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CASE REPORT
Year : 2022  |  Volume : 12  |  Issue : 2  |  Page : 217-221

Nonsurgical management of maxillary sinusitis caused by root perforation


1 Department of Dentistry, College of Medicine, Kosin University, Busan, Korea
2 Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Jeonbuk National University; Research Institute of Clinical Medicine of Jeonbuk National University; Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Korea

Correspondence Address:
Prof. Kyung-San Min
No 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do - 54896
Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sej.sej_222_21

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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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