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Dental Implant Protruding Into the Sinus

Posted on 2/2/2024 by Fairmount Dental Center
Rendering of jaw with dental implant. Implant displacement or migration is a common complication arising in dental implant treatments, potentially resulting in the dental implant protruding into the sinus. Various factors, such as insufficient planning, surgical inexperience, autoimmune reactions, bone deficiencies, bone resorption, peri-implantitis, improper occlusal forces, and changes in intranasal forces, can contribute to implant displacement.

Solutions and Methods for Extraction

Notably, dental migration into the maxillary sinus is more common than into adjacent craniofacial structures. A dental implant protruding into the sinus can cause sinus infections, including fungal and cancer risks, and impair mucociliary flow. Additionally, dental implants may move to the sinus due to technical misplacement, often stemming from a disturbance in osseointegration.

The primary solution for a dental implant protruding into the sinus is extraction. Various methods are available for removing the dental implant, including opening the maxillary sinus from the canine fossa and utilizing a nasal endoscope. The chosen method depends on the extent of the dental implant protrusion and its location. In cases of delayed removal, it is crucial to control the sinus infection. Delayed removal can result in an unsuitable state for surgery or the need for additional help during the surgery.

Management and Preventative Measures

While the occurrence of a dental implant protruding into the sinus can happen, it can be effectively managed through extraction. There are several methods of extraction available to patients. Additionally, care can be provided in cases where there is a delay in extraction. Implant removal and simultaneous placement of a new implant, accompanied by additional bone grafting, can be performed by extending the surgery. This new approach can be beneficial in reducing patient discomfort, time, and effort and in facilitating accelerated rehabilitation.

Seek Professional Guidance

If you encounter complications or have concerns regarding your dental implant, it is crucial to seek professional guidance promptly. Delays in addressing issues such as implant protrusion into the sinus can lead to more complex health problems.

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