Yang S, Yu W, Zhang J, Zhou Z, Meng F, Wang J, Shi R, Zhou YM, Zhao J. Minimally invasive maxillary sinus augmentation with simultaneous implantation on an elderly patient: A case report. World J Clin Cases 2020; 8(24): 6408-6417 [PMID: 33392324 DOI: 10.12998/wjcc.v8.i24.6408]
Corresponding Author of This Article
Jing-Hui Zhao, PhD, Professor, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, No. 1500 Qinghua Road, Changchun 130021, Jilin Province, China. zhaojh_1986@126.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shi-Hui Yang, Wan-Qi Yu, Jing-Jie Zhang, Zhe Zhou, Jun-Yan Wang, Rui-Ning Shi, Yan-Min Zhou, Jing-Hui Zhao, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Fan-Rong Meng, Department of Stomatology, Aviation General Hospital, Beijing 100000, China
Author contributions: Zhao JH and Yang SH contributed to study conception and design, reviewed the article, and contributed to manuscript writing and drafting; Zhou YM, Yu WQ and Zhang JJ reviewed the literature and contributed to manuscript drafting; Zhou Z and Meng FR analyzed and interpreted the imaging findings; Shi RN and Wang JY were responsible for revision of the manuscript for important intellectual content; all authors issued final approval of the version to be submitted.
Supported bythe Jilin Province Science and Technology Development Plan Project, No. 20180101123JC; 13th Five-Year Science and Technology Project of Jilin Provincial Education Department, No. JJKH20190096KJ; Jilin Province Health and Health Technology Innovation Project, No. 2018J072; Project of Jilin Provincial Development and Reform Commission, No. 2019C051-2; and Jilin Province TCM Science and Technology Project, No. 2019036.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Hui Zhao, PhD, Professor, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, No. 1500 Qinghua Road, Changchun 130021, Jilin Province, China. zhaojh_1986@126.com
Received: July 24, 2020 Peer-review started: July 24, 2020 First decision: September 24, 2020 Revised: October 4, 2020 Accepted: October 13, 2020 Article in press: October 13, 2020 Published online: December 26, 2020 Processing time: 148 Days and 4.5 Hours
Abstract
BACKGROUND
In this case study, a minimally invasive transalveolar approach using platelet-rich fibrin and bone substitute with simultaneous implantation was carried out in an elderly patient. We analyzed the cone-beam computed tomography (CBCT) findings to evaluate bone regeneration.
CASE SUMMARY
A 65-year-old female with no contraindications for dental implants and loss of maxillary bilateral molars is described. Examination by CBCT showed the available vertical bone height in the bilateral posterior maxilla was 0.5-6.8 mm in the left and 2.8-6.5 mm in the right. The patient underwent a transalveolar approach using platelet-rich fibrin and bone substitute with simulataneous placement of an implant 10 mm in length. Six months post-surgery, the implant showed excellent osseointegration with the bone graft. Thereafter, full-ceramic crowns were fitted. Follow-up at 2 years demonstrated satisfactory prognosis.
CONCLUSION
Platelet-rich fibrin and bone substitute can be used to augment the maxillary sinus with a vertical bone height less than 4 mm.
Core Tip: Insufficient height of residual bone in the posterior maxilla is commonly encountered after tooth loss in elderly people. When the vertical bone height is less than 5 mm, the lateral antrostomy approach is recommended. In this case, cone-beam computed tomography examination showed that the available vertical bone height in the bilateral posterior maxilla was 0.5-6.8 mm in the left and 2.8-6.5 mm in the right. We chose the crest approach with platelet-rich fibrin and bovine bone graft material and obtained a good outcome. This case demonstrates that minimally invasive implantation and repair in elderly patients can be achieved, with reduced surgical trauma, postoperative pain, swelling, surgical costs and significantly shortened the course of implantation and repair. Therefore, in elderly patients, based on the premise of strict mastery of surgical indications and operating skills, this minimally invasive method with simultaneous implantation in the maxillary sinus can be considered.
