Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study
Objectives As dental implant‐related paranasal sinusitis has different pathophysiology and clinical features from primarily rhinogenic paranasal sinusitis, the standard treatment protocol for dental implant‐related paranasal sinusitis has not yet been established. The aim of this study was to analyz...
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| Veröffentlicht in: | Clinical oral implants research 2016-11, Vol.27 (11), p.e100-e104 |
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| container_title | Clinical oral implants research |
| container_volume | 27 |
| creator | Kim, So Jeong Park, Jee Soo Kim, Hee Tae Lee, Cha Hee Park, Yun Hwi Bae, Jung Ho |
| description | Objectives
As dental implant‐related paranasal sinusitis has different pathophysiology and clinical features from primarily rhinogenic paranasal sinusitis, the standard treatment protocol for dental implant‐related paranasal sinusitis has not yet been established. The aim of this study was to analyze the clinical characteristics and treatment results of dental implant‐related paranasal sinusitis.
Material and methods
We conducted a prospective single‐center study of 19 patients who were treated for odontogenic sinusitis developing in relation to dental implant from September 2008 through May 2012. The age of the patients ranged from 33 to 78 years, with the mean age of 54.5 years. Foul odor and postnasal dripping were the two most common complaints. All patients underwent nasal endoscopic examination and paranasal sinus CT before treatment, and initial conservative treatment for 1 week. Patients unresponsive to medical treatment underwent endoscopic sinus surgery (ESS). All patients were classified into the conservative and surgical groups for analysis and followed up for 2 years after initial diagnosis.
Results
Four patients (21%) were successfully treated conservatively, while 15 patients (79%) underwent surgical treatment. One of these 15 patients required revision surgery. After 2 years, all patients were successfully treated, so there were no more clinical signs of recurrent sinusitis in any patients. The survival rate of implants was 100%. Compared to those of the conservative group, symptom duration, the Lund–MacKay CT score, status of the ostiomeatal unit (OMU), and the condition of the maxillary sinus floor were significantly more severe in the surgical group.
Conclusion
In our study, the majority of patients who once developed paranasal sinusitis associated with dental implants required surgical treatment. Findings of paranasal sinus CT may be important in determining treatment option. |
| doi_str_mv | 10.1111/clr.12570 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837314832</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826612736</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4240-7c21b96d75d1ed68bb4c9f9213bec31f54b6d2caf6d6214d867219d00e6309a93</originalsourceid><addsrcrecordid>eNqNkU1rFTEUhoMo9lpd-Ack4EYX0-Zrkom7crFX5aJQlC5DJjkDqfNlkqneXX960962C6HQbEJOnvOQkxeht5Qc0bKOXR-PKKsVeYZWVBJSkZrQ52hFNKkrRSU9QK9SuiCESN3ol-iA1VLVWqoVulr3YQzO9rgDm5cICdvR4xzLaYAx42nJbhpKeeqwL4VChmHu7ZirCL3N4PFsox1tKjcpjEsKOaRP-ASzagc24jlOaQaXwyXgqU0QL20O03hD58XvXqMXne0TvLnbD9Gv088_11-q7Y_N1_XJtnKCCVIpx2irpVe1p-Bl07bC6U4zyltwnHa1aKVnznbSS0aFb6RiVHtCQHKireaH6MPeW97zZ4GUzRCSg75MAtOSDG244lQ0nD0BZVJSprgs6Pv_0ItpiWW4ZBjhovi0poX6uKdc-YsUoTNzDIONO0OJuUnQlATNbYKFfXdnXNoB_AN5H1kBjvfA39DD7nGTWW_P7pXVviOkDP8eOmz8bYpP1eb8-8aIs2-NOG82puHXLAq1Bg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2034148991</pqid></control><display><type>article</type><title>Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Kim, So Jeong ; Park, Jee Soo ; Kim, Hee Tae ; Lee, Cha Hee ; Park, Yun Hwi ; Bae, Jung Ho</creator><creatorcontrib>Kim, So Jeong ; Park, Jee Soo ; Kim, Hee Tae ; Lee, Cha Hee ; Park, Yun Hwi ; Bae, Jung Ho</creatorcontrib><description>Objectives
As dental implant‐related paranasal sinusitis has different pathophysiology and clinical features from primarily rhinogenic paranasal sinusitis, the standard treatment protocol for dental implant‐related paranasal sinusitis has not yet been established. The aim of this study was to analyze the clinical characteristics and treatment results of dental implant‐related paranasal sinusitis.
