치아 임플란트에서 이비인후과의 역할 (The Role of Otolaryngology in Dental Implantation)

서지정보

· 발행기관 : 대한비과학회
· 수록지 정보 : Journal of Rhinology / 15권 / 2호 / 83 ~ 91페이지
· 저자명 : 정진혁, 김기태, 정승규

초록

In recent years, dental implants have become a frequently performed procedure in most dental clinics. The edentulous posterior
maxilla provides a limited amount of bony volume due to atrophy of the alveolar ridge and pneumatization of the maxillary
sinus. Consequently, dental implant placement in the posterior maxilla can be complicated and it becomes a matter for
the otolaryngology field. However, for most otolaryngologists, knowledge of dental implantation is scarce. Therefore, consensus
on the diagnosis and treatment associated with dental implants is needed. During consultation, before a dental implant,
a nasal endoscope and paranasal sinus CT scan should be taken and any mucosal thickening, incidental polyps, acute sinusitis,
chronic sinusitis, or malignancy should be differentiated and treated as needed. After the dental implant, acute sinusitis and
migration of the dental implant into the maxillary sinus can occur because of damage to sinus mucosa or a foreign body reaction.
These complications can be evaluated and treated more easily by an otolaryngologist than by a dentist. Nasal endoscopy
and endoscopic sinus surgery can be applied to problems associated with dental implants.

영어초록

In recent years, dental implants have become a frequently performed procedure in most dental clinics. The edentulous posterior
maxilla provides a limited amount of bony volume due to atrophy of the alveolar ridge and pneumatization of the maxillary
sinus. Consequently, dental implant placement in the posterior maxilla can be complicated and it becomes a matter for
the otolaryngology field. However, for most otolaryngologists, knowledge of dental implantation is scarce. Therefore, consensus
on the diagnosis and treatment associated with dental implants is needed. During consultation, before a dental implant,
a nasal endoscope and paranasal sinus CT scan should be taken and any mucosal thickening, incidental polyps, acute sinusitis,
chronic sinusitis, or malignancy should be differentiated and treated as needed. After the dental implant, acute sinusitis and
migration of the dental implant into the maxillary sinus can occur because of damage to sinus mucosa or a foreign body reaction.
These complications can be evaluated and treated more easily by an otolaryngologist than by a dentist. Nasal endoscopy
and endoscopic sinus surgery can be applied to problems associated with dental implants.

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