Nonsurgical management of maxillary sinusitis caused by root perforation
The present case report describes the nonsurgical management of maxillary sinusitis of endodontic origin (MSEO) caused by iatrogenic root perforation. A 32-year-old woman had facial pain on her upper posterior teeth. The pain increased when she ran on a treadmill or bent over. Root perforation of th...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
Series: | Saudi Endodontic Journal |
Subjects: | |
Online Access: | http://www.saudiendodj.com/article.asp?issn=1658-5984;year=2022;volume=12;issue=2;spage=217;epage=221;aulast= |
_version_ | 1817990356400078848 |
---|---|
author | Hee-Jin Kim Kyung-San Min |
author_facet | Hee-Jin Kim Kyung-San Min |
author_sort | Hee-Jin Kim |
collection | DOAJ |
description | The present case report describes the nonsurgical management of maxillary sinusitis of endodontic origin (MSEO) caused by iatrogenic root perforation. A 32-year-old woman had facial pain on her upper posterior teeth. The pain increased when she ran on a treadmill or bent over. Root perforation of the left maxillary second premolar (#25) and its anatomical proximity to the maxillary sinus has been shown on cone-beam computed tomography (CBCT) and clinically detected by the dental operating microscope. Based on these findings, a diagnosis of MSEO with root perforation on #25 was made. The maxillary sinusitis was successfully treated with nonsurgical management of the root perforation using a premixed bioceramic repair material. Many clinicians have a tendency to opt for surgical repair or extraction when they encounter a complex situation involving failing perforated root canals with maxillary sinusitis. To avoid a surgical approach on the posterior maxilla, dentists should consider CBCT taking and nonsurgical repair of root perforation and not attempt to make a final decision of extraction. |
first_indexed | 2024-04-14T00:58:42Z |
format | Article |
id | doaj.art-bc81e821471c48119edc32a28f3fb335 |
institution | Directory Open Access Journal |
issn | 2320-1495 |
language | English |
last_indexed | 2024-04-14T00:58:42Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Saudi Endodontic Journal |
spelling | doaj.art-bc81e821471c48119edc32a28f3fb3352022-12-22T02:21:30ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952022-01-0112221722110.4103/sej.sej_222_21Nonsurgical management of maxillary sinusitis caused by root perforationHee-Jin KimKyung-San MinThe present case report describes the nonsurgical management of maxillary sinusitis of endodontic origin (MSEO) caused by iatrogenic root perforation. A 32-year-old woman had facial pain on her upper posterior teeth. The pain increased when she ran on a treadmill or bent over. Root perforation of the left maxillary second premolar (#25) and its anatomical proximity to the maxillary sinus has been shown on cone-beam computed tomography (CBCT) and clinically detected by the dental operating microscope. Based on these findings, a diagnosis of MSEO with root perforation on #25 was made. The maxillary sinusitis was successfully treated with nonsurgical management of the root perforation using a premixed bioceramic repair material. Many clinicians have a tendency to opt for surgical repair or extraction when they encounter a complex situation involving failing perforated root canals with maxillary sinusitis. To avoid a surgical approach on the posterior maxilla, dentists should consider CBCT taking and nonsurgical repair of root perforation and not attempt to make a final decision of extraction.http://www.saudiendodj.com/article.asp?issn=1658-5984;year=2022;volume=12;issue=2;spage=217;epage=221;aulast=endodonticmaxillaryperforationrootsinusitis |
spellingShingle | Hee-Jin Kim Kyung-San Min Nonsurgical management of maxillary sinusitis caused by root perforation Saudi Endodontic Journal endodontic maxillary perforation root sinusitis |
title | Nonsurgical management of maxillary sinusitis caused by root perforation |
title_full | Nonsurgical management of maxillary sinusitis caused by root perforation |
title_fullStr | Nonsurgical management of maxillary sinusitis caused by root perforation |
title_full_unstemmed | Nonsurgical management of maxillary sinusitis caused by root perforation |
title_short | Nonsurgical management of maxillary sinusitis caused by root perforation |
title_sort | nonsurgical management of maxillary sinusitis caused by root perforation |
topic | endodontic maxillary perforation root sinusitis |
url | http://www.saudiendodj.com/article.asp?issn=1658-5984;year=2022;volume=12;issue=2;spage=217;epage=221;aulast= |
work_keys_str_mv | AT heejinkim nonsurgicalmanagementofmaxillarysinusitiscausedbyrootperforation AT kyungsanmin nonsurgicalmanagementofmaxillarysinusitiscausedbyrootperforation |