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The pharmacologic management of maxillary sinus elevation surgery.
1Oral Implantology Center, University of Pittsburgh, School of Dental Medicine, PA 15261.
The Journal of Oral Implantology
|January 1, 1992
Summary
Sinus elevation surgery for dental implants in the posterior maxilla can lead to infection. Prophylactic antibiotics and prompt treatment of infections are crucial for successful implant outcomes.
Area of Science:
- Oral Surgery
- Implant Dentistry
- Infectious Disease
Background:
- Edentulous posterior maxilla often lacks sufficient bone for endosteal implants.
- Implant placement frequently necessitates manipulation of maxillary sinus anatomy.
- Sinus elevation procedures carry risks of infection from oral/sinus pathogens or secondary sinusitis.
Purpose of the Study:
- To review strategies for preventing and managing infections after sinus elevation surgery.
- To highlight the importance of clinical pharmacology in managing complications.
Main Methods:
- Review of current literature on sinus elevation procedures and infection management.
- Discussion of prophylactic measures and treatment protocols for post-operative infections.
Main Results:
- Prophylactic systemic and local antibiotics and glucocorticosteroids can minimize infection risk.
- Prompt identification and treatment of infections, including culture/sensitivity testing and empiric antibiotic therapy, are essential.
Conclusions:
- Effective management of sinus elevation surgery relies on understanding and applying clinical pharmacology.
- Preventing and treating infections are key to increasing the success rates of implants in the posterior maxilla.