Постимплантационный верхнечелюстной синусит: профилактика и диагностика

Abstract

According to the data of domestic and foreign authors, the incidence of maxillary sinusitis has doubled over the past 10 years, and the proportion of patients hospitalized in ENT hospitals is increasing annually by 1.5–2.0%, moreover, rhinology and rhinosurgery are the main areas of work of the ENT hospital currently. An important role in the occurrence of chronic maxillary sinusitis is played by the condition of the nasal cavity, especially the area of the ostiomeatal complex. For more than 30 years, rehabilitation of patients with complete or partial absence of teeth using subantral grafting and dental implantation has been widespread in Russian dental practice. Odontogenic maxillary sinusitis is increasingly found as a complication of dental implant treatment in the upper jaw. Patients usually get consultations with an otorhinolaryngologist already with the appearance of complications, and this reduces the effectiveness of dental operations. The question of diagnosis of maxillary sinusitis and insufficient preoperative preparation before implant treatment at the dentist remains open. When preparing a patient for implant treatment at the dentist, important components are the otorhinolaryngological examination and computed tomography of the paranasal sinuses, which can reveal a violation of the architectonics of the nasal cavity, the ostiomeatal complex and the pathology of the maxillary sinuses.