Management of Perforated and Maxillary Sinusitis for Implant Treatment : A Case Report

Dr. Jong Yup Kim 김종엽_

Author
Jongyub Kim, DDS, MS, CAGs

Director of Global Academy of Osseointegration
Seoul, Korea



Female, 43 years old patient was referred from another dentist for management of sinus infection for sinus graft for partial edentulous area on left maxilla. Patient was healthy, in terms of medical history except para-nasal symptoms.
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From the initial panoramic view, haziness on left maxillary sinus and bony opening on crestal area can be seen.

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From the CT scan, also bony opening on #27 area and mucosal thickening on left maxillary sinus can be observed.
Patient was referred to ENT specialist for examination and medication. Patient was come back after 3weeks of antibiotics medication.


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From the CT scan, bony opening was still there, but mucosal thickening was subsided.

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Comparison before and after medication

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Occlusal photography before sinus graft

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Clinical picture after incision and periosteal dissection. Existing bony opening can be seen.

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Small lateral window was made by reamer in SLA kit and careful elevation of maxillary sinus membrane was performed.

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Small lateral window was made by reamer in SLA kit and careful elevation of maxillary sinus membrane was performed.

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Collar tape was used for cover perforated area through crestal opening.

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Bone graft was done through lateral window and crestal opening.

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Bone graft was done through lateral window and crestal opening.

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PRF membrane was used cover crestal bony opening area

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Clinical picture after wound closure

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Periapical radiographs after sinus graft followed by repair of perforated membrane.

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Panoramic view right after sinus graft

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Panoramic view 5 months after sinus graft

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Clinical picture before implant placement, 5months after sinus graft

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Implant placement (IS III 4.5X10, 4.5X8.5 were used)

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Panoramic view after implant placement

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Periapical radiographs after implant placement

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CT scan after implant placement

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CT scan after implant placement

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Clinical picture after delivery of implant restoration

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Series of periapical views, implant placement, 2nd surgery, impression, final restoration

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Clinical picture after 2nd surgery (uncover)

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Final restorations on the cast

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Panoramic view after implant treatment

A 43 years old female patient, who had missing posterior teeth, presented with a partially edentulous maxilla. Implants placement on #26&#27 following lateral sinus augmentation was planned…

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