RESUMO
Slippage of an implant into the maxillary sinus is an exceptional complication that may occur during immediate implant placement. In this study, removal of a displaced implant into the maxillary sinus with the aid of endoscopy via buccal window approach is reported. Management of such a rare complication is also addressed.
Assuntos
Implantes Dentários , Endoscopia/métodos , Corpos Estranhos/cirurgia , Seio Maxilar , Adulto , Feminino , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/etiologia , Humanos , Dente Molar , Tomografia Computadorizada por Raios XRESUMO
The purpose of this study was to evaluate the clinical efficacy of platelet-rich plasma, autologous bone, and autologous fibrinogen as cryoprecipitate in maxillary sinus augmentation procedures. Six patients (age range, 29-58) undergoing sinus augmentation procedures were included in the study. Platelet-rich plasma and autologous fibrinogen in the form of cryoprecipitate were prepared from 300 ml of blood. Sinus augmentation was performed with intraoral bone grafts, platelet-rich plasma, and cryoprecipitate. The amount of regeneration was then evaluated quantitatively and qualitatively with Spiral TC (Dentascan) pre- and postoperatively 6 months after the intervention. Orthopantomography was performed preoperatively 3 and 6 months after the surgery. A mean platelet concentration of 320.5% was obtained from the baseline platelet blood count. The tomographic analysis indicated an average bone augmentation of 6.27 mm (range, 3.5-10 mm). Radiologically, a satisfactory morphological recovery of the maxillary jaw was obtained. No graft resorption was noticed. Orthopantomography indicated mineralization as early as 3 months postoperatively in the entire study population. This technique appeared to be safe and effective. Our preliminary results encourage the clinical use of platelet-rich plasma associated with cryoprecipitate.
Assuntos
Plaquetas/metabolismo , Regeneração Óssea , Transplante Ósseo/diagnóstico por imagem , Fator VIII/uso terapêutico , Fibrinogênio/uso terapêutico , Seio Maxilar , Adulto , Aumento do Rebordo Alveolar/métodos , Transplante Ósseo/métodos , Géis , Humanos , Seio Maxilar/diagnóstico por imagem , Pessoa de Meia-Idade , Projetos Piloto , Plasma , Radiografia Panorâmica , Tomografia Computadorizada EspiralRESUMO
The reestablishment of normal tissue volume, contour, and architecture around dental implants may require the use of osseous or soft tissue augmentation techniques. This article describes 2 patient treatments that highlight the use of connective tissue grafts to enhance the esthetic outcome of dental implant treatment.