Dental News - Sinus lift referral protocol

Dental Tribune International

Tue. 20 September 2011

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NEW YORK, N.Y., USA: Researchers at the New York University College of Dentistry (NYUCD) recently surveyed otolaryngologists from New York state to help establish a referral protocol before performing a maxillary sinus lift. The study, “New York state ear, nose, and throat specialists’ views on pre-sinus lift referral,” appeared in the February 2011 issue of the Journal of Periodontology.

The study, by M. T. Cote, S.L. Segelnick, A. Rastogi and R. Schoor, assessed the need to consult an ear, nose and throat (ENT) specialist in the pretreatment work-up.

Results showed that the majority (58.7 percent) of ENT specialists recommended a CT scan be done before sinus elevation surgery, even in the absence of symptoms. The greatest concerns of the ENT specialist that would warrant a referral were prior sinus surgery, severe sinus inflammation, nasal/sinus obstruction and oral-antral fistulation.

Dr. Robert Schoor, director of the advanced education program at NYUCD department of periodontology and implant dentistry, commented that the American Academy of Periodontology (AAP) has been contacted by the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) to formulate a consensus statement on when CT scans of the sinus should be used. The American Academy of Radiology and American Rhinologic Society will also participate.

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