Accidental dental displacement into the maxillary sinus during extraction maneuvers: a case series

Jorge Toledano-Serrabona ^[2] ; Jordi Cascos-Romero ^[1] ; Cosme Gay-Escoda ^[3]
1. [1] Universitat de Barcelona
  
  Universitat de Barcelona
  
  Barcelona, España
2. [2] DDS. Fellow of the master’s degree programme in Oral Surgery and Implantology, Faculty of Medicine and Health Sciences, University of Barcelona. Coordinator of master’s degree programme in Oral Surgery (EFHRE International University/FUCSO, Belize City, Belize). Researcher at IDIBELL (Bellvitge Biomedical Research Institute), Barcelona, Spain
3. [3] MD, DDS, MS, PhD, EBOS, OMFS. Chairman and Professor of Oral and Maxillofacial Surgery, Faculty of Medicine and Health Sciences, University of Barcelona. Director of the Master’s degree programme in Oral Surgery and Implantology (EFHRE International University/FUCSO). Coordinator/Researcher of the IDIBELL (Bellvitge Biomedical Research Institute). Head of the Oral Surgery, Implantology and Maxillofacial Surgery Department of the Teknon Medical Center, Barcelona, Spain
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Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 26, Nº. 1 (January), 2021
Idioma: inglés
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Resumen
- The aims of this study were to describe the clinical findings of patients that suffered teeth displacement into the maxillary sinus, and to report the surgical technique used to solve this complication.
  
  A retrospective observational study was conducted involving patients that suffered a displacement of teeth into the maxillary sinus. Demographic and clinical data were recorded from the affected patients and a descriptive statistical analysis was made of the study variables.
  
  A total of nine patients were enrolled, six males (66.7%) and three females (33.3%), with a mean age of 36.0 years (range 22-54). In five patients (55.5%) the displaced teeth remained asymptomatic; however, dental fragments were retrieved from the maxillary sinus using Caldwell-Luc technique or endoscopic approach.
  
  Dental displacement into the maxillary sinus during the extraction manoeuvres is an uncommon finding. Even in asymptomatic cases, these displaced teeth should be extracted in order to avoid the development of sinus pathology.