A case of maxillary sinusitis due to peri-implantitis

This is a case of maxillary sinusitis caused by periimplantitis in a 64-year-old female patient this year.

The patient had undergone a sinus membrane elevation procedure for implant placement in the maxillary molar area about 20 years ago.

Here is an intraoral photo from 2004.

Here is a photo of the same patient undergoing a window approach in 2004.

First, bone grafting was performed using Bio-Oss.

Implants were placed approximately 6 months later, and this is a panoramic image from 2007 after the prosthetic restoration.

It's 2009

It's 2012

It's 2014

It's 2017

It seems there were no significant issues at this time in 2020 as well.

Here is the picture from 2022. Suddenly, not only around the implant in the 17th area but also in the 36th area, periimplantitis has developed, leading the patient to visit.

The area around implant number 17 appears to have developed periimplantitis, with a deep pocket extending almost to the maxillary sinus floor.

 Compared to the area around implant number 27, the symptoms of maxillary sinusitis were evident on the right side.

Typical symptoms of maxillary sinusitis, such as headaches, were present. As a result, implant number 17 was eventually removed.

The patient did not have conditions like diabetes, but due to a general decline in overall health, periimplantitis developed rapidly within 1 to 2 years, eventually progressing to maxillary sinusitis.