1872-7. https://doi.org/10.1902/jop.2007.070175
  10. Hernandez-Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin Oral Implants Res 2008;19:91-8.
  11. Pikos MA. Maxillary sinus membrane repair: update on technique for large and complete perforations. Implant Dent 2008;17:24-31. https://doi.org/10.1097/ID.0b013e318166d934
  12. Ardekian L, Oved-Peleg E, Mactei EE, Peled M. The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral Maxillofac Surg 2006;64:277-82. https://doi.org/10.1016/j.joms.2005.10.031
  13. Lockhart R, Ceccaldi J, Bertrand JC. Postoperative maxillary cyst following sinus bone graft: report of a case. Int J Oral Maxillofac Implants 2000;15:583-6.
  14. Misch CE. Contemporary implant dentistry. 3rd ed. St. Louis: Mosby/Elsevier; 2008.
  15. Barone A, Santini S, Sbordone L, Crespi R, Covani U. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 2006;21:81-5.
  16. Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-6. https://doi.org/10.1902/jop.2004.75.4.511
  17. Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 2008;66:1426-38. https://doi.org/10.1016/j.joms.2008.01.027
  18. Anavi Y, Allon DM, Avishai G, Calderon S. Complications of maxillary sinus augmentations in a selective series of patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:34-8. https://doi.org/10.1016/j.tripleo.2007.09.021
  19. Misch CM. The pharmacologic management of maxillary sinus elevation surgery. J Oral Implantol 1992;18:15-23.
  20. Lindhe J, Lang NP, Karring T. Clinical periodontology and implant dentistry. Oxford: Blackwell Munksgaard; 2008.
  21. Bravetti P, Membre H, Marchal L, Jankowski R. Histologic changes in the sinus membrane after maxillary sinus aug-mentation in goats. J Oral Maxillofac Surg 1998;56:1170-6. https://doi.org/10.1016/S0278-2391(98)90765-0
  22. Sul SH, Choi BH, Li J, Jeong SM, Xuan F. Histologic changes in the maxillary sinus membrane after sinus membrane elevation and the simultaneous insertion of dental implants without the use of grafting materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e1-5. https://doi.org/10.1016/S1079-2104(08)00167-4

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