In cases of long-term tooth loss, the development of atrophy in the posterior maxilla can present substantial challenges during implant surgery. One common surgical approach employed to address this issue is sinus floor elevation surgery, which facilitates the placement of dental implants in atrophic maxillary regions. While sinus floor elevation surgery is generally regarded as a safe procedure, it is noteworthy that various complications have been documented both intraoperatively and in the postoperative period. This particular case report pertains to a patient who underwent external sinus floor elevation with simultaneous graft placement and implant surgery in the posterior maxilla, resulting in the onset of a sinus infection and its subsequent management. Remarkably, the patient's sinus infection was treated through medication means without necessitating further surgical intervention. The implant treatment proceeded successfully and reached completion. As a result, the surgeon should possess sufficient knowledge in the management of infections. In some cases, initiating treatment directly invasively with the idea of removing the etiological source may be unnecessary, while in others, aggressive treatment may be indicated. Accurate identification of the etiological source and the appropriate choice of treatment are crucial in combating infections. This way, the patient is protected from potential unsuccessful outcomes or unnecessary surgical procedures resulting from incomplete treatment.
Singer et al. (Fri,) studied this question.