Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.229-230
Objective: The aim of this study was to treat the tooth root displaced into the maxillary sinus
with the lateral window technique.
Case: A 46-year-old woman with controlled diabetes mellitus was referred to our clinic due to
the displacement of the root into the sinus after extraction of tooth number 25 in an external
clinic. The patient presented to our clinic 2 days after the root displacement and complained
of pain. Preoperative local infiltrative anaesthesia was performed with a total of 3cc 1/100000
adrenaline containing articaine in the vestibule and palatine. At the apex of tooth number 25,a
bone window with a diameter of approximately 1cm was opened in the vestibule, Schneider’s
membrane was perforated and the root was exposed and removed, followed by irrigation of the
sinus cavity with saline. The flap was closed primerally and antibiotics, antihistamines, nasal
decongestants,and analgesics were prescribed.
Conclusion: During elevation,forces that push the root towards the sinus or the floor of the
nose should be avoided. If it is suspected that the root has migrated into the sinus, radiography
should be taken and the localization of the tooth should be determined precisely. For this,
occlusal, panoramic radiographs or 3D imaging methods can be used. In order not to cause
odontogen-induced infections in the maxillary sinus,primarily teeth with periapical lesions,tooth
or tooth fragments should be removed from the maxillary sinus. There are different methods
used to remove a foreign body from the sinus. The type of method is determined by the
size, shape and location of the foreign body. Caldwell-luc procedure,Lateral window method,
endoscopic sinus surgery are commonly used procedures.