IMPLANT PLACEMENT WITH SIMULTANEOUS SINUS FLOOR ELEVATION IN THE PRESENCE OF A LARGE SINUS MUCOCELE: A CASE REPORT
Despoina Gkouzoula 1 , Vasilia Triantafillou 2 , Panos Christopoulos 3
1. Dentist, DDS
2. Dentist, DDS, Postgraduate Student of Dentoalveolar Surgery, OMFS clinic,
Dental School, University of Athens
3. Assistant professor,OMFS clinic, Dental School, University of Athens
Doi: 10.54936/haoms231o24
Following extractions, bone resorption is expected on edentulous sites. Depending on the size of the bony defect, various bone reconstruction techniques have been proven successful. Sinus lift is a common procedure used to overcome bony defects, in cases of posterior maxillary atrophy.Bone grafts, bone substitutes or both are used, with either a staged approach or simultaneous implant placement. Autologous bone grafts, allografts,xenografts, and alloplastic bone substitutes can be utilized as bone filler materials. Moreover, non-resorbable membranes such as dPTFE and titanium mesh and bioresorbable such as polymeric and collagen membranes can be used as barrier membranes depending on the defect size and type.
Non odontogenic diseases such as acute/chronic rhinosinusitis, mucoceles, pseudocysts, retention cysts, and odontogenic lesions constitute common maxillary sinus pathology. Such pathologies increase the risk of surgical complications and require special management before bone augmentation. Their presence obstructs sinus floor elevation, due to their weight and the possibility that their content may contaminate the grafts. In the current case report, a 62-year-old female patient with a mucocele in the right sinus was referred for treatment with implants. Surgical management of the mucocele, sinus floor elevation and simultaneous implant placement was performed. During the elevation of the Schneiderian membrane, the content of the mucocele was drained via a needle and a collagen membrane was applied on the perforation site.Sinus augmentation was successfully performed despite the sinus membrane perforation. A mixture of autologous bone, harvested with bone scrapers, and allograft in a 60:40 percentage was utilized. Two implants were placed simultaneously. An absorbable collagen membrane covered the bony window. No complications were encountered during a 2 years follow-up period of the implants function.
Despoina Gkouzoula 1 , Vasilia Triantafillou 2 , Panos Christopoulos 3
1. Dentist, DDS
2. Dentist, DDS, Postgraduate Student of Dentoalveolar Surgery, OMFS clinic,
Dental School, University of Athens
3. Assistant professor,OMFS clinic, Dental School, University of Athens
Doi: 10.54936/haoms231o24
Following extractions, bone resorption is expected on edentulous sites. Depending on the size of the bony defect, various bone reconstruction techniques have been proven successful. Sinus lift is a common procedure used to overcome bony defects, in cases of posterior maxillary atrophy.Bone grafts, bone substitutes or both are used, with either a staged approach or simultaneous implant placement. Autologous bone grafts, allografts,xenografts, and alloplastic bone substitutes can be utilized as bone filler materials. Moreover, non-resorbable membranes such as dPTFE and titanium mesh and bioresorbable such as polymeric and collagen membranes can be used as barrier membranes depending on the defect size and type.
Non odontogenic diseases such as acute/chronic rhinosinusitis, mucoceles, pseudocysts, retention cysts, and odontogenic lesions constitute common maxillary sinus pathology. Such pathologies increase the risk of surgical complications and require special management before bone augmentation. Their presence obstructs sinus floor elevation, due to their weight and the possibility that their content may contaminate the grafts. In the current case report, a 62-year-old female patient with a mucocele in the right sinus was referred for treatment with implants. Surgical management of the mucocele, sinus floor elevation and simultaneous implant placement was performed. During the elevation of the Schneiderian membrane, the content of the mucocele was drained via a needle and a collagen membrane was applied on the perforation site.Sinus augmentation was successfully performed despite the sinus membrane perforation. A mixture of autologous bone, harvested with bone scrapers, and allograft in a 60:40 percentage was utilized. Two implants were placed simultaneously. An absorbable collagen membrane covered the bony window. No complications were encountered during a 2 years follow-up period of the implants function.