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Related Experiment Video

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Perforating dental implants and maxillary sinus pathology.

Tom Brandstaetter1, Oren Ziv2, Iftach Sagy3

  • 1Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center, 151 Rager Blv, Be'er Sheva, Israel.

Oral and Maxillofacial Surgery
|November 20, 2023
PubMed
Summary
This summary is machine-generated.

Maxillary dental implants perforating the sinus cavity are linked to sinus pathology. Implant diameter, not just depth, is crucial for assessing risks of sinus opacification and guiding clinical decisions.

Keywords:
Dental implantMaxillary sinusOdontogenic sinusitisParanasal sinusesSinus pathologySinusitis

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Radiology
  • Dental Implantology

Background:

  • Maxillary dental implants are common, but perforation into the sinus cavity can occur.
  • Sinus pathology development following implant placement requires further investigation.

Purpose of the Study:

  • To investigate the association between dental implants perforating the maxillary sinus and the incidence of sinus pathology.
  • To identify risk factors contributing to sinus opacification in patients with maxillary implants.

Main Methods:

  • Retrospective analysis of 3732 computerized tomography (CT) scans.
  • Grouping scans into study (perforated implants) and control (non-perforated implants) groups.
  • Logistic regression analysis to determine risk factors for sinus opacification.

Main Results:

  • Sinus opacification was significantly associated with implant perforation (p < 0.001), implant diameter, and implant placement.
  • Factors associated with sinus fullness included implant perforation (OR = 3.679), diameter (OR = 1.608), sinus floor augmentation (OR = 2.341), male gender (OR = 2.703), and smoking (OR = 6.073).

Conclusions:

  • Dental implant perforation into the maxillary sinus is a significant risk factor for developing sinus opacification.
  • Implant diameter should be a key consideration, alongside penetration depth, when evaluating perforated implants and making clinical decisions.