This case describes a novel approach to treat severe odontogenic maxillary sinusitis (OMS) spreading to the frontal sinus. 1 The approach includes conservative maxillary sinus management (CMSM) without maxillary sinus mucosa (MSM) removal. Case presentation A 54-year-old man came in with the chief complaint of pain radiating from his right cheek to his forehead. The diagnosis of OMS caused by teeth #25 and #26 was confirmed. His symptoms did not improve with endodontic treatment and long-term antibiotic administration.
Thus, CMSM was recommended. Click here to view figure 1 Figure 1 . Radiographic findings 1 Surgical details The MSM corresponding to the root apices of teeth #25 and #26 was removed through the left maxillary sinus as they protruded into the maxillary sinus. This was followed by their apicoectomy (cover image). The retrograde filling of the buccal distal root canal of…
