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Comparison of the Operational Difficulty and Patient-Related Outcomes for Removing Displaced Dental Implants or Tooth
Aydin Ozkan1, Sara Samur Erguven1, Hilal Peker Ozturk2
1Department of Oral and Maxillofacial Surgery, Gulhane Faculty of Dentistry, University of Health Sciences, Ankara, Türkiye.
The Journal of Oral Implantology
|February 21, 2025
Summary
Removing displaced dental implants from the maxillary sinus takes longer than tooth roots. However, operational difficulty and patient outcomes were similar for both types of foreign body removal.
Area of Science:
- Oral and Maxillofacial Surgery
- Otolaryngology
- Medical Devices
Background:
- Foreign bodies, such as dental implants or tooth roots, can migrate into the maxillary sinus.
- Maxillary sinus foreign body removal presents unique surgical challenges and potential patient morbidity.
Purpose of the Study:
- To compare the operational difficulty and patient-related outcomes between dental implant and tooth root removal from the maxillary sinus.
Main Methods:
- Retrospective study of 19 patients with maxillary sinus foreign bodies (dental implants or tooth roots) for over 6 months.
- Surgical removal via Caldwell-Luc technique under local anesthesia.
- Data collected included operation time, surgical difficulty, and patient outcomes (pain, swelling, nasal symptoms).
Main Results:
- Dental implant removal (Group 1) had a significantly longer mean operation time (66.22 min) compared to tooth root removal (Group 2, 35.4 min).
- No significant difference was found in reported operational difficulty between the two groups.
- Patient-reported outcomes, including pain, swelling, and nasal symptoms, were similar between groups.
Conclusions:
- While removing dental implants from the maxillary sinus requires more operative time than tooth roots, the surgical difficulty and patient experience are comparable.
- The Caldwell-Luc technique is effective for managing both types of maxillary sinus foreign bodies.