Material and methods
We conducted a prospective single‐center study of 19 patients who were treated for odontogenic sinusitis developing in relation to dental implant from September 2008 through May 2012. The age of the patients ranged from 33 to 78 years, with the mean age of 54.5 years. Foul odor and postnasal dripping were the two most common complaints. All patients underwent nasal endoscopic examination and paranasal sinus CT before treatment, and initial conservative treatment for 1 week. Patients unresponsive to medical treatment underwent endoscopic sinus surgery (ESS). All patients were classified into the conservative and surgical groups for analysis and followed up for 2 years after initial diagnosis.
Results
Four patients (21%) were successfully treated conservatively, while 15 patients (79%) underwent surgical treatment. One of these 15 patients required revision surgery. After 2 years, all patients were successfully treated, so there were no more clinical signs of recurrent sinusitis in any patients. The survival rate of implants was 100%. Compared to those of the conservative group, symptom duration, the Lund–MacKay CT score, status of the ostiomeatal unit (OMU), and the condition of the maxillary sinus floor were significantly more severe in the surgical group.
Conclusion
In our study, the majority of patients who once developed paranasal sinusitis associated with dental implants required surgical treatment. Findings of paranasal sinus CT may be important in determining treatment option.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.12570</identifier><identifier>PMID: 25675967</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; dental implant ; Dental implants ; Dental Implants - adverse effects ; Dental materials ; Dental prosthetics ; Dental restorative materials ; Dentistry ; endoscopic sinus surgery ; Endoscopy ; Female ; Humans ; Male ; Maxillary sinus ; Maxillary Sinusitis - drug therapy ; Maxillary Sinusitis - etiology ; Maxillary Sinusitis - surgery ; Medical treatment ; Middle Aged ; Nose ; Observational studies ; odontogenic sinusitis ; Odor ; Odors ; ostiomeatal unit ; Paranasal sinus ; Patients ; Prospective Studies ; Reoperation ; Sinus ; Sinuses ; Sinusitis ; Surgery ; Surgical implants ; Tomography, X-Ray Computed ; Transplants & implants ; Treatment Outcome</subject><ispartof>Clinical oral implants research, 2016-11, Vol.27 (11), p.e100-e104</ispartof><rights>2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2016 John Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4240-7c21b96d75d1ed68bb4c9f9213bec31f54b6d2caf6d6214d867219d00e6309a93</citedby><cites>FETCH-LOGICAL-c4240-7c21b96d75d1ed68bb4c9f9213bec31f54b6d2caf6d6214d867219d00e6309a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fclr.12570$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fclr.12570$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25675967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, So Jeong</creatorcontrib><creatorcontrib>Park, Jee Soo</creatorcontrib><creatorcontrib>Kim, Hee Tae</creatorcontrib><creatorcontrib>Lee, Cha Hee</creatorcontrib><creatorcontrib>Park, Yun Hwi</creatorcontrib><creatorcontrib>Bae, Jung Ho</creatorcontrib><title>Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study</title><title>Clinical oral implants research</title><addtitle>Clin. Oral Impl. Res</addtitle><description>Objectives
As dental implant‐related paranasal sinusitis has different pathophysiology and clinical features from primarily rhinogenic paranasal sinusitis, the standard treatment protocol for dental implant‐related paranasal sinusitis has not yet been established. The aim of this study was to analyze the clinical characteristics and treatment results of dental implant‐related paranasal sinusitis.
