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Case Reports in Dentistry
Volume 2015, Article ID 517149, 5 pages
http://dx.doi.org/10.1155/2015/517149
Case Report

Removal of an Upper Third Molar from the Maxillary Sinus

Dentistry Department, UFS Universidade Federal de Sergipe, Avenida Doutor José Thomas D’Ávila Nabuco, 700 Bloco 13, Apartamento 103, Bairro Farolândia, 49030-270 Aracaju, SE, Brazil

Received 19 August 2014; Revised 8 January 2015; Accepted 13 January 2015

Academic Editor: Tommaso Lombardi

Copyright © 2015 Klinger de Souza Amorim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The maxillary sinus or antrum is the largest of the paranasal sinuses. It is located in the maxillary bone and has a proximity to the apexes of upper molars and premolars, which allows it to form a direct link between the sinus and the oral cavity. Dislocation of a foreign body or tooth to the interior of a paranasal sinus is a situation that can occur as a result of car accidents, firearm attacks, or iatrogenic in surgical procedures. Therefore, it is necessary to know how to treat this kind of situation. This study’s objective is to report the case of a 23-year-old female patient, leucoderma, who sought treatment from the Surgical Unit at the Dental Faculty of the Federal University of Sergipe. She had a history of pain and edema in the right side of the genian region and two failed attempts at removing dental unit (DU) 18. The extraoral clinical exam revealed intense edema of the left hemiface with signs of infection, excoriation of the labial commissure, hematoma, a body temperature of 39°C, and a limited ability to open her mouth. The patient was medicated and treated surgically. The tooth was removed from the maxillary sinus with caution, as should have been done initially.