Immediate implant placement after maxillary sinus lift using the side window technique: clinical case report

The mission and aim of Clinical Case Reports “…is to use clinical case reports to disseminate best clinical practice, to examine important common as well as uncommon clinical scenarios, and to illustrate and inform the use of important clinical guidelines and systematic reviews” http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)2050-0904/homepage/ForAuthors.html. From this statement, it is clear that to be considered for publication in Clinical Case Reports, not all reported cases need to be unusual or uncommon. However, all do need to have a key clinical message – that is; all need to have a clear statement about the important lesson learned or significant information revealed through this particular clinical case. At Clinical Case Reports, we consider the key clinical message to be a very important part of the case report. It should summarize the central, take-home clinical message authors are seeking to impart in writing up and looking to publish their report. The key clinical message is intended to capture and reflect the crucial and central meaning of each case report. While there are some similarities with a traditional abstract, the key clinical message is more focused and concise, and does not contain the same amount of background information. At Clinical Case Reports, we require that the key clinical message of the report is summarized into a maximum of 50 words. This key clinical message has several important functions. Its major role to capture and reflect the crucial and central meaning of each report. It also in a sense justifies why the case report is worthy of being published; why it is that authors think the case they are reporting might be useful for others to read – or, to answer the question ‘what is it that other clinicians can learn from this case?’. Once the report is accepted for publication in Clinical Case Reports, this short (but informative) key message appears in the table of contents of the journal. In reading the key clinical message, readers should be able to grasp the value or importance of the paper and make a decision about whether or not this particular report might be useful for them. In addition, the key clinical message can help authors to decide what details of a case should and should not be included in the case report. The Clinical Case Reports author guidelines highlight that while the reporting of the case should be sufficiently detailed to explain the case, extraneous information should not be included. Therefore, if particular information is not relevant to the key clinical message, then it should not be included in the published case report. When preparing a key clinical message as part of a case report for submission to Clinical Case Reports, it can be helpful to browse through some of the published case reports on the Clinical Case Reports website, to see how other authors have presented their key clinical messages. During submission of the case report, the key clinical message should be entered in the ‘abstract’ field of the Clinical Case Reports submission site.

Towards improving the reporting quality of clinical case reports in complementary medicine: Assessing and illustrating the need for guideline development

The loss in height of the alveolar bone crest after tooth extraction makes rehabilitation of the posterior maxilla challenging due to low bone density and atrophy, in addition to pneumatization of the maxillary sinus. Maxillary sinus lift surgery prior to implant placement makes implant-supported rehabilitation feasible. This study aimed to describe a case report of maxillary sinus surgery using the side window technique prior to rehabilitation with a prosthesis supported by dental implants, highlighting the importance of planning to minimize intraoperative complications. This is a clinical case report of a 59-year-old male patient who was assisted at a private higher education institution complaining of edentulous spaces and the desire for rehabilitation with implants. He underwent rehabilitation planning, including the surgical treatment of maxillary sinus lifting using the side window technique. Bone gain was confirmed using cone beam computed tomography six months after the surgical approach to the maxillary sinus. The planning of rehabilitation of the posterior maxilla and careful sinus lift surgery using the side window technique is a predictable therapeutic option for clinical cases with bone gain in height of the posterior region of the maxilla prior to the installation of dental implants. The clinical case presented demonstrated success in the gain of bone volume in the posterior region of the maxilla, without postoperative complications, and the patient was still satisfied with the proposed treatment, awaiting complete implant-supported rehabilitation.

