Prevention and Treatment of Postoperative Infections after Sinus Elevation Surgery: Clinical Consensus and Recommendations

Author:

Testori Tiziano1,Drago Lorenzo2,Wallace Steven S.3,Capelli Matteo1,Galli Fabio1,Zuffetti Francesco1,Parenti Andrea1,Deflorian Matteo1,Fumagalli Luca1,Weinstein Roberto L.4,Maiorana Carlo5,Di Stefano Danilo6,Valentini Pascal7,Giannì Aldo B.8,Chiapasco Matteo9,Vinci Raffaele10,Pignataro Lorenzo11,Mantovani Mario11,Torretta Sara11,Pipolo Carlotta12,Felisati Giovanni12,Padoan Giovanni13,Castelnuovo Paolo13,Mattina Roberto14,Del Fabbro Massimo15

Affiliation:

1. Section of Implant Dentistry and Oral Rehabilitation, Department of Biomedical, Surgical and Dental Science, School of Dentistry, I.R.C.C.S. Galeazzi Institute, University of Milan, Via Riccardo Galeazzi 4, 20161 Milan, Italy

2. Laboratory of Clinical Chemistry and Microbiology, I.R.C.C.S. Galeazzi Institute, University of Milan, Milan, Italy

3. Department of Implantology, Columbia University, New York, NY, USA

4. Department of Biomedical, Surgical and Dental Science, School of Dentistry, I.R.C.C.S. Galeazzi Institute, University of Milan, Milan, Italy

5. Department of Oral Surgery, Dental Clinic, School of Dentistry, Istituti Clinici di Perfezionamento (ICP), University of Milan, Milan, Italy

6. Oral Surgery, Department of Oral Science, University Vita-San Raffaele Salute, Milan, Italy

7. Department of Oral Implantology, University of Corsica Pasquale Paoli, Corte, France

8. Department of Maxillofacial Surgery, University of Milan and Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy

9. Department of Oral Surgery, School of Dental Medicine, Department of Medicine, Surgery and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy

10. Division of Advanced Oral Surgery, Department of Dental Medicine, University Vita-Salute, San Raffaele, Milan, Italy

11. Otorhinolaryngology Clinic, Department of Otorhinolaryngoiatric Sciences, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy

12. Head and Neck Department, San Paolo Hospital, University of Milan, Milan, Italy

13. Department of Surgical Sciences, University of Insubria, Varese, Italy

14. Department of Public Health, Microbiology and Virology, University of Milan, Milan, Italy

15. Section of Oral Physiology, Department of Biomedical, Surgical and Dental Science, I.R.C.C.S. Galeazzi Institute, University of Milan, Milan, Italy

Abstract

Introduction. Maxillary sinus surgery is a reliable and predictable treatment option for the prosthetic rehabilitation of the atrophic maxilla. Nevertheless, these interventions are not riskless of postoperative complications with respect to implant positioning in pristine bone.Aim. The aim of this paper is to report the results of a clinical consensus of experts (periodontists, implantologists, maxillofacial surgeons, ENT, and microbiology specialists) on several clinical questions and to give clinical recommendations on how to prevent, diagnose, and treat postoperative infections.Materials and Methods. A panel of experts in different fields of dentistry and medicine, after having reviewed the available literature on the topic and taking into account their long-standing clinical experience, gave their response to a series of clinical questions and reached a consensus.Results and Conclusion. The incidence of postop infections is relatively low (2%–5.6%). A multidisciplinary approach is advisable. A list of clinical recommendation are given.

Publisher

Hindawi Limited

Subject

General Dentistry

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