The importance of prompt referral when tooth roots are displaced into the maxillary antrum

Beech, Andrea; Farrier, Jeremy

doi:10.12968/denu.2016.43.8.760

Cited by 6 publications

(13 citation statements)

References 6 publications

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“…All these publications are Level 4 and therefore have a low level of scientific evidence (Tab. I) [1,2,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Corpus Research Methodologymentioning

confidence: 99%

“…The initial situation becomes more difficult to manage and exposes the patient to a risk of a more serious complication, such as ostium obstruction [7]. The root can be displaced by coughing or during a sneeze into the nasal cavity through the ostium [12,16,27].…”

Section: Complicationsmentioning

confidence: 99%

“…The root can be displaced by coughing or during a sneeze into the nasal cavity through the ostium [12,16,27]. In this situation, there is a potential risk of developing a lung infection related to inhalation of the root following its expulsion into the nasal cavity [7,16].…”

Section: Complicationsmentioning

confidence: 99%

“…The intrasinus displacement of drills [4], endodontic material [5], or implants [6] has also been reported in the literature. Such a displacement exposes the patient to potentially serious complications, including the development of pneumonia or septic thrombosis of the cavernous sinus in rare cases [7]. Several therapeutic solutions can be proposed ranging from therapeutic abstention to the removal of the intrasinus foreign body using different techniques.…”

Section: Introductionmentioning

confidence: 99%

“…The alveolar crestal approach and the Caldwell-Luc procedure are well documented surgical techniques in the literature [8][9][10]. In addition, endoscopic nasal surgery has seen a rise in recent years [2,7,11].…”

Section: Introductionmentioning

confidence: 99%

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Teeth roots displacement in the maxillary sinus: characteristics and management

Seigneur¹,

Cloître²,

Malard

et al. 2020

J Oral Med Oral Surg

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Introduction: Teeth displacement in the maxillary sinus is one of the most frequently described peri-extraction complications in oral surgery. Roots or whole teeth accidentally displaced during an avulsion process are the most common cause of foreign bodies in the maxillary sinus. It exposes the patient to more or less serious complications that can go as far as development of pneumonia or septic thrombosis of the cavernous sinus in rare cases. Several therapeutic solutions can be proposed to manage this complication, ranging from therapeutic abstention to the removal of the dental component using various techniques. Corpus: The pedagogical objectives of this article are to explain the main characteristics of this complication as well as its treatment. Through a systematic review of the literature according to the PRISMA methodology, the risk factors, prevention, diagnosis, complications, and management of teeth displacement will be discussed. A treatment decision tree will be proposed to guide practitioners in the management of a tooth or dental root displaced into the sinus. Conclusion: This article summarizes the importance of pre-extraction radiographic examinations for preventive purposes and their analysis to guide the practitioner in the choice of an appropriate surgical technique. Furthermore, the surgical management in almost all cases must be carried out early to prevent later infectious complications.

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“…All these publications are Level 4 and therefore have a low level of scientific evidence (Tab. I) [1,2,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Corpus Research Methodologymentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Teeth roots displacement in the maxillary sinus: characteristics and management

Seigneur¹,

Cloître²,

Malard

et al. 2020

J Oral Med Oral Surg

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Spontaneous clearance of a displaced root in the maxillary sinus: A case report

2022

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It is important that both clinicians and patients are aware of the risk of displacement of a maxillary tooth into the sinus. Appropriate warnings should be given preoperatively and steps should be taken to reduce the chance of this occurring. Despite this, the introduction of a foreign body into the sinus is an unfortunate but real possibility during extraction of teeth. In the event that this occurs appropriate steps should be taken to manage this. We present a case of a patient that underwent extraction of his maxillary first molar, with the displacement of the disto‐buccal root into his maxillary sinus during the procedure. Subsequently the patient was referred to the Oral Surgery Department at Birmingham Dental Hospital and retrieval of the root was planned. However, the root was spontaneously cleared prior to surgery. Investigations, management and complications of this case are discussed. The importance of preoperative imaging to avoid unnecessary treatment is highlighted by this case.

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Referring to the on-call oral and maxillofacial surgery team – what, when and how to refer emergency conditions

Dungarwalla

Vaghela²,

Sneddon

2019

Dent Update

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Primary care dentists are occasionally faced with conditions which cannot be managed in a primary care setting. Some of these conditions may be acute conditions requiring immediate input from the on-call oral and maxillofacial surgery (OMFS) team and/or emergency medical team. This paper aims to describe the conditions that may present in primary care and outlines their prevention, initial management and the factors which would prompt onward referral to a secondary care setting. A referral proforma is provided which can help clinicians in providing the essential information when speaking to the on-call OMFS team. In this paper, the term ‘immediate’ indicates within hours, whilst the term ‘urgent’ indicates within days. CPD/Clinical Relevance: To facilitate accurate referrals to the on-call OMFS team by outlining complications which are seen in primary care.

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The importance of prompt referral when tooth roots are displaced into the maxillary antrum

Cited by 6 publications

References 6 publications

Teeth roots displacement in the maxillary sinus: characteristics and management

Teeth roots displacement in the maxillary sinus: characteristics and management

Spontaneous clearance of a displaced root in the maxillary sinus: A case report

Referring to the on-call oral and maxillofacial surgery team – what, when and how to refer emergency conditions

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