We are delighted to present "Clinical Case Reports: Current Challenges in Clinical Practice," a compilation of the finest clinical case reports published in the Brazilian Journal of Case Reports during the biennium 2021-2022. This volume represents a diverse array of multidisciplinary clinical cases spanning the entire spectrum of healthcare, ranging from physiotherapy to various clinical domains within the field of medicine. Clinical case reports serve as invaluable tools in the world of healthcare, offering unique insights into the diagnostic and therapeutic challenges faced by practitioners, while highlighting innovative solutions and exceptional patient outcomes. As the healthcare landscape continues to evolve, the importance of sharing these experiences and knowledge cannot be understated. In this book, we present a selection of 66 case reports that have been chosen for their exceptional quality, depth of clinical insights, and relevance to current challenges in clinical practice. These cases represent the dedication and hard work of healthcare professionals who have strived to make a difference in their patients' lives. The diversity of cases featured in this volume underscores the vast tapestry of clinical scenarios that healthcare practitioners encounter daily. Whether it's a breakthrough in physiotherapy, an intricate surgical intervention, or a rare diagnostic conundrum, these case reports provide a glimpse into the remarkable journey of healthcare professionals in their pursuit of excellence. We extend our heartfelt appreciation to the authors, reviewers, and editorial team of the Brazilian Journal of Case Reports for their unwavering commitment to fostering the dissemination of invaluable clinical experiences. Their dedication to maintaining the highest standards of research and ethical reporting has made this book possible. "Clinical Case Reports: Current Challenges in Clinical Practice" not only stands as a testament to the dedication of healthcare professionals but also serves as a source of inspiration and a reference guide for those navigating the intricate landscape of clinical care. We hope that this compilation inspires and informs, fostering a spirit of continuous learning and improvement in clinical practice. We invite you to delve into these remarkable clinical case reports, each a unique story of discovery, innovation, and compassionate care, and we trust that you will find them both enlightening and enriching.

I was born and raised in a medical family surrounded by physicians of various specialities and their friends. Although I dreamed of becoming a conductor of a symphony orchestra, my destiny was quite predetermined (genetically as well as epigenetically). So, I became a cardiologist. Right at the beginning of my career at the university hospital, I was told by senior physicians that to become a good medical professional you must read one clinical case report per day, at least. Indeed, it is not easy to see diverse patients every day and keep reading the medical literature. Eventually, I realized that following this rule I could easily come up with an initial diagnosis and selection of the right therapy for my patients. Clearly, clinical case reports remain an essential part of lifelong learning in medicine, contributing greatly to the progress of health care. That is why ScienceOpen aggregated extensive content from the medical literature published Open Access in the last 5-7 years and offers this invaluable material freely for every health care professional in the world. Another important aspect of continuing medical education involves the role of mentoring. Mentorship during the medical career can have an exceptional impact both professionally as well as personally. Supporting self-esteem and the importance of lifelong learning, a good mentor empowers a positive attitude and promotes the development of more open and flexible mindsets in medical trainees. As a great example, I would like to mention a weekly clinical case reports discussion called clinical journal club presented by Professor Friedrich C. Luft, Director of the Experimental and Clinical Research Center (ECRC) at Charité and Max Delbrück Center in the Helmholtz Association in Berlin to his colleagues, physicians and researchers in a freely available open format: http://www.charite-buch.de/. During my own training as a physician-scientist, I met a few outstanding senior colleagues, unique leaders and incredible personalities such as Professor Mirsaid M. Mirrakhimov, Professor Rainer Dietz, Professor Detlev Ganten, and Professor Friedrich C. Luft. Now, Professor Friedrich C. Luft and I decided to initiate a special Open Access collection of clinical case reports across all medical disciplines. Friedrich Luft has expressed his thoughts and ideas on the Clinical Case Reports Collection in this short video: https://youtu.be/XKKxxlPuUwM So, why should clinical case reports be published? Here are the top 4 reasons to publish clinical case reports Open Access: Everyone can learn about interesting and unique disease manifestations and diagnostic methods, Everyone can get an invaluable first-hand source of evidence about general and novel therapeutic approaches across the globe, It helps to discover life threatening adverse reactions to medications, Used in practice to exchange information and generate a more expanded search for evidence We hereby would like to encourage every medical doctor, nurse and health care professional to share their clinical knowledge and discuss openly and cross-border their thoughts to generate new research and hypotheses. This becomes even more important with the rise of the Open Access movement and has an invaluable role in disseminating knowledge. So, welcome to the clinical case reports collection and unlock your education, doc!

