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一枚牙种植体移入上颌窦后消失:一例罕见病例。

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

作者信息

Damlar İbrahim

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mustafa Kemal University, Antakya, Turkey.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2015 Oct;41(5):278-80. doi: 10.5125/jkaoms.2015.41.5.278. Epub 2015 Oct 20.

DOI:10.5125/jkaoms.2015.41.5.278
PMID:26568932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4641221/
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.

摘要

牙种植体移入上颌窦的情况并不常见。然而,上颌后牙区骨质质量和数量不佳会增加在种植体植入过程中出现这种并发症的可能性。本报告的目的是呈现一例移入上颌窦并消失的牙种植体。一名53岁男性患者在其牙种植体移入上颌窦后,经其牙医转诊至我们处。在转诊前五天拍摄的全景X线片上发现了移位的种植体。通过计算机断层扫描,我们确定移位的牙种植体不在窦腔内。也没有口鼻瘘的迹象。由于移位种植体体积较小,我们认为种植体可能已通过窦口离开上颌窦。

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本文引用的文献

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Retrospective clinical study on sinus bone graft and tapered-body implant placement.关于窦骨移植和锥形种植体植入的回顾性临床研究。
J Korean Assoc Oral Maxillofac Surg. 2013 Apr;39(2):77-84. doi: 10.5125/jkaoms.2013.39.2.77. Epub 2013 Apr 23.
2
Nongrafted sinus floor elevation with a space-maintaining titanium mesh: case-series study on four patients.使用维持间隙钛网的非植骨窦底提升术:4例患者的病例系列研究
Clin Implant Dent Relat Res. 2014 Dec;16(6):893-903. doi: 10.1111/cid.12064. Epub 2013 Mar 28.
3
Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update.种植体意外移位和迁移至相邻颅面结构:综述及更新。
Med Oral Patol Oral Cir Bucal. 2012 Sep 1;17(5):e769-74. doi: 10.4317/medoral.18032.
4
Displacement of three dental implants into the maxillary sinus in two patients. Report of two cases.两名患者的三颗牙种植体移位至上颌窦。两例报告。
Oral Maxillofac Surg. 2012 Sep;16(3):311-4. doi: 10.1007/s10006-011-0295-4. Epub 2011 Oct 4.
5
Dental implant migration in grafted maxillary sinus.上颌窦骨移植后种植体的迁移。
Implant Dent. 2011 Dec;20(6):400-5. doi: 10.1097/ID.0b013e31822b9d2d.
6
Migrated maxillary implant removed via semilunar hiatus by transnasal endoscope.经鼻腔内镜经半月裂入路取出上颌种植体。
Implant Dent. 2010 Feb;19(1):16-20. doi: 10.1097/ID.0b013e3181c419a8.
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The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols.鼻窦内口腔种植体移位后并发症的处理:多中心临床报告及提出的治疗方案。
Int J Oral Maxillofac Surg. 2009 Dec;38(12):1273-8. doi: 10.1016/j.ijom.2009.09.001. Epub 2009 Sep 24.