Format

Send to

Choose Destination
Otolaryngol Head Neck Surg. 2019 Jun;160(6):974-984. doi: 10.1177/0194599819829747. Epub 2019 Feb 19.

What Affects Postoperative Sinusitis and Implant Failure after Dental Implant: A Meta-analysis.

Author information

1
1 Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chonbuk National University, Jeonju, Republic of Korea.
2
2 Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.
3
3 Doctors Dental Clinic, Gunsan, Chonbuk, Republic of Korea.
4
4 Sae Bom Dental Clinic, Jeonju, Chonbuk, Republic of Korea.
5
5 Presbyterian Medical Center, Department of Internal Medicine, Division of Allergy and Pulmonology, Jeonju, Republic of Korea.

Abstract

OBJECTIVE:

The dental implant is an innovative instrument that enables the edentulous patient to chew. Many factors have a bearing on the success of dental implantation. There are also many complications after dental implantation. In this meta-analysis, we investigated which factors increase the risk of postoperative sinusitis and implant failure after dental implant for the first time.

DATA SOURCES:

Included data were searched through the PubMed, EMBASE, and Cochrane library databases. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and 2 authors (J.S.K., S.H.K.) independently extracted data by multiple observers.

REVIEW METHODS:

We used a random-effects model considering the variation between and within the included studies.

RESULTS:

Twenty-seven studies were included in our final meta-analysis. The proportion of postoperative sinusitis, perforation of the sinus membrane, and implant failure was 0.05 (95% confidence interval [CI], 0.04-0.07), 0.17 (95% CI, 0.13-0.22), and 0.05 (95% CI, 0.04-0.07), respectively, using the single proportion test. The only factors that affected postoperative sinusitis were preoperative sinusitis and intraoperative perforation of the Schneiderian membrane ( P < .01 and P < .01, respectively). The only factors that affected dental implant failure were smoking and residual bone height of the maxilla ( P < .05 and P < .01, respectively).

CONCLUSIONS:

Two factors affect postoperative sinusitis after implant surgery: preoperative sinusitis and Schneiderian membrane rupture. It should also be noted that the factors affecting implant failure are residual bone height and smoking. These findings will have a significant impact on the counseling and treatment policy of patients who receive dental implants.

KEYWORDS:

Schneiderian membrane perforation; dental implant; implant failure; sinusitis; smoking; survival

PMID:
30776960
DOI:
10.1177/0194599819829747

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center