I was born and raised in a medical family surrounded by physicians of various specialities and their friends. Although I dreamed of becoming a conductor of a symphony orchestra, my destiny was quite predetermined (genetically as well as epigenetically). So, I became a cardiologist. Right at the beginning of my career at the university hospital, I was told by senior physicians that to become a good medical professional you must read one clinical case report per day, at least. Indeed, it is not easy to see diverse patients every day and keep reading the medical literature. Eventually, I realized that following this rule I could easily come up with an initial diagnosis and selection of the right therapy for my patients. Clearly, clinical case reports remain an essential part of lifelong learning in medicine, contributing greatly to the progress of health care. That is why ScienceOpen aggregated extensive content from the medical literature published Open Access in the last 5-7 years and offers this invaluable material freely for every health care professional in the world. Another important aspect of continuing medical education involves the role of mentoring. Mentorship during the medical career can have an exceptional impact both professionally as well as personally. Supporting self-esteem and the importance of lifelong learning, a good mentor empowers a positive attitude and promotes the development of more open and flexible mindsets in medical trainees. As a great example, I would like to mention a weekly clinical case reports discussion called clinical journal club presented by Professor Friedrich C. Luft, Director of the Experimental and Clinical Research Center (ECRC) at Charité and Max Delbrück Center in the Helmholtz Association in Berlin to his colleagues, physicians and researchers in a freely available open format: http://www.charite-buch.de/. During my own training as a physician-scientist, I met a few outstanding senior colleagues, unique leaders and incredible personalities such as Professor Mirsaid M. Mirrakhimov, Professor Rainer Dietz, Professor Detlev Ganten, and Professor Friedrich C. Luft. Now, Professor Friedrich C. Luft and I decided to initiate a special Open Access collection of clinical case reports across all medical disciplines. Friedrich Luft has expressed his thoughts and ideas on the Clinical Case Reports Collection in this short video: https://youtu.be/XKKxxlPuUwM So, why should clinical case reports be published? Here are the top 4 reasons to publish clinical case reports Open Access: Everyone can learn about interesting and unique disease manifestations and diagnostic methods, Everyone can get an invaluable first-hand source of evidence about general and novel therapeutic approaches across the globe, It helps to discover life threatening adverse reactions to medications, Used in practice to exchange information and generate a more expanded search for evidence We hereby would like to encourage every medical doctor, nurse and health care professional to share their clinical knowledge and discuss openly and cross-border their thoughts to generate new research and hypotheses. This becomes even more important with the rise of the Open Access movement and has an invaluable role in disseminating knowledge. So, welcome to the clinical case reports collection and unlock your education, doc!

I was born and raised in a medical family surrounded by physicians of various specialities and their friends. Although I dreamed of becoming a conductor of a symphony orchestra, my destiny was quite predetermined (genetically as well as epigenetically). So, I became a cardiologist. Right at the beginning of my career at the university hospital, I was told by senior physicians that to become a good medical professional you must read one clinical case report per day, at least. Indeed, it is not easy to see diverse patients every day and keep reading the medical literature. Eventually, I realized that following this rule I could easily come up with an initial diagnosis and selection of the right therapy for my patients. Clearly, clinical case reports remain an essential part of lifelong learning in medicine, contributing greatly to the progress of health care. That is why ScienceOpen aggregated extensive content from the medical literature published Open Access in the last 5-7 years and offers this invaluable material freely for every health care professional in the world. Another important aspect of continuing medical education involves the role of mentoring. Mentorship during the medical career can have an exceptional impact both professionally as well as personally. Supporting self-esteem and the importance of lifelong learning, a good mentor empowers a positive attitude and promotes the development of more open and flexible mindsets in medical trainees. As a great example, I would like to mention a weekly clinical case reports discussion called clinical journal club presented by Professor Friedrich C. Luft, Director of the Experimental and Clinical Research Center (ECRC) at Charité and Max Delbrück Center in the Helmholtz Association in Berlin to his colleagues, physicians and researchers in a freely available open format: http://www.charite-buch.de/. During my own training as a physician-scientist, I met a few outstanding senior colleagues, unique leaders and incredible personalities such as Professor Mirsaid M. Mirrakhimov, Professor Rainer Dietz, Professor Detlev Ganten, and Professor Friedrich C. Luft. Now, Professor Friedrich C. Luft and I decided to initiate a special Open Access collection of clinical case reports across all medical disciplines. Friedrich Luft has expressed his thoughts and ideas on the Clinical Case Reports Collection in this short video: https://youtu.be/XKKxxlPuUwM So, why should clinical case reports be published? Here are the top 4 reasons to publish clinical case reports Open Access: Everyone can learn about interesting and unique disease manifestations and diagnostic methods, Everyone can get an invaluable first-hand source of evidence about general and novel therapeutic approaches across the globe, It helps to discover life threatening adverse reactions to medications, Used in practice to exchange information and generate a more expanded search for evidence We hereby would like to encourage every medical doctor, nurse and health care professional to share their clinical knowledge and discuss openly and cross-border their thoughts to generate new research and hypotheses. This becomes even more important with the rise of the Open Access movement and has an invaluable role in disseminating knowledge. So, welcome to the clinical case reports collection and unlock your education, doc!

