Evaluation of the Success Rate of Endoscopic Sinus Surgery after Dental Implantation: A Systematic Review and Meta-analysis

Document Type : Review Article


1 Faculty of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran

2 Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Prosthodontics, School of Dentistry, Alborz University of Medical Sciences, Karaj, Iran

4 Department of Periodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

5 Student Research Committee, School of Dentistry, Babol University of Medical Sciences, Babol, Iran


Background and aim: Sinusitis after dental implantation can cause peri-implantitis or incomplete removal of graft material. The present study aimed to evaluate the success rate of Endoscopic sinus surgery after dental implantation.
Material and methods: In this study, international databases such as PubMed, Scopus, Science Direct, ISI, Web of Knowledge, and Embase were reviewed to select articles related to the purpose of this study from January 2012 to July 2022. Effect size with 95% confidence interval (CI) with fixed effect modal and inverse-variance done. Stata/MP.V17 software was used for data analysis.
Results: In the initial review, the abstracts of 344 studies were reviewed, two authors reviewed the full text of 58 studies, and finally, nine studies were selected. The success rate of endoscopic sinus surgery was 97% (ES: 95% CI, 95% to 98%).
Conclusions: Endoscopic sinus surgery is a suitable treatment with a high success rate in treating sinusitis after dental implants based on the present meta-analysis. A multidisciplinary collaboration between otorhinolaryngology and oral surgeons seems to provide the best treatment option to achieve an acceptable success rate.


Main Subjects

[1]  Solà Pérez A, Pastorino D, Aparicio C, Pegueroles Neyra M, Khan RS, Wright S, et al. Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review. Dentistry Journal. 2022;10(8):151. https://doi.org/10.3390/dj10080151.
[2]  Kim JS, Choi SM, Yoon JH, Lee EJ, Yoon J, Kwon SH, et al. What affects postoperative sinusitis and implant failure after dental implant: a meta-analysis. Otolaryngology–Head and Neck Surgery. 2019;160(6):974-84. https://doi.org/10.1177%2F0194599819829747.
[3]  Molina A, Sanz-Sánchez I, Sanz-Martín I, Ortiz-Vigón A, Sanz M. Complications in sinus lifting procedures: Classification and management. Periodontology 2000. 2022;88(1):103-15. https://doi.org/10.1111/prd.12414.
[4]  Molteni M, Bulfamante AM, Pipolo C, Lozza P, Allevi F, Pisani A, et al. Odontogenic sinusitis and sinonasal complications of dental treatments: a retrospective case series of 480 patients with critical assessment of the current classification. Acta Otorhinolaryngologica Italica. 2020;40(4):282-89. https://doi.org/10.14639%2F0392-100X-N0457.
[5]  Allevi F, Fadda GL, Rosso C, Martino F, Pipolo C, Cavallo G, et al. Treatment of Sinusitis Following Dental Implantation: A Systematic Review and Meta-Analysis. American Journal of Rhinology & Allergy. 2022;36(4):19458924221084484. https://doi.org/10.1177%2F19458924221084484.
[6]  Alsaleh S, Manji J, Javer A. Optimization of the surgical field in endoscopic sinus surgery: an evidence-based approach. Current allergy and asthma reports. 2019;19(1):1-0. https://doi.org/10.1007/s11882-019-0847-5.
[7]  Wu YC, Chen CS, Chan YJ. The outbreak of COVID-19: An overview. Journal of the Chinese medical association. 2020;83(3):217-20. https://doi.org/10.1097%2FJCMA.0000000000000270.
[8]  NHLBI N. Study quality assessment tools. National Heart, Lung and Blood Institute; 2020.
[9]  Gâta A, Toader C, Valean D, Trombitaș VE, Albu S. Role of endoscopic sinus surgery and dental treatment in the management of odontogenic sinusitis due to endodontic disease and oroantral fistula. Journal of Clinical Medicine. 2021;10(12):2712. https://doi.org/10.3390/jcm10122712.
[10] Saibene AM, Collurà F, Pipolo C, Bulfamante AM, Lozza P, Maccari A, et al. Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol. European Archives of Oto-Rhino-Laryngology. 2019;276(2):401-6. https://doi.org/10.1007/s00405-018-5220-0.
[11] Jiam NT, Goldberg AN, Murr AH, Pletcher SD. Surgical treatment of chronic rhinosinusitis after sinus lift. American journal of rhinology & allergy. 2017;31(4):271-5. https://doi.org/10.2500%2Fajra.2017.31.4451.
[12] Fadda GL, Berrone M, Crosetti E, Succo G. Monolateral sinonasal complications of dental disease or treatment: when does endoscopic endonasal surgery require an intraoral approach?. Acta Otorhinolaryngologica Italica. 2016;36(4):300-9. https://doi.org/10.14639%2F0392-100X-904.
[13] de Jong MA, Rushinek H, Eliashar R. Removal of dental implants displaced into the maxillary sinus: a case series. Eur J Oral Implantol. 2016;9(4):427-33.
[14] Kim SJ, Park JS, Kim HT, Lee CH, Park YH, Bae JH. Clinical features and treatment outcomes of dental implant‐related paranasal sinusitis: A 2 year prospective observational study. Clinical Oral Implants Research. 2016;27(11):e100-4. https://doi.org/10.1111/clr.12570.
[15] Felisati G, Chiapasco M, Lozza P, Saibene AM, Pipolo C, Zaniboni M, et al. Sinonasal complications resulting from dental treatment: outcome-oriented proposal of classification and surgical protocol. American Journal of Rhinology & Allergy. 2013;27(4):e101-6. https://doi.org/10.2500%2Fajra.2013.27.3936.
[16] Chiapasco M, Felisati G, Zaniboni M, Pipolo C, Borloni R, Lozza P. The treatment of sinusitis following maxillary sinus grafting with the association of functional endoscopic sinus surgery (FESS) and an intra‐oral approach. Clinical oral implants research. 2013;24(6):623-9. https://doi.org/10.1111/j.1600-0501.2012.02440.x.
[17] Craig JR, Poetker DM, Aksoy U, Allevi F, Biglioli F, Cha BY, et al. Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement. InInternational Forum of Allergy & Rhinology 2021;11(8):1235-48. https://doi.org/10.1002/alr.22777.