Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report

When root canal infections breach the maxillary sinus floor (MSF), maxillary sinusitis of endodontic origin (MSEO) can result. This case illustrates the surgical management of MSEO following the nonsurgical reestablishment of the MSF. A 55-year-old woman presented with left facial pain and was diagn...

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Main Authors: Eun-Sook Kang, Min-Kyeong Kim, Mi-Kyung Yu, Kyung-San Min
Format: Article
Language:English
Published: Korean Academy of Conservative Dentistry 2025-05-01
Series:Restorative Dentistry & Endodontics
Subjects:
Online Access:http://www.rde.ac/upload/pdf/rde-2025-50-e12.pdf
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author Eun-Sook Kang
Min-Kyeong Kim
Mi-Kyung Yu
Kyung-San Min
author_facet Eun-Sook Kang
Min-Kyeong Kim
Mi-Kyung Yu
Kyung-San Min
author_sort Eun-Sook Kang
collection DOAJ
description When root canal infections breach the maxillary sinus floor (MSF), maxillary sinusitis of endodontic origin (MSEO) can result. This case illustrates the surgical management of MSEO following the nonsurgical reestablishment of the MSF. A 55-year-old woman presented with left facial pain and was diagnosed with MSEO originating from the left upper first molar. Despite undergoing nonsurgical root canal treatment, there was no evidence of bony healing after 6 months. However, cone-beam computed tomographic (CBCT) scans revealed the reestablishment of MSF. Subsequently, surgical intervention was carried out using a dental operating microscope. Two years after surgery, CBCT images indicated that the mucosal edema had resolved, and the MSF was well reestablished. Preserving the MSF is crucial for the success of endodontic surgery. When MSEO is present, the integrity of the MSF must be assessed to determine appropriate treatment options.
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issn 2234-7666
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publishDate 2025-05-01
publisher Korean Academy of Conservative Dentistry
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series Restorative Dentistry & Endodontics
spelling doaj-art-41da830e20214e72b79d30352cac0efb2025-08-20T03:30:37ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76662025-05-01502e1210.5395/rde.2025.50.e121169Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case reportEun-Sook Kang0Min-Kyeong Kim1Mi-Kyung Yu2Kyung-San Min3 Department of Dentistry, Department of Dentistry, College of Medicine, Kosin University, Busan, Korea Department of Dentistry, Department of Dentistry, College of Medicine, Kosin University, Busan, Korea Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University, Jeonju, Korea Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University, Jeonju, KoreaWhen root canal infections breach the maxillary sinus floor (MSF), maxillary sinusitis of endodontic origin (MSEO) can result. This case illustrates the surgical management of MSEO following the nonsurgical reestablishment of the MSF. A 55-year-old woman presented with left facial pain and was diagnosed with MSEO originating from the left upper first molar. Despite undergoing nonsurgical root canal treatment, there was no evidence of bony healing after 6 months. However, cone-beam computed tomographic (CBCT) scans revealed the reestablishment of MSF. Subsequently, surgical intervention was carried out using a dental operating microscope. Two years after surgery, CBCT images indicated that the mucosal edema had resolved, and the MSF was well reestablished. Preserving the MSF is crucial for the success of endodontic surgery. When MSEO is present, the integrity of the MSF must be assessed to determine appropriate treatment options.http://www.rde.ac/upload/pdf/rde-2025-50-e12.pdfcone-beam computed tomographyendodonticsmaxillary sinusitis
spellingShingle Eun-Sook Kang
Min-Kyeong Kim
Mi-Kyung Yu
Kyung-San Min
Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report
Restorative Dentistry & Endodontics
cone-beam computed tomography
endodontics
maxillary sinusitis
title Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report
title_full Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report
title_fullStr Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report
title_full_unstemmed Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report
title_short Surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach: a case report
title_sort surgical management of maxillary sinusitis of endodontic origin after reestablishing maxillary sinus floor healing through a nonsurgical approach a case report
topic cone-beam computed tomography
endodontics
maxillary sinusitis
url http://www.rde.ac/upload/pdf/rde-2025-50-e12.pdf
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