Application of "Ice-Cream Cone" Technique in Dental Implant Surgery for Patient with Oroantral Communication: A Case Report

doi:10.13701/j.cnki.kqyxyj.2023.08.019

Abstract

Abstract: Oroantral communication (OAC) is a common complication following tooth extraction. Improperly treated OAC may result in the cortical bone discontinuity at the floor of maxillary sinus and the adhesion of maxillary sinus membrane to oral mucosa, so as to increase the complexity of implant treatment. In this case, for the first time, the "ice cream cone technique" was employed to address OAC, concurrently accompanied with horizontal bone augmentation. This innovative approach successfully facilitated implant surgery. The technique is characterized by its simplicity to create a stable bone-forming space through the ice cream cone technique using a collagen membrane from bovine pericardium, which is suitable to manage small-diameter OACs.

Key words: ice-cream cone technique, oroantral communication, collagen membrane, bone augmentation, implant restoration

ZHU Xiao, ZHANG Jie, ZHOU Yi. Application of "Ice-Cream Cone" Technique in Dental Implant Surgery for Patient with Oroantral Communication: A Case Report[J]. Journal of Oral Science Research, 2023, 39(8): 760-762.

References

[1] Franco-Carro B, Barona-Dorado C, Martínez-González MJ, et al. Meta-analytic study on the frequency and treatment of oral antral communications [J]. Med Oral Patol Oral Cir Bucal, 2011, 16(5):e682-e687.
[2] Punwutikorn J, Waikakul A, Pairuchvej V. Clinically significant oroantral communications--a study of incidence and site [J]. Int J Oral Maxillofac Surg, 1994, 23(1):19-21.
[3] Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography [J]. Imaging Sci Dent, 2012, 42(4):219-224.
[4] Ananda GK, Nambiar P, Mutalik S, et al. Anatomical considerations for implant placements in first maxillary molar extracted sites in East Asian patients [J]. Surg Radiol Anat, 2015, 37(9):1099-1108.
[5] Parvini P, Obreja K, Begic A, et al. Decision-making in closure of oroantral communication and fistula [J]. Int J Implant Dent, 2019, 5(1):13.
[6] Dym H, Wolf JC. Oroantral communication [J]. Oral Maxillofac Surg Clin North Am, 2012, 24(2):239-47, Ⅷ-Ⅸ.
[7] Elian N, Cho SC, Froum S, et al. A simplified socket classification and repair technique [J]. Pract Proced Aesthet Dent, 2007, 19(2):99-104.
[8] Tan-Chu JH, Tuminelli FJ, Kurtz KS, et al. Analysis of buccolingual dimensional changes of the extraction socket using the "ice cream cone" flapless grafting technique [J]. Int J Periodontics Restorative Dent, 2014, 34(3):399-403.
[9] Sarnachiaro GO, Chu SJ, Sarnachiaro E, et al. Immediate implant placement into extraction sockets with labial plate dehiscence defects: A clinical case series [J]. Clin Implant Dent Relat Res, 2016, 18(4):821-829.
[10] Kara MI, Yanik S, Sari F, et al. Simultaneous oroantral communication closure, sinus-lifting, and particulate bone grafting and immediate dental implant perforation [J]. Niger J Clin Pract, 2016, 19(4):556-558.
[11] Kapustecki M, Niedzielska I, Borgiel-Marek H, et al. Alternative method to treat oroantral communication and fistula with autogenous bone graft and platelet rich fibrin [J]. Med Oral Patol Oral Cir Bucal, 2016, 21(5):e608-e613.
[12] Proussaefs P, Lozada J, Kim J, et al. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study [J]. Int J Oral Maxillofac Implants, 2004, 19(3):413-420.
[13] Al-Juboori MJ. Conservative socket regeneration with buccal wall defect using guided tissue [J]. Open Dent J, 2016, 10:561-567.
[14] 周艺群,吴汉江. 三种GBR膜材料的比较研究[J]. 现代口腔医学杂志,2004,18(5):418-421.

