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Retained Dental Implant in the Maxillary Sinus
Derek Liu1, Sophie Jang2, Jeffrey D Suh3
1Department of Otolaryngology-Head and Neck Surgery, 8788University of California Irvine, Irvine, CA, USA.
Ear, Nose, & Throat Journal
|August 15, 2022
Summary
Dental implants can displace into the maxillary sinus, causing pain. Functional endoscopic sinus surgery (FESS) and the lateral window approach are safe, effective treatments for these displaced dental implants.
Area of Science:
- Oral and Maxillofacial Surgery
- Otolaryngology
- Medical Device Complications
Background:
- Implant dentistry is increasingly common for tooth replacement.
- Displacement of dental implants into the maxillary sinus is a recognized complication.
- This can lead to chronic pain and sinus obstruction.
Approach:
- A case report details a patient with a displaced implant causing maxillary sinus obstruction.
- A systematic review evaluated management strategies for implants in the maxillary sinus.
- The review assessed current treatment options and their safety profiles.
Key Points:
- Dental implants can migrate into the maxillary sinus, necessitating intervention.
- Functional endoscopic sinus surgery (FESS) is a viable treatment option.
- The lateral window approach is also a safe and effective surgical technique.
Conclusions:
- Displaced dental implants in the maxillary sinus require prompt diagnosis and management.
- Both FESS and the lateral window approach offer safe and effective solutions.
- These surgical techniques are associated with minimal postoperative complications.

