Aspergillosis of the maxillary sinus associated with dental implant

2021 ◽  
Author(s):  
Seong-Baek Jang ◽  
Sung-Tak Lee ◽  
So-Young Choi ◽  
Tae-Geon Kwon ◽  
Jin-Wook Kim
Keyword(s):  
Maxillary Sinus ◽  
Dental Implant ◽  
Fungal Disease ◽  
Surgical Removal ◽  
Oroantral Fistula ◽  
Non Invasive ◽  
Dental Procedures ◽  
Osteomeatal Complex

Aspergillosis is a fungal disease caused by fungus aspergillus ; this disease frequently involves the lungs and occasionally the maxillary sinus. Aspergillosis in the maxillary sinus usually has the characteristics of a non-invasive form. It has been suggested that spores of aspergillus can be inhaled to the maxillary sinus via the osteomeatal complex or via through an oroantral fistula after dental procedures such as an extraction. However, maxillary aspergillosis related to implant installation has rarely been reported. This report regards unusual cases of maxillary aspergillosis associated with dental implant therapies in healthy patients. The cases were successfully treated with the surgical removal of the infected or necrotic tissues.

scholarly journals Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Yunus Feyyat Şahin ◽  
Togay Muderris ◽  
Sami Bercin ◽  
Ergun Sevil ◽  
Muzaffer Kırıs
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Maxillary Sinusitis ◽  
Surgical Removal ◽  
Oroantral Fistula ◽  
Unusual Foreign Body ◽  
Dental Procedures ◽  
Chronic Maxillary Sinusitis ◽  
Left Maxillary Sinus

Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.

scholarly journals Migration of dental implants in the maxillary sinus – a putative risk of sinus aspergilossis

2017 ◽  
Vol 63 (4) ◽  
pp. 151-155
Author(s):  
Alexandru Andrei Iliescu ◽  
◽  
Paula Perlea ◽  
Anca Nicoleta Temelcea ◽  
◽  
...  
Keyword(s):  
Invasive Aspergillosis ◽  
Maxillary Sinus ◽  
Dental Implant ◽  
Antifungal Therapy ◽  
Chronic Sinusitis ◽  
Surgical Removal ◽  
Endosseous Implants ◽  
Non Invasive ◽  
Systemic Antifungal Therapy

Sometimes the maxillary endosseous implants may migrate into the maxillary sinus, a quarter of them being recorded in maxillary sinus bone grafts. Less frequent it occurs after the occlusal loading or during the prosthetic abutment insertion. The displacement and retention of a dental implant in maxillary sinus causes a chronic sinusitis. One of such infection might be aspergillosis. Clinically the aspergillosis of maxillary sinus may be non-invasive, invasive or allergic. The treatment of non-invasive aspergillosis in immunocompetent individuals consists in surgical removal of infected fungal mass without a systemic antifungal medication. The invasive aspergillosis which is affecting immunocompromised persons has to be treated both by surgical and long-term systemic antifungal therapy. In allergic form the surgical removal of nasal polyp and recreation of the patency of the maxillary ostium are recommended.

scholarly journals Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Jason E. Cohn ◽  
Mark Lentner ◽  
Hui Li ◽  
Matthew Nagorsky
Keyword(s):  
Bacterial Infection ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Diagnostic Approach ◽  
Dental Extraction ◽  
Facial Injury ◽  
Oroantral Fistula ◽  
Anaerobic Organism ◽  
Dental Procedures ◽  
Extraction Site

Actinomycosis is a bacterial infection due to Actinomyces israelii, a gram-positive, anaerobic organism that normally affects the cervicofacial region. However, facial injury or trauma (i.e., dental procedures) can allow this bacteria to inhabit other regions. There have been rare reports of actinomycosis of the paranasal sinuses. We present a case of a 50-year-old female who originally presented with a suspected oroantral fistula who subsequently was found to have actinomycosis involving her right maxillary sinus. Additionally, the dental extraction site revealed no connection with the maxillary sinus. We discuss the diagnostic approach and management of this patient as it relates to the limited existing literature.

Influence of zinc oxide onAspergillusspecies: a possible cause of local, non-invasive aspergillosis of the maxillary sinus

Mycoses ◽  
1996 ◽  
Vol 39 (9-10) ◽  
pp. 361-366 ◽  
Author(s):  
Birgit Willinger ◽  
J. Beck-Mannagetta ◽  
A. M. Hirschl ◽  
A. Makristathis ◽  
M. L. Rotter
Keyword(s):  
Zinc Oxide ◽  
Invasive Aspergillosis ◽  
Maxillary Sinus ◽  
Non Invasive ◽  
Possible Cause

scholarly journals Dental Implant for a Patient with Narcolepsy: A Case Report

2020 ◽  
Author(s):  
Hani Mawardi ◽  
Yasser Mahfouz ◽  
Siraj Dakhil ◽  
Mohammed Zahran ◽  
Lena Elbadawi
Keyword(s):  
Dental Implant ◽  
Lateral Incisor ◽  
Periodontal Pocket ◽  
Collagen Membrane ◽  
Allogenic Bone ◽  
First Case ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
Narcolepsy Patient ◽  
Allogenic Bone Graft

Narcolepsy is a neurological disorder characterised by cataplexy, sleep paralysis and excessive daytime sleepiness. The literature on dental managements of patients with narcolepsy is lacking with no set guidelines for dental practitioners. A 31-year-old female presented to the dental office with a dull pain related to the maxillary left lateral incisor with Grade 2 mobility and isolated 8 mm periodontal pocket. In addition, there was loss of buccal gingiva with radiographic changes suggestive of caries and fractured crown. The patient had a history of narcolepsy with cataplexy and hypertension controlled with bisoprolol and desvenlafaxine in addition to clonazepam 1 mg/day as needed to prevent episodes of cataplexy. Patient was asked to take 2 mg clonazepam and 600 mg ibuprofen one hour before procedure. The maxillary left lateral incisor was extracted atraumatically and an immediate implant combined with allogenic bone graft and collagen membrane was placed. The procedure was uneventful, and patient left conscious and stable. After three months, the implant was restored with porcelain fused-to-metal crown and followed-up for six months without any complications. This is the first case describing a narcolepsy patient who successfully received a dental implant without developing a cataplexy episode. Clonazepam prophylaxis may be considered prior to dental procedures for similar situations.

Silent sinus syndrome: an unusual case of facial numbness

2018 ◽  
Vol 18 (6) ◽  
pp. 494-496 ◽  
Author(s):  
Samuel Tribich ◽  
Colin J Mahoney ◽  
Nicholas W Davies
Keyword(s):  
Maxillary Sinus ◽  
Complete Resolution ◽  
Unusual Case ◽  
Clinical Context ◽  
Blurred Vision ◽  
Silent Sinus Syndrome ◽  
Osteomeatal Complex ◽  
Middle Meatal Antrostomy ◽  
Facial Numbness ◽  
History Of

A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists will only infrequently see people with silent sinus syndrome but it can have devastating consequences if left untreated and so must be considered in the appropriate clinical context.

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