The aim of the present study was to generate an international and multidisciplinary consensus on the clinical management of implant protrusion into the maxillary sinuses and nasal fossae. A total of 31 experts participated, 23 of whom were experts in implantology (periodontologists, maxillofacial surgeons and implantologists), 6 were otolaryngologists and 2 were radiologists. All the participants were informed of the current scientific knowledge on the topic based on a systematic search of the literature. A list of statements was created and divided into three surveys: one for all participants, one for implant providers and radiologists and one for otolaryngologists and radiologists. A consensus was reached on 15 out of 17 statements. According to the participants, osseointegrated implants protruding radiographically into the maxillary sinus or nasal fossae require as much monitoring and maintenance as implants fully covered by bone. In the event of symptoms of sinusitis, collaboration between implant providers and otolaryngologists is required. Implant removal should be considered only after pharmacological and surgical management of sinusitis have failed.

Radiographic protrusion of dental implants in the maxillary sinus and nasal fossae: A multidisciplinary consensus utilising the modified Delphi method / T. Testori, T. Clauser, A.M. Saibene, Z. Artzi, G. Avila-Ortiz, H. Chan, M. Chiapasco, J.R. Craig, G. Felisati, B. Friedland, A.B. Gianni, O.T. Jensen, J. Lechien, J. Lozada, C.M. Misch, C. Nemcovsky, Z. Peacock, L. Pignataro, M.A. Pikos, R. Pistilli, G. Rasperini, W. Scarfe, M. Simion, C. Stacchi, S. Taschieri, M. Trimarchi, I. Urban, P. Valentini, R. Vinci, S.S. Wallace, F. Zuffetti, M. Del Fabbro, L. Francetti, H. Wang. - In: INTERNATIONAL JOURNAL OF ORAL IMPLANTOLOGY. - ISSN 2631-6439. - 15:3(2022 Sep 09), pp. 265-275.

Radiographic protrusion of dental implants in the maxillary sinus and nasal fossae: A multidisciplinary consensus utilising the modified Delphi method

A.M. Saibene;M. Chiapasco;G. Felisati;A.B. Gianni;L. Pignataro;G. Rasperini;M. Simion;S. Taschieri;M. Del Fabbro;L. Francetti
Penultimo
;
2022

Abstract

The aim of the present study was to generate an international and multidisciplinary consensus on the clinical management of implant protrusion into the maxillary sinuses and nasal fossae. A total of 31 experts participated, 23 of whom were experts in implantology (periodontologists, maxillofacial surgeons and implantologists), 6 were otolaryngologists and 2 were radiologists. All the participants were informed of the current scientific knowledge on the topic based on a systematic search of the literature. A list of statements was created and divided into three surveys: one for all participants, one for implant providers and radiologists and one for otolaryngologists and radiologists. A consensus was reached on 15 out of 17 statements. According to the participants, osseointegrated implants protruding radiographically into the maxillary sinus or nasal fossae require as much monitoring and maintenance as implants fully covered by bone. In the event of symptoms of sinusitis, collaboration between implant providers and otolaryngologists is required. Implant removal should be considered only after pharmacological and surgical management of sinusitis have failed.
consensus; dental implants; maxillary sinus; nasal fossae;
Settore MED/31 - Otorinolaringoiatria
Settore MED/29 - Chirurgia Maxillofacciale
Settore MED/28 - Malattie Odontostomatologiche
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/937529
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