Evaluation of different surgical approaches to remove dental implants from the maxillary sinus

Abstract Dental implant surgery on atrophied maxilla has many risks; in some patients, simultaneous sinus lifting with implant placement must be performed to increase the chances of successful implantation; this procedure can cause implant migration. Eleven patients were diagnosed with implant migra...

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Autores principales:	Zaid Hamdoon, Nazhat Mahmood, Wael Talaat, Abier Abdul Sattar, Karrar Naeim, Ahmed Qais, Waad Kheder, Waseem Jerjes
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b9ce9619250f40089d39071c95bba1c3
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spelling	oai:doaj.org-article:b9ce9619250f40089d39071c95bba1c32021-12-02T15:53:45ZEvaluation of different surgical approaches to remove dental implants from the maxillary sinus10.1038/s41598-021-83721-z2045-2322https://doaj.org/article/b9ce9619250f40089d39071c95bba1c32021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83721-zhttps://doaj.org/toc/2045-2322Abstract Dental implant surgery on atrophied maxilla has many risks; in some patients, simultaneous sinus lifting with implant placement must be performed to increase the chances of successful implantation; this procedure can cause implant migration. Eleven patients were diagnosed with implant migration into the maxillary sinus in four anatomical areas: the sinus floor above the alveolar bone, near the junction of the sinus and nasal floor, near the floor of the orbit, and the most posterior aspect of the sinus. Surgical removal was performed through four different direct non-endoscopic transoral approaches depending on the location of the displaced implant. Surgical challenges, surgery duration and postoperative complications were reported. The least challenging surgical intervention was noted when removing the displaced implants from the floor of the sinus through the crestal approach. More challenges were experienced during the surgical removal of anteriorly displaced implants near the roof of the orbital floor due to surgical access and the proximity of vital anatomical structures. Bleeding from the pterygoid venous plexus was profound with the posterior lateral approach. The choice of an appropriate surgical approach to retrieve displaced dental implants from the maxillary sinus depends on the location of the implant and the surrounding vital anatomical structures.Zaid HamdoonNazhat MahmoodWael TalaatAbier Abdul SattarKarrar NaeimAhmed QaisWaad KhederWaseem JerjesNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zaid Hamdoon Nazhat Mahmood Wael Talaat Abier Abdul Sattar Karrar Naeim Ahmed Qais Waad Kheder Waseem Jerjes Evaluation of different surgical approaches to remove dental implants from the maxillary sinus
description	Abstract Dental implant surgery on atrophied maxilla has many risks; in some patients, simultaneous sinus lifting with implant placement must be performed to increase the chances of successful implantation; this procedure can cause implant migration. Eleven patients were diagnosed with implant migration into the maxillary sinus in four anatomical areas: the sinus floor above the alveolar bone, near the junction of the sinus and nasal floor, near the floor of the orbit, and the most posterior aspect of the sinus. Surgical removal was performed through four different direct non-endoscopic transoral approaches depending on the location of the displaced implant. Surgical challenges, surgery duration and postoperative complications were reported. The least challenging surgical intervention was noted when removing the displaced implants from the floor of the sinus through the crestal approach. More challenges were experienced during the surgical removal of anteriorly displaced implants near the roof of the orbital floor due to surgical access and the proximity of vital anatomical structures. Bleeding from the pterygoid venous plexus was profound with the posterior lateral approach. The choice of an appropriate surgical approach to retrieve displaced dental implants from the maxillary sinus depends on the location of the implant and the surrounding vital anatomical structures.
format	article
author	Zaid Hamdoon Nazhat Mahmood Wael Talaat Abier Abdul Sattar Karrar Naeim Ahmed Qais Waad Kheder Waseem Jerjes
author_facet	Zaid Hamdoon Nazhat Mahmood Wael Talaat Abier Abdul Sattar Karrar Naeim Ahmed Qais Waad Kheder Waseem Jerjes
author_sort	Zaid Hamdoon
title	Evaluation of different surgical approaches to remove dental implants from the maxillary sinus
title_short	Evaluation of different surgical approaches to remove dental implants from the maxillary sinus
title_full	Evaluation of different surgical approaches to remove dental implants from the maxillary sinus
title_fullStr	Evaluation of different surgical approaches to remove dental implants from the maxillary sinus
title_full_unstemmed	Evaluation of different surgical approaches to remove dental implants from the maxillary sinus
title_sort	evaluation of different surgical approaches to remove dental implants from the maxillary sinus
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b9ce9619250f40089d39071c95bba1c3
work_keys_str_mv	AT zaidhamdoon evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT nazhatmahmood evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT waeltalaat evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT abierabdulsattar evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT karrarnaeim evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT ahmedqais evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT waadkheder evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus AT waseemjerjes evaluationofdifferentsurgicalapproachestoremovedentalimplantsfromthemaxillarysinus
_version_	1718385532680011776

Evaluation of different surgical approaches to remove dental implants from the maxillary sinus

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