PMID: 11605197Oct 19, 2001Paper

A clinical investigation of oro-maxillary sinus-perforation due to tooth extraction

Kōkūbyō Gakkai zasshi. The Journal of the Stomatological Society, Japan
Y HirataT Amagasa

Abstract

Oro-maxillary sinus perforation occurs occasionally at the extraction of a maxillary tooth, and it may be a cause of maxillary sinusitis or antro-oral fistula. Our purpose was to investigate the most frequent site of perforation, and to understand the clinical course of patients after perforation. We examined 2,038 maxillary teeth extracted from 1,337 patients (473 males and 864 females) at the First Department of Oral and Maxillofacial Surgery, Tokyo Medical and Dental University, from January 1991 to December 1993. Perforation occurred in 77 of all 2,038 teeth (3.8%). Of these, 38 teeth were from males (38/733; 5.2%), and 39 were from females (39/1,305; 3.0%). The perforation rate was significantly higher in males. Perforation occurred most often with extraction of an upper first molar, and in the third decade of life. The perforation rate gradually decreased with higher age. We classified 38 cases into 3 categories according to panorama X-P: 1) The tip of the root crossed over the bottom line of the maxillary sinus (29 cases), 2) Not crossed over distinctly (4 cases), 3) Just lie on, or whether the tip of the root crossed over the bottom line of the maxillary sinus was not distinct (5 cases). As to treatment, 30 perforations...Continue Reading

Citations

Aug 19, 2014·Journal of Endodontics·Thomas von ArxMichael M Bornstein
Apr 11, 2003·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Yoshimasa KitagawaToshiyuki Ogasawara
May 25, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Matthias NeuschlSiegmar Reinert
Apr 25, 2006·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Kaya ThomaPatrick R Schmidlin
Apr 2, 2019·International Journal of Implant Dentistry·Puria ParviniLoutfi Salti
May 18, 2017·Vestnik otorinolaringologii·N S Serova, E V Evseeva

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