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Article: Volume 47 Number 5 Page 405 - May 2020

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  Dent Update 2020; 47: 405-414

Oral and Maxillofacial Surgery:  The Maxillary Sinus: What the General Dental Team Need to Know Part 2: Removal of Teeth; Avoidance and Management of Complications

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Abstract: In the second of this 4-part series we will discuss the removal of teeth closely related to the maxillary sinus, with identification and reduction of risk factors for oro-antral communication and the management of complications.

Clinical relevance: Posterior maxillary teeth can be intimately related to the maxillary sinus. The Dental Team should be able to provide oral healthcare procedures avoiding interference with the normal function of the paranasal air-space, but also need to be able to identify and manage complications when they arise.

Author notes: Garmon W Bell, BDS, MSc, FDC RCS FFD RCSI(OS), Associate Specialist Oral and Maxillofacial Surgery, Dumfries & Galloway Royal Infirmary, Dumfries, DG3 8RX, Iain MacLeod, BDS, PhD, FDS RCS, FRCR, DDR RCR, FHEA, Consultant and Senior Lecturer in Dental and Maxillofacial Radiology and Specialist in Oral Medicine, School of Dental Sciences, Newcastle University, Newcastle upon Tyne, NE2 4BW, James C Darcey, BDS, MSc, MDPH MFGDP, MEndo FDS(Rest Dent), Consultant and Honorary Lecturer in Restorative Dentistry and Specialist in Endodontics, University Dental Hospital of Manchester, Manchester, M15 6FH and Colin Campbell, BDS, FDS RCS, Specialist in Oral Surgery with sub-specialty interest in Implantology, The Campbell Clinic, Nottingham, NG2 7JS, UK.

Objective: To identify and mitigate risk when undertaking operative dental procedures, recognize and manage complications involving the maxillary sinus and know when to refer for specialist input.