[1]	LU Jie, XU Yan, ZOU Chenyang. Clinical Study of Keratinized Gingiva Augmentation in Maintaining Implant Stability with Chronic Periodontitis [J]. Journal of Oral Science Research, 2023, 39(6): 510-514.
[2]	HE Zhixiao, JIA Shuqing, WU Hongzhao, SA Yue. Application of Digital Technology in Implant-Supported Fixed Complete Dental Prostheses:A Case Report [J]. Journal of Oral Science Research, 2023, 39(6): 562-564.
[3]	WANG Zhiying. Application of 3D Printed Individual Titanium Mesh in Bone Augmentation in Dental Implant Region [J]. Journal of Oral Science Research, 2023, 39(5): 383-387.
[4]	ZENG Tingwen, ZHAO Yingqiong, ZHANG Jingyang. Short-term Clinical Application of Dentin Slices in Horizontal Bone Augmentation [J]. Journal of Oral Science Research, 2023, 39(2): 151-155.
[5]	YU Lan, JIN Jiayang, TU Yeying, PAN Yulei, WANG Ting, LIN Haiyan. Implant Restoration of Lower Anterior Teeth with Modified Onlay Grafting Technique: A Case Report [J]. Journal of Oral Science Research, 2023, 39(1): 86-88.
[6]	JIA Xiangbin, CAO Xiao, ZHANG Yuchen, SUI Yongchao, ZHOU Qin.. Accuracy of Recording Soft Tissue Contour by Different Impression Techniques after Interim Restoration of Single Implant in the Aesthetic Area. [J]. Journal of Oral Science Research, 2022, 38(9): 837-842.
[7]	LI Chaoyue, CHAO Jiarui, WANG Zhenyu, CHEN Du, LIU Fei, SHEN Jiefei. Accuracy of Conventional versus Digital Implant Impressions in Edentulous Models in Vitro [J]. Journal of Oral Science Research, 2022, 38(11): 1026-1032.
[8]	GUAN Qishuai, XU He, YU Tiantian, XU Sheng, ZHOU Wenjuan, LIU Zhonghao. Effects of Edentulous Space on Lateral Bone Augmentation with Delayed Implantation in Aesthetics Area [J]. Journal of Oral Science Research, 2021, 37(7): 607-611.
[9]	LI Ruipiao, WANG Zhiying, FENG Song. Effect of Size of Demineralized Human Dentin Matrix on Vertical Bone Augmentation [J]. Journal of Oral Science Research, 2021, 37(12): 1125-1129.
[10]	GUO Qianwen, LIU Mingli, HAN Wenli, QU Zhe. Clinical Analysis of "Sausage Technique" in Horizontal Bone Augmentation of Mandibular Posterior Teeth [J]. Journal of Oral Science Research, 2021, 37(12): 1130-1134.
[11]	MA Yue, SONG Ke. A Discussion of the Consensus Process for Immediate Implantation in the Esthetic Area [J]. Journal of Oral Science Research, 2021, 37(10): 879-882.
[12]	YUE Ke, DONG Heng, CHEN Li, YANG Guangwen, CHEN Lin, LIU Hui, ZHOU Na, MOU Yongbin. Effect of Three-dimensional Pre-formed Titanium Mesh in Maxillary Anterior Region [J]. Journal of Oral Science Research, 2020, 36(5): 481-485.
[13]	XU Hongwei, CHU Shunli.. Progress on Horizontal Augmentation of Posterior Mandible [J]. Journal of Oral Science Research, 2020, 36(4): 321-323.
[14]	CHEN Jiang, Zhang Sihui. Clinical Diagnosis and Treatment of Edentulous Implant Restoration with Digital Clinical Workflow [J]. Journal of Oral Science Research, 2020, 36(3): 193-198.
[15]	LI Ailing, ZHOU Hong. Clinical Application of “Sandwich” Osteotomy for Implant Restoration at Deficient Anterior Alveolar Ridges [J]. Journal of Oral Science Research, 2020, 36(3): 293-297.