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

Tiziano Testori, Tommaso Clauser, Alberto Maria Saibene, Zvi Artzi, Gustavo Avila-Ortiz, Hsun Liang Chan, Matteo Chiapasco, Matteo Chiapasco, Giovanni Felisati, Bernard Friedland, Aldo Bruno Giannì, Ole T. Jensen, Jérome Lechien, Jaime Lozada, Craig M. Misch, Carlos Nemcovsky, Zachary Peacock, Lorenzo Pignataro, Michael A. Pikos, Roberto PistilliGiulio Rasperini, William Scarfe, Massimo Simion, Claudio Stacchi, Silvio Taschieri, Matteo Trimarchi, Istvan Urban, Pascal Valentini, Raffaele Vinci, Stephen S. Wallace, Francesco Zuffetti, Massimo Del Fabbro, Luca Francetti, Hom Lay Wang

Research output: Contribution to journalArticlepeer-review

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 partici pants 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 partici pants, 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 moni toring 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.

Original languageEnglish
Pages (from-to)265-274
Number of pages10
JournalInternational Journal of Oral Implantology
Volume15
Issue number3
StatePublished - 2022

Keywords

  • Consensus
  • Dental implants
  • Maxillary sinus
  • Nasal fossae

All Science Journal Classification (ASJC) codes

  • General Medicine

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