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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2013006996
pages 269-274

Management of Maxillary Sinus Perforation at the Time of Immediate Implantation with Sinus-Socket Osteotomy (SSO) Technique

Mahdi Kadkhodazadeh
Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Reza Amid
Dental Research Center, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran

ABSTRACT

Immediate implantation related to socket and vital anatomy of the maxillary sinus area requires careful consideration. One major complication that may occur during immediate replacement of posterior teeth is maxillary sinus membrane perforation. To date, no specific technique has been proposed to manage this problem so that implant insertion remains possible during the same surgery. In this paper, we introduce a method to manage this type of perforation and while performing simultaneous implantation. We used sinus-socket osteotomy (SSO), a modified osteotomy technique for socket preparation that blocks sinus perforation with autogenous bone. A 12-month follow-up showed that this technique was clinically successful and reduced the overall treatment time. However, this advanced method requires a skillful surgeon.