A clinical case report is a type of scientific article that describes the experience of one or more healthcare professionals with a patient or a group of patients presenting with a rare, unusual, complex, innovative, or educational clinical condition. The aim of a clinical case report is to share knowledge, evidence, hypotheses, lessons, and challenges regarding the diagnosis, treatment, prognosis, prevention, or etiology of a disease or health problem. The clinical case report is one of the oldest and most popular forms of scientific publication in the health field. It plays an important role in advancing science, clinical practice, and medical education, as it allows for the recording and dissemination of cases that may contribute to the development of new hypotheses, theories, methods, techniques, interventions, or recommendations. However, writing and publishing a clinical case report is not an easy task. It requires care, rigor, ethics, and quality in preparing the text, selecting the journal, submitting the manuscript, and disseminating the article. There are several types and characteristics of clinical case reports that must be matched to the purpose, audience, and context of the case. There are also numerous standards, guidelines, instructions, and criteria that must be followed to ensure the reliability, validity, originality, and relevance of the clinical case report. In this book, you will learn how to write and publish a clinical case report efficiently, effectively, and ethically. You will understand the concepts, steps, tips, and tools that will help you transform your clinical experience into a quality scientific article. You will discover how to choose a relevant clinical case, how to collect and organize data, how to conduct a literature review, how to structure the text, how to follow ethical standards and journal guidelines, how to write clearly, objectively, and attractively, how to use figures, tables, and references, how to avoid common mistakes, how to revise and edit the text, how to choose an appropriate journal, how to prepare and submit the manuscript, how to handle reviewers’ comments, how to make revisions, and how to disseminate the article. By the end of this book, you will have acquired the knowledge and skills needed to write and publish a clinical case report that contributes to the advancement of science, clinical practice, and medical education. ISBN: 978-65-981870-1-9 (PDF)

