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Related Experiment Video

Updated: Nov 21, 2025

The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model
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Retrieval of foreign body from maxillary sinus through extraction socket.

Anuj Dadhich1, Harish Saluja2, Seemit Shah1

  • 1Department of Oral and Maxillofacial Surgery, Pravara Institute of Medical Sciences, Loni, Maharashtra, India.

BMJ Case Reports
|January 19, 2021
PubMed
Summary

A rare complication following tooth extraction involved a zinc oxide eugenol (ZOE) pack migrating into the maxillary sinus. The foreign body was successfully retrieved six months post-extraction, highlighting potential risks of socket packing.

Keywords:
dentistry and oral medicineoral and maxillofacial surgery

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Area of Science:

  • Oral surgery complications
  • Maxillofacial radiology
  • Foreign body retrieval

Background:

  • Dry socket (alveolar osteitis) is a common post-extraction complication causing significant pain.
  • Treatment involves socket irrigation and placement of zinc oxide eugenol (ZOE) packs for pain relief.
  • Proper placement and periodic changing of ZOE packs are crucial for healing.

Observation:

  • A patient presented with a foreign body in the maxillary sinus six months after a tooth extraction.
  • The foreign body was identified as a previously placed zinc oxide eugenol (ZOE) pack.
  • The ZOE pack had migrated from the extraction socket into the adjacent maxillary sinus.

Findings:

  • Successful retrieval of the misplaced ZOE pack from the maxillary sinus was achieved.
  • This case highlights an unusual complication of ZOE pack placement in alveolar osteitis management.
  • Delayed diagnosis and management of foreign body migration in the maxillofacial region.

Implications:

  • Emphasizes the importance of meticulous technique during ZOE pack placement in extraction sockets.
  • Suggests the need for vigilance regarding potential complications, even with routine procedures.
  • Underscores the value of advanced imaging in diagnosing obscure post-surgical complications.