Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol

Abstract Purpose This study aims to investigate the potential complication of implant displacement into the maxillary sinus, exploring its etiology and various management strategies, while proposing a systematic approach for clinicians to effectively address this evolving complication. Materials and...

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Main Authors: Daniel Muchnik, Gavriel Chaushu, Eli Rosenfeld, Shaked Adut, Aiman Elmograbi, Meir Debecco, Amir Laviv, Daya Masri
Format: Article
Language:English
Published: SpringerOpen 2025-06-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:https://doi.org/10.1186/s40729-025-00629-3
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author Daniel Muchnik
Gavriel Chaushu
Eli Rosenfeld
Shaked Adut
Aiman Elmograbi
Meir Debecco
Amir Laviv
Daya Masri
author_facet Daniel Muchnik
Gavriel Chaushu
Eli Rosenfeld
Shaked Adut
Aiman Elmograbi
Meir Debecco
Amir Laviv
Daya Masri
author_sort Daniel Muchnik
collection DOAJ
description Abstract Purpose This study aims to investigate the potential complication of implant displacement into the maxillary sinus, exploring its etiology and various management strategies, while proposing a systematic approach for clinicians to effectively address this evolving complication. Materials and methods This retrospective multi-center cohort study evaluated patients with dental implant migration into the maxillary sinus treated between 2010 and 2023 at two Israeli medical centers. Data included demographics, symptoms, clinical findings, and treatment modalities. Results 32 patients (mean age: 62.3 years) were analyzed, with a notable incidence of sinusitis and oroantral fistulas. 91% required surgical intervention, predominantly Functional Endoscopic Sinus Surgery (63%). The majority of displacements occurred during the implantation process, often correlating with clinical symptoms. Conclusion As shown in our study, displacement of implants into maxillary sinus, often leads to sinusitis and oroantral fistula. A proposed treatment algorithm emphasizes surgical intervention, particularly Functional Endoscopic Sinus Surgery, based on symptoms and clinical signs.
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series International Journal of Implant Dentistry
spelling doaj-art-010416ac314d4ab2a7aedc92f4c9677e2025-08-20T03:26:44ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342025-06-0111111110.1186/s40729-025-00629-3Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocolDaniel Muchnik0Gavriel Chaushu1Eli Rosenfeld2Shaked Adut3Aiman Elmograbi4Meir Debecco5Amir Laviv6Daya Masri7Department of Oral and Maxillofacial Surgery, Rabin Medical Center— Beilinson HospitalDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center— Beilinson HospitalDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center— Beilinson HospitalDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center— Beilinson HospitalDepartment of Otolaryngology, Head and Neck Surgery, Rabin Medical Center—Beilinson HospitalDepartment of Oral and Maxillofacial Surgery, Samson Assuta Medical CenterDepartment of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger, School of Dental Medicine, Tel Aviv UniversityDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center— Beilinson HospitalAbstract Purpose This study aims to investigate the potential complication of implant displacement into the maxillary sinus, exploring its etiology and various management strategies, while proposing a systematic approach for clinicians to effectively address this evolving complication. Materials and methods This retrospective multi-center cohort study evaluated patients with dental implant migration into the maxillary sinus treated between 2010 and 2023 at two Israeli medical centers. Data included demographics, symptoms, clinical findings, and treatment modalities. Results 32 patients (mean age: 62.3 years) were analyzed, with a notable incidence of sinusitis and oroantral fistulas. 91% required surgical intervention, predominantly Functional Endoscopic Sinus Surgery (63%). The majority of displacements occurred during the implantation process, often correlating with clinical symptoms. Conclusion As shown in our study, displacement of implants into maxillary sinus, often leads to sinusitis and oroantral fistula. A proposed treatment algorithm emphasizes surgical intervention, particularly Functional Endoscopic Sinus Surgery, based on symptoms and clinical signs.https://doi.org/10.1186/s40729-025-00629-3Dental implantsMaxillary sinusSinusitisOroantral fistula
spellingShingle Daniel Muchnik
Gavriel Chaushu
Eli Rosenfeld
Shaked Adut
Aiman Elmograbi
Meir Debecco
Amir Laviv
Daya Masri
Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol
International Journal of Implant Dentistry
Dental implants
Maxillary sinus
Sinusitis
Oroantral fistula
title Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol
title_full Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol
title_fullStr Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol
title_full_unstemmed Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol
title_short Implant displacement to the maxillary sinus– a retrospective multicenter cohort study and a management protocol
title_sort implant displacement to the maxillary sinus a retrospective multicenter cohort study and a management protocol
topic Dental implants
Maxillary sinus
Sinusitis
Oroantral fistula
url https://doi.org/10.1186/s40729-025-00629-3
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