Sharing an interesting clinical case report with a colleague recently elicited the remark, “… sounds like one of my clinical supervision sessions!” The comment got us reflecting on the value of clinical case reports. Research regulators such as Australia's National Health and Medical Research Council [1] place “case reports” alongside “case studies” as the lowest ranked type of credible research design. Apparently, this is because replication and generalization of case reports are normally either difficult or impossible – but is not that just the point? Clinical case reports are vitally important because, like precious gems, they often represent difference, describing cases and insights that are out of the ordinary and challenge current assumptions. Surprisingly, however, there has been negligible formal study of case reports and not infrequently there have been calls to cease publishing them [2]. In mental health, case reports may focus on the consumer's journey or life trajectory, providing the clinician with an opportunity to reflect and strengthen their practice. Sharing case reports and stories of hope, resilience, and struggle can provide a template of recovery that is within reach of all consumers. Clinicians often use jargon and medicalize people when in fact mental illness may represent only a small part of a person's life. Many mental health consumers are interested in how they and their “cases” are represented – in what clinicians are saying about them in notes and whether the content will harm their prospects and reputation. Thus, when reporting cases, clinicians need to provide a context to the consumer's journey. In this way, cases will be richer, more meaningful and useful to a professional audience. In mental health, one of the best-known examples of an influential case report is the story of 19th century railway worker Phineas Gage [3]. Recorded in 1948, this case report outlines medical observations and care provided by the General Practitioner John Harlow in the hours and days following a terrible railway accident. The report outlined how a doctor was called to attend following an explosion on a railway line that had blown a long iron rod completely through the left frontal lobe of Gage's brain. The fact that the patient survived became a front page news “miracle story.” However, within months of the accident friends and family began to notice that Gage's personality substantially changed. He was described as transforming from a polite, well respected member of his community preaccident, to an impulsive, aggressive person after the event [3]. The nature of Gage's personality change and his survival for many years after the accident, despite having his left frontal lobe destroyed, had considerable influence on neuroscientific theory of the day, challenging old ideas about the role and function of the frontal lobe of the brain [4]. Despite his injuries, which many assumed would cause permanent disability, Gage managed to keep working after his accident. Initially, he worked as a kind of living museum exhibit where people would pay money to marvel at his injuries and stick their fingers into the hole in his head. Later, he became a stage coach driver, a job he maintained for 7 years including several years working in Chile, before retiring [5]. Historians contend that Gage's ability to maintain employment in these occupations suggest he must have regained a more polite, stable character as he aged and his social circumstances changed. Insights from the clinical case report made about Phineas Gage have lent weight both to modern neurobiological theories on brain plasticity and to psychosocial models of rehabilitation that focus on mental health recovery [6]. Despite being a historical account of a single person's experience, Gage's story exemplifies the value of clinical case reports. They have a particularly important role in stimulating reflection and debate, as well as challenging traditional approaches to practice thereby influencing the direction of theory and research. Imagine what theory, practice and research might look like if we did not record and publish clinical case reports today? Where might the future of health science be if we ceased to study or write about difference? The case of Phineas Gage was truly a gem – his survival was miraculous. Through this man's misfortune and the careful recording of his case, the implications for the longer term of surviving such a horrific injury was able to be communicated to a community of scholars. As a consequence, there was enhanced understanding of the awareness that recovery is not linear and that for every step forward there may be steps backwards that in turn allow reflection and, in due course, renewed progress. Despite their lowly position in “evidence-base practice,” it would appear that case reports can make a significant contribution to the education of all mental health professionals and students, and enhance our understanding of the patient's journey.

Pharmacotherapeutic decisions in case reports, can we learn from them?

Objective: The study updates and enhances clinicians’ knowledge about clinical case reports (CCRs) and encourages publication of such articles.Methods: The author developed and offered a session about BMJ Case Reports to medical and surgical departments in the University Hospital of M´ ostoles. The session reviewed the contents and add-on services of the journal, conventional and alternative indicators of journal quality, use of CCRs to share valuable clinical lessons, and manuscript preparation and submission.Results: The main result of these sessions was submission of eight CCRs to BMJ Case Reports, of which four were accepted. One submitting author was invited to serve as peer reviewer for the journal. Other clinicians are preparing five new CCRs for submission to BMJ Case Reports or other journals.Conclusions: The learning sessions were successful in promoting writing and publication of CCRs. Young staff and postgraduate residents seemed especially encouraged to publish CCRs that had already been presented in their departmental sessions. As a librarian, I gained experience in CCR publication and reinforced my position as an essential supporter of the hospital’s teaching and publishing activity.

