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...

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Main Authors: Hee-Jin Kim, Kyung-San Min
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=
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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.
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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
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