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Research paper thumbnail of Caldwell-Luc Approach For Surgical Removal Of The Root From Maxillary Sinus With Closure Of Oro-Antral Fistula

Annals of Dentistry, Dec 31, 1997

The palatal root of the first permanent molar is the most commonly deflected root into the maxill... more The palatal root of the first permanent molar is the most commonly deflected root into the maxillary sinus during extraction. A rational approach to the surgical removal of a root from the antrum is important. Some surgeons prefer the alveolar approach while others prefer the Caldwell-Luc operation. A case is presented where the palatal root tip of the left upper first molar was removed from the maxillary sinus by the Caldwell-Luc approach with simultaneous closure of the oro-antral fistula resulting from dental extraction. A fibreoptic light probe was used. The advantages and disadvantages as well as how to avoid the common complications of this surgical technique are discussed. A good result was achieved with successful removal of the root and no loss of sensibility of the teeth and/or gum for this case.

Research paper thumbnail of Caldwell-Luc Approach For Surgical Removal Of The Root From Maxillary Sinus With Closure Of Oro-Antral Fistula

Annals of Dentistry, Dec 31, 1997

The palatal root of the first permanent molar is the most commonly deflected root into the maxill... more The palatal root of the first permanent molar is the most commonly deflected root into the maxillary sinus during extraction. A rational approach to the surgical removal of a root from the antrum is important. Some surgeons prefer the alveolar approach while others prefer the Caldwell-Luc operation. A case is presented where the palatal root tip of the left upper first molar was removed from the maxillary sinus by the Caldwell-Luc approach with simultaneous closure of the oro-antral fistula resulting from dental extraction. A fibreoptic light probe was used. The advantages and disadvantages as well as how to avoid the common complications of this surgical technique are discussed. A good result was achieved with successful removal of the root and no loss of sensibility of the teeth and/or gum for this case.

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