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Blog de Cirugía e Implantología Oral

23 Feb 2016

Intentional replantation for the management of maxillary sinusitis

Peñarrocha M, García B, Martí E, Palop M, von Arx T. Intentional replantation for the management of maxillary sinusitis. Int Endod J. 2007 Nov;40(11):891-9.



To present a case that emphasizes the importance of the use of intentional replantation as a technique to successfully treat a periapical lesion and an odontogenic maxillary sinusitis through the alveolus at the same time.


This case report presents a patient with odontogenic maxillary sinusitis secondary to periapical disease of a maxillary molar that had previously received root canal treatment. The molar was extracted, with drainage and rinsing of the maxillary sinus. The apices were resected extra-orally, the retrograde cavities prepared with ultrasound and retrograde fillings of silver amalgam placed. The tooth was then replanted. After 2 years, the patient was asymptomatic, periapical radiography showed no evidence of root resorption and computed tomography scanning demonstrated the resolution of maxillary sinusitis.



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Cirugía e implantología oral de la Universitat de València: Cirubuca