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Published on: October 18, 2021
Management of maxillary sinus perforation at the time of immediate implantation with sinus-socket osteotomy (SSO)
Mahdi Kadkhodazadeh1, Reza Amid2
1Dental Research Center, Research Institute of Dental Science of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:
Immediate implantation related to socket and vital anatomy of the maxillary sinus area requires careful consideration. One major complication that may occur during immediate replacement of posterior teeth is maxillary sinus membrane perforation. To date, no specific technique has been proposed to manage this problem so that implant insertion remains possible during the same surgery. In this paper, we introduce a method to manage this type of perforation and while performing simultaneous implantation. We used sinus-socket osteotomy (SSO), a modified osteotomy technique for socket preparation that blocks sinus perforation with autogenous bone. A 12-month follow-up showed that this technique was clinically successful and reduced the overall treatment time. However, this advanced method requires a skillful surgeon.
