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References

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Lorkiewicz-Muszynska D, Kociemba W, Rewekant A, Sroka A, Jonczyk-Potoczna K, Patelska-Banaszewska M, Przystanska A. Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. Int J Pediatr Otorhinolaryngol. 2015; 79:1393-1400
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Hadar T, Yaniv E, Shvili Y, Koren R, Shvero J. Histopathological changes of the nasal mucosa induced by smoking. Inhal Toxicol. 2009; 21:(13)1119-1122
Chitsazi MT, Shirmohammadi A, Faramarzi M, Esmaieli F, Chitsazi S. Evaluation of the position of the posterior superior alveolar artery in relation to the maxillary sinus using the Cone-Beam computed tomography scans. J Clin Exp Dent. 2017; 9:e394-e399
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Katsuyama H, Jensen SS. ITI Treatment Guide Volume 5 – Sinus Floor Elevation Procedures.USA: Quintessence Publishing Co; 2011
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The Maxillary Sinus: What the General Dental Team Need to Know Part 4: Dental Implant Treatment and the Effect on Maxillary Sinus Function

From Volume 47, Issue 7, July 2020 | Pages 584-593

Authors

Colin Campbell

BDS, FDS RCS, BDS, FDSRCS

Specialist in Oral Surgery with sub-specialty interest in Implantology, The Campbell Clinic, Nottingham, NG2 7JS, UK

Articles by Colin Campbell

Email Colin Campbell

Garmon W Bell

BDS, MSc, FDC RCS, FFD RCSI(OS)

Associate Specialist Oral and Maxillofacial Surgery, Dumfries and Galloway Royal Infirmary

Articles by Garmon W Bell

Iain Macleod

BDS, PhD, FDS RCS, FRCR DDRRCR FHEA

Consultant Radiologist, Department of Dental Radiology, Newcastle Dental Hospital, Framlington Place, Newcastle-upon-Tyne, NE2 4BW, UK

Articles by Iain Macleod

James C Darcey

BDS, MSc, MDPH MFGDP, MEndo FDS(Rest Dent)

Consultant and Honorary Lecturer in Restorative Dentistry and Specialist in Endodontics, University Dental Hospital of Manchester

Articles by James C Darcey

Abstract

This paper, the last of a 4-part series, will discuss the impact of dental implant treatment on the health of the maxillary sinus. The need for assessment of maxillary sinus health and function, both clinically and radiographically, will be discussed. Strategies for implant planning that can reduce and mitigate complications will also be discussed, along with common surgical/post-surgery complications and the impact of these on patients.

CPD/Clinical Relevance: The Dental Team should be aware of the factors taken into consideration when implants involving the atrophic maxillary alveolus are planned, or provided, in relation to normal function of the maxillary sinus.

Article

In this fourth and final paper on the maxillary sinus and its importance for the Dental Team, the significance of the maxillary sinus, its structure, adjacent anatomical structures, and function will be looked at with regards to dental implant treatment in the atrophic maxillary alveolus. Dental implant treatment has become a popular treatment option for the replacement of missing teeth over the past two decades.1 Different areas of the mouth pose different challenges for prospective implant treatment. Planning and assessment of suitability for implants in the posterior maxillary area should include consideration of the maxillary sinus.2

While the proximity of the maxillary sinus is important in exodontia and endodontic treatment, a 3-dimensional understanding is vital when placing implants in the posterior maxilla. The shape and volume of the maxillary sinus is best viewed as a 3-sided, pyramidal-shaped cavity within the maxillary bone, often extending into the zygomatic bone, with the base of this pyramid on the medial aspect (lateral nasal wall), and the tip of the pyramid extending into the zygomatic bone. This is appreciated best in a colour atlas of cross-sectional anatomy.

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