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Transnasal Endoscopy Removal of Dislodged Dental Implant: A Case Report

机译:经鼻内窥镜摘除脱落的种植牙:一例报告

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摘要

Displacement of dental implants into the maxillary sinus is a rare complication. This article presents a case of displaced dental implant into maxillary sinus. Retrieval of the dental implant from left maxillary sinus was performed via endoscopic sinus surgery. This case highlighted a delayed referral of a 53-year-old male by a general dental practitioner for management of a dislodged dental implant into the left maxillary antrum. The implant was dislodged during placement of a healing abutment 4 months after implant insertion to replace missing 25. Cone beam computerized tomography revealed the displaced implant was located at the ostium of the left nose. A sudden change in sinonasal pressure when the patient took a deep breath during the procedure may have created a negative pressure and suction effect causing the implant to be dislodged and embedded at the ostium. In view of its position, a referral to an otorhinolaryngologist was made for endoscopic removal of the displaced implant. This case also highlighted the need for inter disciplinary cooperation in the management of such a complication for the best interest of the patients.
机译:牙种植体移位到上颌窦是一种罕见的并发症。本文介绍了将牙种植体移位到上颌窦的情况。通过内窥镜鼻窦手术从左上颌窦取出牙种植体。该病例突显了一位普通牙科医生延迟转诊一名53岁男性,以处理将牙种植体移入左上颌窦的情况。植入植入后4个月,在放置愈合基台的过程中将植入物移位,以替换缺失的25个。锥束计算机断层扫描显示,移位的植入物位于左鼻口。当患者在手术过程中深呼吸时,鼻窦压力的突然变化可能产生负压和抽吸作用,导致植入物移位并嵌入到口处。考虑到其位置,已转诊至耳鼻喉科医生以内窥镜切除移位的植入物。该病例还强调了在这种并发症的管理中需要跨学科合作以使患者获得最大利益。

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