Related Experiment Video
Updated: Aug 25, 2025
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
19.0K
Resolution of Odontogenic Sinus Pathosis by Endodontic Microsurgery
Pablo Alejandro Rodriguez1, Romina Chaintiou Piorno1, Eugenia Pilar Consoli Lizzi1
1Department of Endodontics, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina.
Journal of Medical Cases
|October 19, 2022
Summary
Endodontic microsurgery successfully treated a chronic apical abscess linked to maxillary sinusitis. This approach preserved the patient's existing dental bridge, demonstrating a viable alternative for complex cases.
Area of Science:
- Endodontics
- Oral Surgery
- Radiology
Background:
- Chronic apical abscesses can lead to complications like maxillary sinusitis.
- Dental prosthetic rehabilitation presents challenges in managing endodontic issues.
Observation:
- A patient presented with maxillary sinusitis secondary to a chronic apical abscess in a previously treated tooth.
- A fixed metal-ceramic bridge precluded conventional retreatment.
Findings:
- Endodontic microsurgery was performed on the affected tooth.
- 12-month follow-up revealed resolution of sinusitis and bone regeneration.
Implications:
- Endodontic microsurgery offers a conservative option for managing apical periodontitis with sinus involvement.
- This technique allows preservation of complex prosthetic restorations.
- Successful treatment maintains function and aesthetics, avoiding more invasive procedures.
