Implant-prosthetic Rehabilitation after Removal of a Maxillary Cyst with Maxillary Sinus Involvement, without using Bone Augmentation Materials
Abstract
Inflammatory odontogenic cysts are among the most frequent lesions of the maxillary bones. Through their evolution, these pathological formations may affect adjacent anatomical structures such as the nasal fossae or the maxillary sinus. Patient rehabilitation is a time-consuming process that can be a challenge for medical practitioners. In this study, authors present the case of a patient with a maxillary cyst involving the maxillary sinus, rehabilitated by implant-prosthetic treatment without using bone augmentation materials. Removal of the maxillary cyst was performed with the preservation of the maxillary sinus membrane, with apicectomy of the teeth adjacent to the cyst and extraction of the causative tooth. The post-cystectomy bone defect was protected with a pericardium membrane, and after 6 months postoperatively, a dental implant was placed in the edentulous area. Three years after cystectomy, the presence of mature bone in the defect area and the stability of the implant-prosthetic restoration could be observed. The rehabilitation method proved to be effective in obtaining a predictable and stable therapeutic outcome.References
Chen JH, Tseng CH, Wang WC, Chen CY, Chuang FH, Chen YK. Clinicopathological analysis of 232 radicular cysts of the jawbone in a population of southern Taiwanese patients. Kaohsiung J Med Sci., vol.34, nr.4, pp. 249-254, Apr 2018
Becconsall-Ryan K, Tong D, Love RM. Radiolucent inflammatory jaw lesions: a twenty-year analysis. Int Endod J, vol.43, pp.859-865, 2010
Koivisto T, Bowles WR, Rohrer M. Frequency and distribution of radiolucent jaw lesions: a retrospective analysis of 9,723 cases. J Endod, vol. 38, pp. 729-732, 2012
Becconsall-Ryan K, Tong D, Love RM. Radiolucent inflammatory jaw lesions: a twenty-year analysis. Int Endod J, vol. 43, pp. 859-865, 2010
Koivisto T, Bowles WR, Rohrer M. Frequency and distribution of radiolucent jaw lesions: a retrospective analysis of 9,723 cases. J Endod, vol.38, pp.729-732, 2012
Sullivan M, Gallagher G, Noonan V. The root of the problem: Occurrence of typical and atypical periapical pathoses. J Am Dent Assoc., vol.147, nr.8, pp.646-649, Aug 2016
Soluk-Tekkeşin M, Wright JM. The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2017 (4th) Edition. Turk Patoloji Derg. 2018
Kilinc A, Gundogdu B, Saruhan N, Yalcin E, Ertas U, Urvasizoglu G. Odontogenic and nonodontogenic cysts: An analysis of 526 cases in Turkey. Niger J Clin Pract, vol. 20, pp. 879-883, 2017
Rivis M, Valeanu AN. Giant maxillary cyst with intrasinusal Evolution. Rom J Morphol Embryol, vol. 54, nr. 3, pp. 889-892, 2013
Onişor-Gligor F, T. Lung, B. Pintea, O. Mureșan, P.B. Pop, M. Juncar. Maxillary odontogenic sinusitis, complicated with cerebral abscess--case report. Chirurgia (Bucur), vol.107, nr.2, pp.256-259, 2012
Juncar M, Bran S, Juncar RI, Onișor-Gligor F. Odontogenic cervical necrotizing fasciitis, etiological aspects. Nigerian journal of clinical practice, vol. 19, nr. 3, pp. 391, 2016
Uloopi KS, Shivaji RU, Vinay C, P, Shrutha SP, Chandrasekhar R. Conservative management of large radicular cysts associated with non-vital primary teeth: A case series and literature review. J Indian Soc Pedod Prev Dent, vol. 33, pp. 53-56, 2015
Sun R, Cai Y, Wu Y, Zhao JH. Marsupialization facilitates movement of the cystic lesion-associated deeply impacted mandibular third molar in spite of its mature roots. Med Oral Patol Oral Cir Bucal. vol. 22, nr.5, pp. 625-629, Sep 2017
Stefanski S, Svensson B, Thor A. Implant survival following sinus membrane elevation without grafting and immediate implant installation with a one-stage technique: an up-to-40-month evaluation. Clin Oral Implants Res., vol. 28, nr. 11, pp.1354-1359, Nov 2017
Falah M, Sohn DS, Srouji S . Graftless sinus augmentation with simultaneous dental implant placement: clinical results and biological perspectives. Int J Oral Maxillofac Surg., vol. 45, nr. 9, pp. 1147-1153, Sept 2016
Tamiolakis P, Thermos G, Tosios KI, Sklavounou-Andrikopoulou A. Demographic and Clinical Characteristics of 5294 Jaw Cysts: A Retrospective Study of 38 Years. Head Neck Pathol. 2019
Yasin-Ertem S, Altay H, Hasanoglu-Erbasar N. The evaluation of apicectomy without retrograde filling in terms of lesion size localization and approximation to the anatomic structures. Med Oral Patol Oral Cir Bucal., vol. 24, nr. 2, pp. 265-270, Mar 2019
Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res., vol.23, nr.5, pp.1-21, Feb 2012
Stumbras A, Kuliesius P, Januzis G, Juodzbalys G. Alveolar Ridge Preservation after Tooth Extraction Using Different Bone Graft Materials and Autologous Platelet Concentrates: a Systematic Review J Oral Maxillofac Res, vol. 10, nr. 1, pp. 2, 2019
Lombardi T, Bernardello F, Berton F, Porrelli D, Rapani A, Piloni AC, Fiorillo L, Di Lenarda R, Stacchi C. Efficacy of Alveolar Ridge Preservation after Maxillary Molar Extraction in Reducing Crestal Bone Resorption and Sinus Pneumatization: A Multicenter Prospective Case-Control Study Biomed Res Int. 2018
Pellegrini G, Pagni G, Rasperini.G. Surgical Approaches Based on Biological Objectives: GTR versus GBR Techniques. Int J Dent. 2013
Haney JM, Nilvéus RE, McMillan PJ, Wikesjö UM. Periodontal repair in dogs: expanded polytetrafluoroethylene barrier membranes support wound stabilization and enhance bone regeneration. Journal of Periodontology., vol. 64, nr. 9, pp. 883–890, 1993
Sculean A, Stavropoulos A, Bosshardt DD. Self-regenerative capacity of intra-oral bone defects. J Clin Periodontol. , vol. 46, nr. 21, pp. 70-81, Jun 2019
Chacko R, Kumar S, Paul A, Arvind. Spontaneous Bone Regeneration after Enucleation of Large Jaw Cysts: A Digital Radiographic Analysis of 44 Consecutive Cases. J Clin Diagn Res., vol. 9, nr.9, pp. 84-89, Sep 2015
Marconcini S, Giammarinaro E, Derchi G, Alfonsi F, Covani U, Barone A. Clinical outcomes of implants placed in ridge-preserved versus nonpreserved sites: A 4-year randomized clinical trial. Clin Implant Dent Relat Res., vol. 20, nr. 6, pp. 906-914, Dec 2018
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