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Case Reports
. 2010 Jun;40(3):144-9.
doi: 10.5051/jpis.2010.40.3.144. Epub 2010 Jun 25.

Clinical treatment of postoperative infection following sinus augmentation

Seung-Bum Hong  1 , Jae-Suk Kim, Seung-Il Shin, Ji-Young Han, Yeek Herr, Jong-Hyuk Chung
Affiliations
Case Reports

Clinical treatment of postoperative infection following sinus augmentation

Seung-Bum Hong et al. J Periodontal Implant Sci. 2010 Jun.

Erratum in

  • Erratum: Author's Name Correction.
    [No authors listed] [No authors listed] J Periodontal Implant Sci. 2010 Aug;40(4):207. doi: 10.5051/jpis.2010.40.4.207. Epub 2010 Aug 30. J Periodontal Implant Sci. 2010. PMID: 20827332 Free PMC article.

Abstract

Purpose: The aim of this case report is to present the successful clinical treatment of two cases of postoperative infection following maxillary sinus augmentation.

Methods: In the two cases of postoperative infection, immediate total removal of the grafted material from the sinus was conducted to stop the spread of the infection, after which a high dose of antibiotics was administrated. Re-augmentation procedures were then conducted after the infection subsided.

Results: No further complications occurred after sinus re-augmentation. The dental implants placed in the re-augmented sinus were clinically osseointegrated, and the implant-supported restorations in the two cases of postoperative infection have been functioning very well for over 2 years.

Conclusions: In the case of infection of the grafted sinuses, it is necessary to completely remove the graft materials and then administer a high dose of antibiotics to treat the acute infection, after which sinus re-augmentation is suggested.

Keywords: Dental implants; Maxillary sinus; Surgical wound infection.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Postoperative infection following sinus augmentation.
Figure 2
Figure 2
The discharge of pus and graft materials after the incision.
Figure 3
Figure 3
Postoperative panoramic radiograph following sinus re-augmentation along with the placement of dental implants.
Figure 4
Figure 4
Pneumatization on the left maxillary sinus was observed in the preoperative panoramic radiograph.
Figure 5
Figure 5
Implant placed on positions #25-27 simultaneously with the sinus augmentation.
Figure 6
Figure 6
Infected graft material was surgically removed and #26i was removed to ease removal of the infected graft.
Figure 7
Figure 7
The inner portion of the buccal flap and the sinus membrane were fused. The membrane and the residual graft material were inseparably fused together.
Figure 8
Figure 8
Elevation of the sinus membrane and ostectomy were performed.
Figure 9
Figure 9
Panoramic radiograph of the dental implants placed in the re-grafted sinus after successfully functioning for 33 months.
See this image and copyright information in PMC

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