Implants and Maxillary Sinus Case: How Should I Manage This?
Dr. S asks:
I would like to present a complicated case and ask for advice on how to manage the case. I extracted #3 [maxillary right first molar;16] which had a periapical lesion around the palatal root. I waited 2.5 months for healing to occur at the extraction site and installed an implant fixture. While I was drilling I felt that I had perforated the maxillary sinus and I decided to place a shorter implant (9mm). Postoperatively I took an OPG [orthopantomogram] and I saw that implant protruded into the sinus 2 to 3 mm. I took a CBCT and realized that the implant was under the sinus mucosa and the palatal part of the implant seems to be surrounded by bone. I would appreciate if you could offer some advice on how I should manage this situation.
Should I remove this implant? The patient does not have any problems. Patient does not have any sinusitis, pain or infection. Systemically patient does not have any problem. I am going to place implants in the #5 [maxillary right first premolar; 14] and #4 [maxillary right second premolar;15] sites next week.
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