J Korean Assoc Oral Maxillofac Surg.  2015 Oct;41(5):278-280. 10.5125/jkaoms.2015.41.5.278.

Disappearance of a dental implant after migration into the maxillary sinus: an unusual case

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mustafa Kemal University, Antakya, Turkey. dridamlar@gmail.com

Abstract

Migration of dental implants into the maxillary sinus is uncommon. However, poor bone quality and quantity in the posterior maxilla can increase the potential for this complication to arise during implant placement procedures. The aim of this report is to present a dental implant that migrated into the maxillary sinus and disappeared. A 53-year-old male patient was referred to us by his dentist after a dental implant migrated into his maxillary sinus. The displaced implant was discovered on a panoramic radiograph taken five days before his referral. Using computed tomography, we determined that the displaced dental implant was not in the antrum. There was also no sign of oroantral fistula. Because of the small size of the displaced implant, we think that the implant may have left the maxillary sinus via the ostium.

Keyword

Dental implants; Maxillary sinus; Migration

MeSH Terms

Dental Implants*
Dentists
Humans
Male
Maxilla
Maxillary Sinus*
Middle Aged
Oroantral Fistula
Referral and Consultation
Dental Implants

Figure

  • Fig. 1 Panoramic radiograph after insertion of the implants.

  • Fig. 2 Migrated dental implant into the left maxillary sinus.

  • Fig. 3 Computed tomography images after the implant disappeared.

  • Fig. 4 Six-month follow-up radiograph.


Reference

1. Atef M, Hakam MM, ElFaramawey MI, Abou-ElFetouh A, Ekram M. Nongrafted sinus floor elevation with a space-maintaining titanium mesh: case-series study on four patients. Clin Implant Dent Relat Res. 2014; 16:893–903. PMID: 23551586.
Article
2. Kim JH, Kim YK, Bae JH. Retrospective clinical study on sinus bone graft and tapered-body implant placement. J Korean Assoc Oral Maxillofac Surg. 2013; 39:77–84. PMID: 24471022.
Article
3. Galindo-Moreno P, Padial-Molina M, Sánchez-Fernández E, Hernández-Cortés P, Wang HL, O'Valle F. Dental implant migration in grafted maxillary sinus. Implant Dent. 2011; 20:400–405. PMID: 21836523.
Article
4. González-García A, González-García J, Diniz-Freitas M, García-García A, Bullón P. Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update. Med Oral Patol Oral Cir Bucal. 2012; 17:e769–e774. PMID: 22549685.
5. Chiapasco M, Felisati G, Maccari A, Borloni R, Gatti F, Di Leo F. The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols. Int J Oral Maxillofac Surg. 2009; 38:1273–1278. PMID: 19781911.
Article
6. Kitamura A, Zeredo JL. Migrated maxillary implant removed via semilunar hiatus by transnasal endoscope. Implant Dent. 2010; 19:16–20. PMID: 20147812.
Article
7. Tilaveridis I, Lazaridou M, Dimitrakopoulos I, Lazaridis N, Charis C. Displacement of three dental implants into the maxillary sinus in two patients: report of two cases. Oral Maxillofac Surg. 2012; 16:311–314. PMID: 21968607.
Article
Full Text Links
  • JKAOMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr