Can Implant Surgery Be Performed Even After Sinus Surgery? The Solution to a Special Songpa-gu Dental Case

Hello.

This is Yonsei Dagam Dental Clinic in Songpa-gu.

Among the anatomical structures of our face,

there is a sinus called the maxillary sinus.

It is an air-filled cavity

located between the cheekbone and the upper jawbone,

and when inflammation develops here,

it becomes maxillary sinusitis, a type of sinusitis.

In the past, to address chronically recurring

sinusitis problems,

a method called the Caldwell-Luc Operation

was commonly performed.

It may sound difficult just from the name, but

in simple terms at a Songpa-gu dental clinic,

this procedure involves creating access to the maxillary sinus

by opening the anterior wall between the oral gum tissue and the maxillary sinus,

and through this opening,

removing inflamed tissue inside the sinus

and promoting drainage.

However, less invasive methods such as

endoscopic sinus surgery are now preferred,

so patients who previously underwent

a Caldwell-Luc Operation

are not commonly seen in clinical practice.

Although it is not a common case,

patients who had this surgery in the past have

typical anatomical features,

which we would like to look at together today

at our Songpa-gu dental clinic.

In the case corresponding to the above description,

when we look at the area marked in the photo,

severe inflammation was progressing around the roots

of the right upper molar area.

The supporting bone had been lost due to inflammation,

causing the teeth to become loose,

and there was a state of severe bad odor and pus drainage.

On closer inspection,

one of those molars also showed

a fractured root portion.

The tooth was no longer salvageable,

and recovery with an implant after extraction

was necessary.

However, because this area is close to the root region

and the maxillary sinus,

it is an important factor to consider

during treatment at a Songpa-gu dental clinic.

In patients who have undergone

a Caldwell-Luc Operation,

there is a typical feature in which a defect occurs

in the maxillary sinus bony wall.

This is because the intentionally created space no longer closes completely

and often remains with partial bone defects.

If the bony wall remains lost

for a long period of time,

the lack of bone needed for implant placement

can make treatment difficult.

A key factor in implant treatment

is securing initial stability.

Therefore, in such cases, CT analysis is used

to accurately identify in advance the bone that can be used,

and if necessary, additional bone grafting

must be performed together.

At the Songpa-gu dental clinic, we examine the structure

three-dimensionally from various angles like this

and assess the extent of the inflammation.

We also carefully planned the angle and depth

to avoid the defective area and place the implant

in healthy bone tissue as much as possible,

and selected an artificial root (fixture)

of the appropriate size and length.

After a thorough analysis,

the problematic molars were first extracted.

Then, drainage was performed

to meticulously remove the inflammation.

After that, the area was disinfected

to create a clean environment,

and the artificial root was placed

in the optimal position planned in advance

through analysis.

As a result, the surgery was completed safely

with good initial stability.

Afterward, through inflammation control

and regular checkups,

management was carried out thoroughly, and

the final prosthesis setting was completed stably.

At the Songpa-gu dental clinic, the severe bad odor

and pus problems that were present before treatment

were improved.

Even now, the patient continues to receive regular checkups

and preventive care, with thorough follow-up management,

and the recent checkup results confirmed that

the implant is being maintained well

without any problems.

As such, although it is not a case commonly encountered

in clinical practice,

even in cases with a past surgical history such as

a Caldwell-Luc Operation,

safe implant treatment is possible

through thorough analysis and planning.

What matters most is accurately understanding

each person's unique anatomical situation,

and choosing a customized approach

that fits it.

Today, we showed you the treatment process

with anatomical structures in mind.

We will be back next time with more interesting

oral health information.

This was Yonsei Dagam Dental Clinic in Songpa-gu.

Thank you!

2024.10.04~2025.04.25