Sinusite pós-exodôntica recorrente pela introdução de corpos estranhos no seio maxilar

• Autor(a) principal: Ribeiro Neto, Carlos Alberto [UNESP]
• Data de Publicação: 2011
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/149365; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2017-01-26/000844799.pdf
• topic: Seios maxilares; Sinusite; Extração dentária; Maxillary sinus

Procedures for extraction of maxillary posterior teeth often cause communication oroantral. However, in most cases, the extraction of the whole tooth and making a good suture, communication is obliterated during the process of healing. The absence of obliteration, too late, can cause recurrent sinusitis after tooth extraction, which are commonly unilateriais. The sinus after tooth extraction applicants may also be provided from iatrogenic dental procedures, such as the introduction of root filling material or instruments inside the maxillary sinus, staying or not the communication oroantral. In cases of fractured tooth roots, commonly, the fragment is introduced into the maxillary sinus during the movement of impulsion pullers, chisels or other sharp or cutting instruments, and the same was buried without any patient information. The development of sinusitis after extraction applicant is a first sign that a communication oroantral act occurred during the extractions, but for the persistence of a communication or a stay of a foreign body inside the maxillary sinus, sinusitis became persistent. The aim of this study was to review the literature on the causes of sinusitis after tooth extraction and report two cases of foreign bodies found within the maxillary sinus in patients with a history of recurrent sinusitis after tooth extraction. We conclude that the detailed clinical examination and the correct surgical planning are essential to the success of more complex extractions in the dental clinic and that communication oroantral should be identified and reported to the patient so that his case be properly monitored