Clin Case Rep. 2019;7:2331–2335. | 2331 wileyonlinelibrary.com/journal/ccr3
1
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INTRODUCTION
High success rate has been reported regarding the use of os-
seointegrated dental implants for the rehabilitation of fully
edentulous and partially edentulous jaws as well as replace-
ment of a single missing tooth in the long‐term.
1
Systemic
factors may influence the healing of bone around dental im-
plants. Nevertheless, despite a reduced success rate caused by
unfavorable systemic conditions, they may not always be con-
sidered as absolute contraindications for bone augmentation
and placement of dental implants.
2
The implant placement
and consequently an adequate functional prosthetic rehabili-
tation in the maxillary molar region require further attention,
because of potential bone quality and anatomical structure
issues, related to masticatory pattern and occlusal load entity.
The reabsorption process, in edentulous posterior maxillary
regions, could determine insufficient vertical dimensions for
the implant positioning, often requiring additional surgical
procedures such as different techniques for maxillary sinus
floor augmentation. Several bone graft materials have been
used over time for sinus maxillary augmentation.
3
Guillain‐Barre syndrome (GBS) is an immune‐mediated
disorder of the peripheral nervous system, triggered by either
infectious or noninfectious factors.
4
It is the most common
form of acute flaccid paralysis occurring at any age. The in-
cidence of GBS increases with age after 50‐year old from
1.7/10 000/y to 3.3/100 000/y.
5
Controlled epidemiological
studies have reported that GBS is associated with infection
with Campylobacter jejuni in addition to viruses, including
cytomegalovirus and Epstein‐Barr virus.
6
This lethal syn-
drome is characterized by muscle weakness and paralysis
starting in the lower extremities and progress in an ascending
fashion to the gastrointestinal and respiratory muscles and
upper limbs.
7
There are no strong clinical trials with respect
to dental implant placement guidelines in patients with GBS,
and this treatment is not absolutely contraindicated in them.
But some problems in dental implant treatment of patients
with GBS, as well as the major precautions are noticed below:
Received: 14 April 2019
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Revised: 20 August 2019
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Accepted: 23 August 2019
DOI: 10.1002/ccr3.2485
CASE REPORT
Maxillary sinus floor augmentation and simultaneous dental
implant placement in a patient with Guillain‐Barre syndrome: A
case report
Fardin Faraji
1
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Mojtaba Bayani
2
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Maryam Jafarpour
3
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Fateme Abdolalian
2
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original
work is properly cited.
© 2019 Arak University of Medical Sciences. Clinical Case Reports published by John Wiley & Sons Ltd.
1
Department of Neurology, School of
Medicine, Arak University of Medical
Sciences, Arak, Iran
2
Department of Periodontics, School of
Medicine, Arak University of Medical
Sciences, Arak, Iran
3
Dentist, Private Practice, Arak, Iran
Correspondence
Mojtaba Bayani, Department of
Periodontics, School of Dentistry, Arak
University of Medical Sciences. Arak, Iran.
Email: mbayani@mail.com
Funding information
All parts of this presentation were self‐
funded.
Abstract
Dental implant placement in patients with Guillain‐Barre syndrome could be accom-
plished, and it may turn into a successful treatment for edentulous sites and function-
ally stabilized for long life. However, a proper patient selection, accurate medical
consultation with physician, atraumatic surgery, and other important cautions should
be considered.
KEYWORDS
dental implant, Guillain‐Barre syndrome, maxillary sinus augmentation, osseointegration