Can implants that penetrated the sinus cause long term complications?

Here’s my case: I had 3 teeth removed (two upper right molers and one upper left moler). At the same time the dentist attempted to place 4 implants (two either side) immediately after extraction. The two on the upper right breached the sinus and failed to take from the start. I was advised they could take several weeks to settle and take properly. The two on the left were both pushed completely through the sinus, one after the other with fixings attached. I was referred to an oral surgeon immediately after the procedure.

Apart from complete bone loss in the affected area, a sizeable chunk of the sinus wall had to be removed (golf ball sized according to the oral surgeon), in order to extract the two implants. A buccal fat transfer (please excuse me if I have spelled this wrong) was then required to patch up the sinus wall. A subsequent visit to an ENT revealed that the oral surgeon had done a fantastic job under the circumstances. I was informed that I would be prone to infection.

My question is this. How prone to infection and will this ever get better? It has been over 15 months since the initial procedure, I have a permanent lump above the jaw on the left side, I feel constant pressure in that area and am now suffering from extreme migraines. My symptoms appear to be getting worse as time goes on. Getting help and advice is expensive to say the least but I do not know where to turn or how to approach this. My quality of life is drastically lower as a result of this. Any opinions or advice that can help me would be hugely appreciated. Thank you in advance.

3 Comments on Can implants that penetrated the sinus cause long term complications?

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Ryoungoms
1/12/2016
Don't go back to that dentist!
Dr. Gerald Rudick
1/12/2016
HOLD ON A MINUTE ! ! ! ! ! ! LET'S NOT JUMP TO CONCLUSIONS SO FAST ! ! ! ! ANY DENTIST WHO IS PLACING DENTAL IMPLANTS INTO THE POSTERIOR MAXILLA HAS AT ONE TIME IN HIS/HER CAREER HAD AN IMPLANT DISAPPEAR INTO THE SINUS ! ! ! ! ! IT IS NOT THE END OF THE WORLD; AND THE ORAL SURGEON IN THIS CASE SHOULD HAVE NOT PUT YOU THROUGH THE PROCEDURE HE DID.... IT WAS NOT NECESSARY. In my now 50th year in dentistry ( McGill University Montreal, Canada Class of 1966) and placing implants in my 45 th year, having been trained by Dr. Leonard Linkow, who I met while doing a post graduate program in Oral Rehabilitation at the Hebrew University in Jerusalem Israel, and listening to Hilt Tatum lecture many times; I have had the experience of at least 10 cases of having implants disappear into the sinus........unlike an infected natural root of a tooth, that gets dislodged into the sinus during an extraction procedure, there is no reason to chase after a run away implant.... it is harmless. Over the many years ,some of these patients have passed away from natural causes, and certainly nothing to do with their sinuses, many are still around, and still come to see me as patients..... and the panorex films are interesting, as it is like watching a cruise ship....... these guys move around... and go from port to port, but always out at sea.....except for the case I will describe below..... Two years ago, one of my patients, a rather large man, who had a floating sinus implant for many years , never bothered him and who lived in another city, called me and told me that something strange happened........one day, he woke up, sneezed and felt a metallic object come into his mouth ........ he put it into an envelope and mailed it to me....... it was the lost implant with the healing collar on it that got dislodged when I uncovered the implant and placed a healing collar on to it.... tightening the screw, caused the non integrated implant to travel into the sinus. The sad and unfortunate part of this story .....is that when he did come to see me, he was in the terminal stages of pancreatic cancer, and did not have the energy to walk down the stairs to where our panorex machne rsides......so I do not have the proof to show you guys..... So my final advice is...... one day it is going to happen to you......we are much more bold in our surgical techniques, and the once Maxillary Sinus area synonomous with " No Man's Land" , has become a playground for the skilled and daring....so it will happen to you..... and my best advice is to place the patient on a good antibiotic, check with the pharmacy for a good nasal decongestant, and sit back and watch the cruise ship move anywhere it wants to go....IT IS HARMLESS! ! If any one wants to contact me to see xrays of these cruise ships...please by all means don't be shy........contact me Gerry Rudick Montreal, Canada 514 342-4444
Maite Moreno DDS, MS
1/13/2016
I am Dentist that just fell on the street one month ago and had a very tiny fracture of the cheeck bone. This created blod clot in my sinus and was untreated for several reasons. Hurted the day of the fall but then I got busy with holidays and did not seem to have pain, although there was something of unsetleness. Finaly after a month, I am now treated for my lungs, since the bacteria that developed in the clott had been doing their task. Never fever. Today I am in the hands of my ENT. Progressing but not stable. Never loss a tooth, and no decay or periodontal disease. No entry... just the clot. My point here is that sinus is an entity that we (Dentist) know somethings but never when they get infected. This is for the ENT. Take all your medicines... and be great patient. Nature has its ways. Rest well. This will improve. ANIMO. CHEERS.

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