Had an implant in upper right jaw the teeth before the last. After doing hole for implant and putting it doctor did small test where he blocked my nostril and checked if air is coming out of The hole of implant and he did.he then said that sinus was too close and 99.9 percent nothing happened even to the membrane and he did X-ray it showed it close to sinuses but in safe region. Can you advise me what to worry about please
January 4, 2017
Answer: Dental implant placed in the sinus Dental implants placed on the upper posterior maxilla have a risk of proximity to the sinus, or have a portion extending into the sinus: IS THAT BAD?THE ANSWER: Lets look at the science. I restore ALOT of implants (and natural teeth). I also READ ALOT. A recent study in Laryngoscope (which is actually an Ear/Nose/Throat (ENT) specialty journal), studied dental implants that extend into the maxillary sinuses in a longterm followup that averaged about a decade (5-20years range). RESULTS: No sinus complications were observed. The absence of such complications, they concluded, was related to the maintenance of successful osseointegration. GENERALLY, posterior maxillary implants DO BETTER clinically, if patients actually treated the SINUSITIS, receiving combined medical & surgical therapy for sinusitis.Another longterm study showed radiographically there is a thickening of the sinus membrane (Schneiderian Membrane). However, there has been no major clinical sequela from these observations. (Could be an adaptive response??)Longterm implant success rates are different (less) if major sinus grafting is performed + implant placement, depending on the surgical technique (lateral vs. crestal approach). However, success rates still are +90% in each situation--- it doesn't sound like this happened in your case.I don't know where he got the 99.99%, but historically, implants known as "Zygomatics" have been deliberately placed through the sinus, with good success rates. Google "Zygomatic implant" for some pictures; these implants have 95% of the body IN THE SINUS and have good longterm followup.As with all information on the internet, consult you dental specialist prior to receiving any treatment. Hope that helps!Dr. Ace
Helpful 1 person found this helpful
January 4, 2017
Answer: Dental implant placed in the sinus Dental implants placed on the upper posterior maxilla have a risk of proximity to the sinus, or have a portion extending into the sinus: IS THAT BAD?THE ANSWER: Lets look at the science. I restore ALOT of implants (and natural teeth). I also READ ALOT. A recent study in Laryngoscope (which is actually an Ear/Nose/Throat (ENT) specialty journal), studied dental implants that extend into the maxillary sinuses in a longterm followup that averaged about a decade (5-20years range). RESULTS: No sinus complications were observed. The absence of such complications, they concluded, was related to the maintenance of successful osseointegration. GENERALLY, posterior maxillary implants DO BETTER clinically, if patients actually treated the SINUSITIS, receiving combined medical & surgical therapy for sinusitis.Another longterm study showed radiographically there is a thickening of the sinus membrane (Schneiderian Membrane). However, there has been no major clinical sequela from these observations. (Could be an adaptive response??)Longterm implant success rates are different (less) if major sinus grafting is performed + implant placement, depending on the surgical technique (lateral vs. crestal approach). However, success rates still are +90% in each situation--- it doesn't sound like this happened in your case.I don't know where he got the 99.99%, but historically, implants known as "Zygomatics" have been deliberately placed through the sinus, with good success rates. Google "Zygomatic implant" for some pictures; these implants have 95% of the body IN THE SINUS and have good longterm followup.As with all information on the internet, consult you dental specialist prior to receiving any treatment. Hope that helps!Dr. Ace
Helpful 1 person found this helpful
