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Sinus floor elevation from a maxillary molar tooth extraction socket in a patient with chronic inflammation
Tolga F Tözüm1, Erhan Dursun, Ibrahim Tulunoglu
1Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. ttozum@hacettepe.edu.tr
Journal of Periodontology
|March 4, 2009
Summary
Maxillary sinus floor elevation through an extraction socket offers a viable solution for dental implant placement, even with minimal residual bone. This technique successfully restored function and aesthetics in a patient with chronic inflammation.
Area of Science:
- Oral and Maxillofacial Surgery
- Periodontology
- Implant Dentistry
Background:
- Periodontally compromised maxillary molars often necessitate sinus elevation for ideal implant placement.
- Maxillary sinus elevation surgery augments bone volume for dental implants.
- This case study details a sinus floor elevation via extraction socket in a patient with chronic inflammation.
Observation:
- CT scans showed a thickened sinus membrane, indicative of chronic inflammation.
- Chronic inflammation was diagnosed, with no contraindications for surgery.
- Sinus floor elevation was performed one month post-extraction, with implants placed four months later.
Findings:
- Uneventful healing and osseointegration were observed after six months.
- Successful osseointegration allowed for the fabrication of two porcelain-fused-to-metal crowns.
- Three years of follow-up confirmed successful healing and patient satisfaction with esthetic and functional outcomes.
Implications:
- Sinus floor elevation through an extraction socket is a successful technique for dental implant placement.
- This method provides functional and stable results, even in cases with no residual bone.
- It offers a predictable treatment option for restoring dentition in challenging maxillary cases.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...