Management of odontogenic sinusitis related to dental implants and maxillary sinus grafting: a retrospective single-center study - Report - MDSpire

Management of odontogenic sinusitis related to dental implants and maxillary sinus grafting: a retrospective single-center study

  • By

  • Lorenzo Sabatino

  • Michele Antonio Lopez

  • Marco Mattaroccia

  • Matteo Valentini

  • Francesco Iafrati

  • Luigi De Benedetto

  • Antonio Moffa

  • Manuele Casale

  • June 26, 2026

  • 0 min

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Clinical Report: Surgical Approaches for Odontogenic Sinusitis Associated with Dental Implants

Overview

This study evaluates surgical management strategies for odontogenic sinusitis (ODS) related to dental implants and maxillary sinus augmentation.

Background

Odontogenic sinusitis (ODS) is increasingly recognized as a significant cause of maxillary sinusitis, particularly with the rise in dental implant procedures. The condition often presents distinct clinical challenges due to its unique pathophysiology and the complications associated with dental interventions.

Data Highlights

GroupPatients (n)Chronic Sinusitis (%)Foreign Bodies (%)OACs (%)Combined Approach (%)
Group I875N/AN/A50
Group II3770.364.964.959.5

Key Findings

  • 82.2% of cases were implant-related ODS (Group II).
  • Chronic sinusitis affected 70.3% of patients in Group II.
  • 64.9% of patients in Group II had foreign bodies present.
  • 59.5% of Group II cases were managed with a combined simultaneous approach.
  • 97.8% of patients achieved primary complete resolution at 3-month follow-up.
  • Only one recurrence of oro-antral communication was noted, successfully managed with secondary intervention.

Clinical Implications

Clinicians should consider the Felisati classification when planning surgical interventions.

Conclusion

The study highlights the distinct nature of implant-related and pre-implant ODS, advocating for tailored surgical strategies.

Related Resources & Content

  1. Felisati et al., 2013 -- Sinonasal complications of dental disease or treatment
  2. Frontiers in Surgery, 2026 -- Management of Odontogenic Sinusitis Related to Dental Implants
  3. compendium — Crestal Sinus Lift With Osseodensification in Severely Atrophic Maxilla: Case Series With Long-Term Follow-up
  4. compendium — Management of Impacted Maxillary Canines and Implant Placement: A Novel Classification System
  5. Feasibility Assessment of Dental Root Reconstruction for Implant Placement Planning
  6. Assessment of Dental Root Reconstruction for Implant Planning: A Retrospective Study Utilizing Computational and Radiographic Analysis of Single-Implant Cases
  7. Crestal Sinus Lift With Osseodensification in Severely Atrophic Maxilla
  8. Management of Impacted Maxillary Canines and Implant Placement
  9. Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement - Craig - 2021 - International Forum of Allergy & Rhinology - Wiley Online Library
  10. Frontiers | Management of Odontogenic Sinusitis Related to Dental Implants and Maxillary Sinus Grafting: A Retrospective Single-Center Study
  11. Clinical and radiographic evaluation for two crestal sinus lift techniques: osteotome versus osseodensification. a systematic review and meta-analysis | International Journal of Implant Dentistry | Springer Nature Link

Original Source(s)

Management of odontogenic sinusitis related to dental implants and maxillary sinus grafting: a retrospective single-center study

  • by Lorenzo Sabatino, Michele Antonio Lopez, Marco Mattaroccia, Matteo Valentini, Francesco Iafrati, Luigi De Benedetto, Antonio Moffa, Manuele Casale

  • June 26, 2026

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