Sinus lift via the alveolar crest approach has been proven to solve inadequate alveolar bone height perfectly in the posterior region of the maxilla. Nevertheless, the surgical area cannot be directly observed, imaging methods are necessary to reveal whether the surgery has achieved the expected results. Cone-Beam Computed Tomography (CBCT) images are usually taken before surgery and at the completion of final pre-repair osseointegration and evaluate the effect of maxillary sinus lift by measuring the alveolar bone height in the bone graft area. However, there is no uniform and recognized method to accurately measure the alveolar bone height in the bone grafting area before and after maxillary sinus lift. Therefore, the authors propose a simple, accurate, and reproducible method for the measurement of alveolar bone height in maxillary sinus lift on CBCT, which will be an innovation. 30 implant cases (30 patients) were included in this study. The authors create a uniformed measurement surface in the CBCT axial interface to ensure consistency at the completion of final prerepair osseointegration and before surgery. Then changes in alveolar bone height in the bone grafting area before and after sinus lift were measured on CBCT coronal and arch planes. Finally, for the purpose of verification of repeatability, three dentists from our department were randomly selected to measure and record the above CBCT data at three different time points. The data showed that in the CBCT measurements of the three dentists, neither the coronal plane nor the arch plane was statistically significant. (P > 0.05). This measurement method is simple, accurate and repeatable. It can be applied to measure alveolar bone height in the bone grafting area before and after maxillary sinus lift.

Background: The posterior maxilla often presents challenges for dental implants due to reduced bone density and volume, exacerbated by alveolar resorption and sinus pneumatization. Maxillary sinus lifting has emerged as a surgical solution to enhance bone volume and implant stability. Objectives: This study aimed to evaluate and compare the outcomes of dental implantations with and without maxillary sinus lifting, focusing on implant survival rates, bone density changes, and implant stability. It also sought to document associated complications to determine the relative benefits and risks of sinus lift procedures. Methods: A prospective observational study involving 50 participants divided into two groups: one undergoing sinus lift before implantation and the other receiving direct implantation without sinus lift. Outcomes such as implant stability (measured via ISQ), bone density, and complications were tracked over 12 months using radiographic imaging and clinical evaluations. Results: Both groups achieved high implant survival rates (96% without sinus lift vs. 92% with sinus lift; p=0.532). Bone density increases were significantly greater in the sinus lift group (2.78 mm vs. 1.44 mm; p<0.001). Implant stability was consistently higher in the sinus lift group across all time points. Complication rates, including sinus perforation and infection, were slightly higher in the sinus lift group, but without long-term impact on outcomes. Conclusion: Maxillary sinus lifting significantly enhances bone volume and implant stability, though its necessity should be weighed against potential complications. The decision to perform a sinus lift should consider patient-specific anatomical and clinical factors

Physical therapists increasingly are contributing clinical case reports to the health literature, which form the basis for higher quality evidence that has been incorporated into clinical practice guidelines. Yet, few resources exist to assist physical therapists with the basic mechanics and quality standards of producing a clinical case report. This situation is further complicated by the absence of uniform standards for quality in case reporting. The importance of including a concise yet comprehensive description of patient functioning in all physical therapy case reports suggest the potential appropriateness of basing quality guidelines on the World Health Organization's International Classification of Functioning Disability and Health (ICF) model. The purpose of this paper is to assist physical therapists in creating high-quality clinical case reports for the peer-reviewed literature using the ICF model as a guiding framework. Along these lines, current recommendations related to the basic mechanics of writing a successful clinical case report are reviewed, as well and a proposal for uniform clinical case reporting requirements is introduced with the aim to improve the quality and feasibility of clinical case reporting in physical therapy that are informed by the ICF model.

Aim: Comparing the density of bone formed after sinus lifting and augmentation with Nanobone graft to that of the newly formed bone after non-augmented sinus lifting with tenting technique.Materials and Methods: A total of 12 maxillary sinuses requiring lifting and augmentation procedures were divided into two groups: Group 1: comprised six patients in which grafted maxillary sinus lifting with Nanobone graft procedures were performed, Group 2: comprised six patients in which non-grafted maxillary sinus lifting procedures were performed.Simultaneous implant placement was performed in both groups. Implants were left for six months after placement in bone to ensure complete osseointegration before loading.Results: Immediately post-operative, after 6 months and after 9 months, the mean bone density of grafted group showed statistically significantly higher value than non grafted group. This is due to the continued bone formation in the grafted group.Conclusion: There is significant increase in density of bone formed after augmented sinus lifting with Nanobone more than that of newly formed bone after non-augmented sinus lifting in the first nine months after the maxillary sinus lifting operation with simultaneous implants placement.