Material and methods
We conducted a prospective single‐center study of 19 patients who were treated for odontogenic sinusitis developing in relation to dental implant from September 2008 through May 2012. The age of the patients ranged from 33 to 78 years, with the mean age of 54.5 years. Foul odor and postnasal dripping were the two most common complaints. All patients underwent nasal endoscopic examination and paranasal sinus CT before treatment, and initial conservative treatment for 1 week. Patients unresponsive to medical treatment underwent endoscopic sinus surgery (ESS). All patients were classified into the conservative and surgical groups for analysis and followed up for 2 years after initial diagnosis.
Results
Four patients (21%) were successfully treated conservatively, while 15 patients (79%) underwent surgical treatment. One of these 15 patients required revision surgery. After 2 years, all patients were successfully treated, so there were no more clinical signs of recurrent sinusitis in any patients. The survival rate of implants was 100%. Compared to those of the conservative group, symptom duration, the Lund–MacKay CT score, status of the ostiomeatal unit (OMU), and the condition of the maxillary sinus floor were significantly more severe in the surgical group.
Conclusion
In our study, the majority of patients who once developed paranasal sinusitis associated with dental implants required surgical treatment. Findings of paranasal sinus CT may be important in determining treatment option.</description><subject>Adult</subject><subject>Aged</subject><subject>dental implant</subject><subject>Dental implants</subject><subject>Dental Implants - adverse effects</subject><subject>Dental materials</subject><subject>Dental prosthetics</subject><subject>Dental restorative materials</subject><subject>Dentistry</subject><subject>endoscopic sinus surgery</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillary sinus</subject><subject>Maxillary Sinusitis - drug therapy</subject><subject>Maxillary Sinusitis - etiology</subject><subject>Maxillary Sinusitis - surgery</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Nose</subject><subject>Observational studies</subject><subject>odontogenic sinusitis</subject><subject>Odor</subject><subject>Odors</subject><subject>ostiomeatal unit</subject><subject>Paranasal sinus</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><subject>Sinus</subject><subject>Sinuses</subject><subject>Sinusitis</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>Tomography, X-Ray Computed</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1rFTEUhoMo9lpd-Ack4EYX0-Zrkom7crFX5aJQlC5DJjkDqfNlkqneXX960962C6HQbEJOnvOQkxeht5Qc0bKOXR-PKKsVeYZWVBJSkZrQ52hFNKkrRSU9QK9SuiCESN3ol-iA1VLVWqoVulr3YQzO9rgDm5cICdvR4xzLaYAx42nJbhpKeeqwL4VChmHu7ZirCL3N4PFsox1tKjcpjEsKOaRP-ASzagc24jlOaQaXwyXgqU0QL20O03hD58XvXqMXne0TvLnbD9Gv088_11-q7Y_N1_XJtnKCCVIpx2irpVe1p-Bl07bC6U4zyltwnHa1aKVnznbSS0aFb6RiVHtCQHKireaH6MPeW97zZ4GUzRCSg75MAtOSDG244lQ0nD0BZVJSprgs6Pv_0ItpiWW4ZBjhovi0poX6uKdc-YsUoTNzDIONO0OJuUnQlATNbYKFfXdnXNoB_AN5H1kBjvfA39DD7nGTWW_P7pXVviOkDP8eOmz8bYpP1eb8-8aIs2-NOG82puHXLAq1Bg</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>Kim, So Jeong</creator><creator>Park, Jee Soo</creator><creator>Kim, Hee Tae</creator><creator>Lee, Cha Hee</creator><creator>Park, Yun Hwi</creator><creator>Bae, Jung Ho</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201611</creationdate><title>Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study</title><author>Kim, So Jeong ; Park, Jee Soo ; Kim, Hee Tae ; Lee, Cha Hee ; Park, Yun Hwi ; Bae, Jung Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4240-7c21b96d75d1ed68bb4c9f9213bec31f54b6d2caf6d6214d867219d00e6309a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>dental implant</topic><topic>Dental implants</topic><topic>Dental Implants - adverse effects</topic><topic>Dental materials</topic><topic>Dental prosthetics</topic><topic>Dental restorative materials</topic><topic>Dentistry</topic><topic>endoscopic sinus surgery</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillary sinus</topic><topic>Maxillary Sinusitis - drug therapy</topic><topic>Maxillary