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The Transoral Endoscope-Assisted Approach for Removal of a Dental Implant Displaced into the Maxillary Sinus: A Case Report and Review of the Literature

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Purpose

A dental implant displaced into the maxillary sinus can be removed transorally or transnasally. There is no report investigating any potential positional limitations by the transoral endoscope-assisted approach. The implant's location within the maxillary sinus was reviewed to clarify indications for this approach.

Case report

A 36-year-old man was referred to us for removal of a dental implant displaced into the right maxillary sinus. The implant changed position preoperatively, but the transoral endoscope-assisted approach proved successful.

Methods

A literature search through October 2020 was performed in PubMed for cases of implant removal from the maxillary sinus via transoral endoscope-assisted and transnasal endoscopic approaches.

Results

Sixty-two prior cases were identified, 20 cases by the transoral endoscope-assisted approach and 43 cases by one or two transnasal endoscopic approaches, including one duplicate case. There were no cases in which the implant was not identified by the transoral endoscope-assisted approach, but two cases in which the implant had moved to an unfavorable location and was not identified by only the initial transnasal endoscopic approach.

Conclusion

Clinicians can preferentially choose the transoral endoscope-assisted approach, considering the possibility of unfavorable repositioning of the displaced implant within the maxillary sinus.

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Funding

No funding was received.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan

    Yurika Murase, Shoko Yoshida, Koji Kishimoto, Rieko Shimizu, Soichiro Ibaragi & Akira Sasaki

Authors
  1. Yurika Murase
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  2. Shoko Yoshida
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  3. Koji Kishimoto
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  4. Rieko Shimizu
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  5. Soichiro Ibaragi
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  6. Akira Sasaki
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Contributions

All authors contributed to conceptualization; YM and SY contributed to literature search and data analysis; YM contributed to writing—original draft preparation; SY, KK, and SI contributed to writing—review and editing; AS contributed to supervision.

Corresponding author

Correspondence to Yurika Murase.

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The authors declare that they have no conflict of interest.

Ethics approval

Formal ethics approval is not required because the data were retrospectively collected.

Informed consent

The patient gave informed consent for all surgical procedures. Written informed consent was obtained from the patient for publication of this case report and accompanying images.

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Murase, Y., Yoshida, S., Kishimoto, K. et al. The Transoral Endoscope-Assisted Approach for Removal of a Dental Implant Displaced into the Maxillary Sinus: A Case Report and Review of the Literature. J. Maxillofac. Oral Surg. 21, 639–647 (2022). https://doi.org/10.1007/s12663-022-01703-8

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  • DOI: https://doi.org/10.1007/s12663-022-01703-8

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