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Preoperative chronic sinusitis as significant cause of postoperative infection and implant loss after sinus augmentation from a lateral approach

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Abstract

Objectives

Among intra/postoperative complications of sinus augmentation from a lateral approach, postoperative infection and implant loss are particularly important because they have irreversible consequences. The purpose of this study was to determine the causes of postoperative infection and implant loss after a lateral approach and to determine the appropriate prophylaxis and therapy.

Materials and methods

In total, 109 patients (121 sinuses, 252 implants) were included in this study. The correlation between postoperative infection and implant loss and clinical variables was assessed using logistic regression analyses.

Results

Postoperative infection and implant loss occurred in 8/121 sinuses (6.6%). Infection had the strongest correlation to preoperative chronic sinusitis (p = 0.007), followed by timing of implant insertion. Implant loss had the strongest correlation to preoperative chronic sinusitis (p = 0.007), followed by sex, diabetes, postoperative use of dentures, and intraoperative perforation of the sinus membrane.

Conclusions

Preoperative chronic sinusitis could be a significant cause of postoperative infection and implant loss when using sinus augmentation from a lateral approach. For appropriate prophylaxis and therapy, it is necessary to diagnose the presence of chronic sinusitis that should be treated with proper methods prior to sinus augmentation.

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Authors and Affiliations

  1. Section of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Graduate School of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Ayako Kozuma, Masanori Sasaki, Hiroyuki Nakano & Yoshihide Mori

  2. Division of Oral & Maxillofacial Surgery and Implant Center, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers , Fukuoka, Japan

    Masanori Sasaki

  3. Seki K Oral and Dental Clinic, Kumamoto, Japan

    Katsuhiro Seki

  4. Toyoshima Dental Clinic, Kagawa, Japan

    Takeshi Toyoshima

Authors
  1. Ayako Kozuma
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  2. Masanori Sasaki
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  3. Katsuhiro Seki
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  4. Takeshi Toyoshima
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  5. Hiroyuki Nakano
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  6. Yoshihide Mori
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Corresponding author

Correspondence to Masanori Sasaki.

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Conflict of interest

The authors declared that they have no conflict of interest.

Ethical approval

The study was approved by the Ethics Committee of Kyushu University Hospital, and all participants signed informed consent forms.

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Kozuma, A., Sasaki, M., Seki, K. et al. Preoperative chronic sinusitis as significant cause of postoperative infection and implant loss after sinus augmentation from a lateral approach. Oral Maxillofac Surg 21, 193–200 (2017). https://doi.org/10.1007/s10006-017-0611-8

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  • DOI: https://doi.org/10.1007/s10006-017-0611-8

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