Sinusitis - etiology</topic><topic>Maxillary Sinusitis - surgery</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Nose</topic><topic>Observational studies</topic><topic>odontogenic sinusitis</topic><topic>Odor</topic><topic>Odors</topic><topic>ostiomeatal unit</topic><topic>Paranasal sinus</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><topic>Sinus</topic><topic>Sinuses</topic><topic>Sinusitis</topic><topic>Surgery</topic><topic>Surgical implants</topic><topic>Tomography, X-Ray Computed</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, So Jeong</creatorcontrib><creatorcontrib>Park, Jee Soo</creatorcontrib><creatorcontrib>Kim, Hee Tae</creatorcontrib><creatorcontrib>Lee, Cha Hee</creatorcontrib><creatorcontrib>Park, Yun Hwi</creatorcontrib><creatorcontrib>Bae, Jung Ho</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, So Jeong</au><au>Park, Jee Soo</au><au>Kim, Hee Tae</au><au>Lee, Cha Hee</au><au>Park, Yun Hwi</au><au>Bae, Jung Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin. Oral Impl. Res</addtitle><date>2016-11</date><risdate>2016</risdate><volume>27</volume><issue>11</issue><spage>e100</spage><epage>e104</epage><pages>e100-e104</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives
As dental implant‐related paranasal sinusitis has different pathophysiology and clinical features from primarily rhinogenic paranasal sinusitis, the standard treatment protocol for dental implant‐related paranasal sinusitis has not yet been established. The aim of this study was to analyze the clinical characteristics and treatment results of dental implant‐related paranasal sinusitis.
Material and methods
We conducted a prospective single‐center study of 19 patients who were treated for odontogenic sinusitis developing in relation to dental implant from September 2008 through May 2012. The age of the patients ranged from 33 to 78 years, with the mean age of 54.5 years. Foul odor and postnasal dripping were the two most common complaints. All patients underwent nasal endoscopic examination and paranasal sinus CT before treatment, and initial conservative treatment for 1 week. Patients unresponsive to medical treatment underwent endoscopic sinus surgery (ESS). All patients were classified into the conservative and surgical groups for analysis and followed up for 2 years after initial diagnosis.
Results
Four patients (21%) were successfully treated conservatively, while 15 patients (79%) underwent surgical treatment. One of these 15 patients required revision surgery. After 2 years, all patients were successfully treated, so there were no more clinical signs of recurrent sinusitis in any patients. The survival rate of implants was 100%. Compared to those of the conservative group, symptom duration, the Lund–MacKay CT score, status of the ostiomeatal unit (OMU), and the condition of the maxillary sinus floor were significantly more severe in the surgical group.
Conclusion
In our study, the majority of patients who once developed paranasal sinusitis associated with dental implants required surgical treatment. Findings of paranasal sinus CT may be important in determining treatment option.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>25675967</pmid><doi>10.1111/clr.12570</doi><tpages>5</tpages></addata></record> |
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| ispartof | Clinical oral implants research, 2016-11, Vol.27 (11), p.e100-e104 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Aged dental implant Dental implants Dental Implants - adverse effects Dental materials Dental prosthetics Dental restorative materials Dentistry endoscopic sinus surgery Endoscopy Female Humans Male Maxillary sinus Maxillary Sinusitis - drug therapy Maxillary Sinusitis - etiology Maxillary Sinusitis - surgery Medical treatment Middle Aged Nose Observational studies odontogenic sinusitis Odor Odors ostiomeatal unit Paranasal sinus Patients Prospective Studies Reoperation Sinus Sinuses Sinusitis Surgery Surgical implants Tomography, X-Ray Computed Transplants & implants Treatment Outcome |
| title | Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study |
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