IMPLANTOLOGY LONG TERM COMPLICATIONS IN MAXILLA PRESENTED AS RHINO-SINUS DISEASE – WHEN AND WHAT TO DO FIRST
Authors:
Ronit Kagan
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Cyprus
Doi: 10.54936/haoms242p92
ABSTRACT:
Objective: Peri-implant disease (peri-implantitis, marginal bone loss, apical bone loss) in the maxilla can resorb the maxillary bone until a connection is created between the oral cavity and the maxillary sinus or nasal cavity. This situation creates a micro-organism highway between these cavities. The aim of our study is to find the difference in the disease outcome in different time lines and pathology. With understanding of the multidisciplinary disease, we can offer the optimal treatment plan with minimal disturbance to the quality of life of the patients.
Material and Methods: 182 Patients examined in the multidiscipline clinic of Rhinology and Oral and Maxillofacial Surgery in Meir Medical center between the years 2015- 2022, were after dental implant procedure, with or without a bone graft or sinus lift. Data on the time from the bone graft and the dental implant procedure compared to the time from the initiation of the nasal and oral symptoms were collected. Demographics, co-morbidities, prior surgical interventions and implants examination were evaluated.
Results: Of the 182 patients, 25% had sinus augmentation complication, 40% had a peri-implant disease penetrating the maxillary sinus floor with or without sinus lift, 30% with migrated implants and 5% had MRONJ with dental implants. 75% of the patients had surgery (Intra-oral approach, FESS or combined approach) with 100% healing. Only 1% of the patients continued for dental implants again.
Conclusions: The indication for a surgery and the approach (oral,nasal or both) was correlated to the time from the dental procedure and the intensity of the symptoms. Chronic disease mostly treated with combined approach while saving as much of the bone graft and dental implants for a future rehabilitation.
KEY WORDS:
Authors:
Ronit Kagan
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Cyprus
Doi: 10.54936/haoms242p92
ABSTRACT:
Objective: Peri-implant disease (peri-implantitis, marginal bone loss, apical bone loss) in the maxilla can resorb the maxillary bone until a connection is created between the oral cavity and the maxillary sinus or nasal cavity. This situation creates a micro-organism highway between these cavities. The aim of our study is to find the difference in the disease outcome in different time lines and pathology. With understanding of the multidisciplinary disease, we can offer the optimal treatment plan with minimal disturbance to the quality of life of the patients.
Material and Methods: 182 Patients examined in the multidiscipline clinic of Rhinology and Oral and Maxillofacial Surgery in Meir Medical center between the years 2015- 2022, were after dental implant procedure, with or without a bone graft or sinus lift. Data on the time from the bone graft and the dental implant procedure compared to the time from the initiation of the nasal and oral symptoms were collected. Demographics, co-morbidities, prior surgical interventions and implants examination were evaluated.
Results: Of the 182 patients, 25% had sinus augmentation complication, 40% had a peri-implant disease penetrating the maxillary sinus floor with or without sinus lift, 30% with migrated implants and 5% had MRONJ with dental implants. 75% of the patients had surgery (Intra-oral approach, FESS or combined approach) with 100% healing. Only 1% of the patients continued for dental implants again.
Conclusions: The indication for a surgery and the approach (oral,nasal or both) was correlated to the time from the dental procedure and the intensity of the symptoms. Chronic disease mostly treated with combined approach while saving as much of the bone graft and dental implants for a future rehabilitation.
KEY WORDS: