Endoscopic retrieval of a dental Implant into the maxillary sinus: a case report.

Oral Implantol (Rome)

Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy.

Published: November 2016

AI Article Synopsis

  • The authors present a new technique for safely removing displaced dental implants from the maxillary sinus, using the Maxillary Sinus Retrieval Device (MSRD).
  • A case study of a 49-year-old woman demonstrates the procedure, which involves anesthesia, the creation of a small opening in the sinus, and endoscopic retrieval of the implant.
  • Results show that the procedure was successful with no complications, and the authors advocate for the use of MSRD to reduce potential biological damage during implant retrieval.

Article Abstract

Purpose: In this article the Authors show a safe and predictable technique to remove displaced implants from the maxillary sinus.

Materials And Methods: A 49-year-old female was referred, to this centre by a general dentist, for the retrieval of the ectopic dental implant. After a preliminary clinical and radiological evaluation of the case the surgical procedure was performed. A loco-regional anesthesia was carried out and then the Maxillary Sinus Retrieval Device (MSRD), proposed in this study, was inserted in the canine fossa, via a circular antrostomy 5,5mm wide, previous execution of a mucoperiosteal flap. The MSRD is a trocar, modified with a funnel-shaped cannula in order to allow the easy access of both an endoscope and a suction cannula or, in alternative, a straight forceps. The implant was easily found end retrieved thanks to the endoscopic control. The postoperative was uneventful and no nasal bleeding was reported by the patient.

Conclusion: The Authors recommend the use of the MSRD in order to minimize the biological sacrifice consequent to the implant retrieval in the maxillary sinus.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5159913PMC
http://dx.doi.org/10.11138/orl/2016.9.2.069DOI Listing

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