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Intentional replantation for the management of maxillary sinusitis
Author(s) -
Peñarrocha M.,
García B.,
Martí E.,
Palop M.,
Von Arx T.
Publication year - 2007
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.2007.01278.x
Subject(s) - medicine , dentistry , apicoectomy , tooth replantation , root canal , sinusitis , maxillary sinus , maxillary first molar , amalgam (chemistry) , root resorption , replantation , odontogenic , endodontics , molar , orthodontics , resorption , surgery , pathology , chemistry , electrode
Aim To present a case that emphasizes the importance of the use of intentional replantation as a technique to successfully treat a periapical lesion and an odontogenic maxillary sinusitis through the alveolus at the same time. Summary This case report presents a patient with odontogenic maxillary sinusitis secondary to periapical disease of a maxillary molar that had previously received root canal treatment. The molar was extracted, with drainage and rinsing of the maxillary sinus. The apices were resected extra‐orally, the retrograde cavities prepared with ultrasound and retrograde fillings of silver amalgam placed. The tooth was then replanted. After 2 years, the patient was asymptomatic, periapical radiography showed no evidence of root resorption and computed tomography scanning demonstrated the resolution of maxillary sinusitis. Key learning points • When root canal treatment or periapical surgery cannot be undertaken or has failed, intentional replantation may be considered. • This alternative treatment may be predictable in certain cases.