Implant-prosthetic Rehabilitation after Removal of a Maxillary Cyst with Maxillary Sinus Involvement, without using Bone Augmentation Materials

  • Raluca Iulia Juncar Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073, Oradea, Romania
  • Daniela Popa Department of Prosthetic Dentistry, “Iuliu Haţieganu” UMPh, 32 Clinicilor Street, Cluj-Napoca, 400006, Romania
  • Alexandru-Iosif Precup Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073, Oradea, Romania
  • Mihai Juncar Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073, Oradea, Romania
Keywords: odontogenic cysts, dental implant, bone defect, periapical lesions

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.

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Published
2019-12-03
Section
Articles