Perforating dental implants and maxillary sinus pathology

被引:4
作者
Brandstaetter, Tom [1 ]
Ziv, Oren [1 ]
Sagy, Iftach [2 ]
Segal, Nili [1 ]
Schneider, Shy [1 ]
Givol, Navot [3 ]
Levin, Liran [4 ]
Zadik, Yehuda [5 ,6 ]
Kordeluk, Sofia [1 ]
机构
[1] Soroka Univ, Dept Otolaryngol Head & Neck Surg, Med Ctr, 151 Rager Blv, Beer Sheva, Israel
[2] Soroka Univ, Dept Internal Med F, Med Ctr, Beer Sheva, Israel
[3] Soroka Univ, Dept Maxillofacial Surg, Med Ctr, Beer Sheva, Israel
[4] Univ Alberta, Dept Periodontol, Sch Dent Med, Edmonton, AB, Canada
[5] Hebrew Univ Jerusalem, Fac Med, Dept Mil Med, Jerusalem, Israel
[6] Hebrew Univ Jerusalem, Dept Oral Med Sedat & Maxillofacial Imaging, Hadassah Sch Dent Med, Jerusalem, Israel
来源
ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG | 2024年 / 28卷 / 02期
关键词
Dental implant; Maxillary sinus; Odontogenic sinusitis; Paranasal sinuses; Sinus pathology; Sinusitis; CAVITY;
D O I
10.1007/s10006-023-01198-8
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives To study the association between perforation dental implants into the maxillary sinus cavity and the development of sinus pathology.Methods We retrospectively examined 3732 computerized tomography (CT) scans to detect maxillary implants. The detected scans were grouped based on apparent or lack of perforated dental implants in the maxillary sinus (study and control group, respectively). Clinical data was gathered including the CT indication, patients' demographics, comorbidities and medications, implant features, and the radiographic appearance of the maxillary sinuses. We conducted a logistic regression to identify risk factors to develop radiopaque thickening in the sinuses.Results Included in the study were 198 patients with 719 maxillary implants; of these, 236 and 483 implants were in the study and control groups, respectively. Sinus opacification was associated with implants' perforations (p < 0.001), diameter, and side and place (p < 0.05). Implants' perforation (OR = 3.679; 95% CI = 1.891-7.157) and diameter (OR = 1.608; 95% CI = 1.067-2.424), sinus floor augmentation (OR = 2.341; 95% CI = 1.087-5.042), male gender (OR = 2.703; 95% CI = 1.407-5.192), and smoking (OR = 6.073; 95% CI = 2.911-12.667) were associated with ipsilateral sinus fullness.Conclusions A first large study on the association between maxillary dental implant and sinus pathology. Dental implant perforation is associated with sinus opacification. Considering dental implant diameter, rather than vertical depth of penetration into the sinus, as an important criterion when examining perforated dental implants necessitates a new approach to clinical decision-making.
引用
收藏
页码:715 / 721
页数:7
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