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International Journal of Dentistry
Volume 2012 (2012), Article ID 365809, 5 pages
http://dx.doi.org/10.1155/2012/365809
Research Article

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

1Section 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
2Laboratory of Clinical Chemistry and Microbiology, I.R.C.C.S. Galeazzi Institute, University of Milan, Milan, Italy
3Department of Implantology, Columbia University, New York, NY, USA
4Department of Biomedical, Surgical and Dental Science, School of Dentistry, I.R.C.C.S. Galeazzi Institute, University of Milan, Milan, Italy
5Department of Oral Surgery, Dental Clinic, School of Dentistry, Istituti Clinici di Perfezionamento (ICP), University of Milan, Milan, Italy
6Oral Surgery, Department of Oral Science, University Vita-San Raffaele Salute, Milan, Italy
7Department of Oral Implantology, University of Corsica Pasquale Paoli, Corte, France
8Department of Maxillofacial Surgery, University of Milan and Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy
9Department of Oral Surgery, School of Dental Medicine, Department of Medicine, Surgery and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy
10Division of Advanced Oral Surgery, Department of Dental Medicine, University Vita-Salute, San Raffaele, Milan, Italy
11Otorhinolaryngology Clinic, Department of Otorhinolaryngoiatric Sciences, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy
12Head and Neck Department, San Paolo Hospital, University of Milan, Milan, Italy
13Department of Surgical Sciences, University of Insubria, Varese, Italy
14Department of Public Health, Microbiology and Virology, University of Milan, Milan, Italy
15Section of Oral Physiology, Department of Biomedical, Surgical and Dental Science, I.R.C.C.S. Galeazzi Institute, University of Milan, Milan, Italy

Received 7 May 2012; Accepted 6 June 2012

Academic Editor: Silvio Taschieri

Copyright © 2012 Tiziano Testori et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.