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Article: Volume 43 Number 8 Page 760 - October 2016

  Dent Update 2016; 43: 760-765  Read article

Oral surgery:  The Importance of Prompt Referral when Tooth Roots are Displaced into the Maxillary Antrum

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Abstract: When an upper tooth is extracted a possible complication is the creation of an oro-antral communication with the added risk of displacement of tooth roots into the antrum. We present a case of a displaced palatal root of an upper first molar tooth which was found in a superior position in the maxillary antrum having been left in situ for 6 weeks. The root was in a high risk position for complications such as sinusitis, mucocoele formation and the more serious septic thrombosis of the cavernous sinus. This case report describes its safe endoscopic removal and highlights the importance of prompt referral and treatment for similar cases.

Clinical relevance: Displaced roots in the maxillary antrum during routine extraction can result in complications ranging from sinusitis to more severe complications if not managed appropriately.

Author notes: Andrea N Beech, BDS(Hons), MJDF RCS(Eng), Specialty Doctor, Oral and Maxillofacial Surgery, (Andrea.Beech@glos.nhs.uk) and Jeremy N Farrier, MBBCh, BDS, Consultant Oral and Maxillofacial Surgery, Gloucestershire Royal Hospital, Gloucester, UK.

Objective: To understand the potential risks and side-effects of a displaced root into the maxillary antrum and manage these patients appropriately.

Belmont