Extraction of upper first molar resulting in fracture of maxillary tuberosity

Fracture of the maxillary tuberosity sometimes can happen when pneumatization of the maxillary sinus extends between the roots of upper molars. Some factors may lead to this complication including prominent or curved roots, chronic periapical infection, hypercementosis, root ankylosis and tooth fusion. This paper reports a case with fracture of the maxillary tuberosity following extraction of an upper first molar in general dental practice. Prevention from any complication during extractions of maxillary molars with large antral enlargement is possible with careful preoperative examination and accurate surgical planning. The general dentist should be prepared to refer such cases to an oral surgeon when facing difficulties like the presented case.