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Related Experiment Videos

Foreign bodies in the maxillary antrum: a case report.

P N Liston1, R F Walters

  • 1Department of Stomatology, School of Dentistry, University of Otago, Dunedin, New Zealand. pete.liston@stonebow.otago.ac.nz

Australian Dental Journal
|February 18, 2003
PubMed
Summary

During routine dental work, six gutta-percha (GP) points were mistakenly placed into the maxillary sinus of a diabetic patient. This case highlights surgical management and discusses potential complications from endodontic overfilling.

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Area of Science:

  • Endodontic Surgery
  • Oral and Maxillofacial Surgery
  • Diabetic Patient Management

Background:

  • Routine endodontic therapy on an upper second premolar tooth.
  • Patient presented with poorly controlled insulin-dependent diabetes mellitus.
  • Accidental introduction of root canal filling materials into the maxillary sinus.

Observation:

  • Six gutta-percha (GP) points were introduced into the right maxillary antrum.
  • The patient had a history of poorly controlled diabetes.
  • The case involved a standard endodontic procedure.

Findings:

  • Surgical management of gutta-percha (GP) sinus perforation.
  • Discussion of potential severe sequelae from foreign body in the sinus.
  • Evaluation of the appropriateness of the initial endodontic treatment plan.

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Implications:

  • Importance of careful technique in endodontic procedures to prevent sinus complications.
  • Need for tailored treatment planning in diabetic patients with compromised healing.
  • Surgical intervention may be required for managing iatrogenic sinus perforations with foreign material.