Accidental Entry of Foreign Body in Maxillary Sinus—A Case Report

Nishant Kumar,Ankur Garg,Sps Tomar,Abhishek Verma,Himanshu Bhutani,Rohit Awana,Shaibal Chaterjee,Pushpak Jain

doi:10.4236/ojst.2015.51001

Abstract

Extraction of the first molar or premolar is the commonest cause of oro-antral fistula. Management involves identification of the same, removal of any foreign body from the maxillary sinus, if present, followed by appropriate flap for closer. A case is presented when a gutta percha (GP) point was accidentally dislodged into the right maxillary sinus during preliminary diagnosis of the oro-antral fistula. The surgical management of the case is described and is the appropriate treatment plan.

Highlights

The oro-antral communication is a well-documented postoperative complication associated with the extraction of maxillary molar and premolar teeth
We report a case of accidental entry of gutta percha point in maxillary sinus that was retrieved through Caldwell-Luc approach and incision was done by buccal fat of pad
A 30 years old female with history of nasal discharge following extraction of upper right molar was referred to department oral and maxillofacial surgery following the iatrogenic dislodgement of gutta percha (GP) point into the right maxillary sinus

Summary

Introduction

The oro-antral communication is a well-documented postoperative complication associated with the extraction of maxillary molar and premolar teeth. The reason why most foreign bodies lodge into the maxillary sinus at the dental office is because the bone of the maxillary sinus floor is very thin and in some persons the roots of the molars project through this bone. The scientific literature reveals that among the foreign bodies found in the maxillary sinus are dental burs, roots of teeth, amalgam, titanium implants, glass, impression dental materials and, bullets and gutta-percha points. We report a case of accidental entry of gutta percha point in maxillary sinus that was retrieved through Caldwell-Luc approach and incision was done by buccal fat of pad. The approach is used for retrieval of maxillary teeth roots which get displaced in sinus and for management of maxillary sinusitis. (2015) Accidental Entry of Foreign Body in Maxillary Sinus—A Case Report.

Case Report

Surgical Technique

Discussion

Conclusions