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The maxillary sinus is known for its thin floor and close proximity to the posterior maxillary (upper) teeth. [1] [6] The extraction of a maxillary tooth (typically a maxillary first molar which lies close to the lowest point of antral floor although any premolar or molar can be affected) is the most common cause of an OAC (which can then ...
There is a bony floor of the sinus, dividing the tooth socket from the sinus itself. This bone can range from thick to thin, from tooth to tooth, from patient to patient. In some cases it is absent and the root is, in fact, in the sinus. At other times, this bone may be removed with the tooth, or may be perforated during surgical extraction.
The approach is mainly from the anterior wall of the maxilla bone. It was introduced by George Caldwell (1893)and Henry Luc (1897). The maxillary sinus is entered from two separate openings, one in the canine fossa to gain access to the antrum and other in the naso antral wall for drainage. [1]
Patients with odontogenic sinusitis may present with symptoms similar to those of other forms of sinusitis, such as nasal congestion, purulent nasal discharge, facial pain or pressure, and a reduced sense of smell. However, the presence of dental pain, foul smell, or a history of recent dental procedure might suggest an odontogenic source.
The extraction of the deciduous canine may encourage the ectopic permanent canine to erupt. This interceptive treatment is recommended for children aged 10–13 with normal physiological spacing. This is supported by the Royal College of Surgeons England (RCS Eng) guidelines; based primarily on 2 studies: A case series, with no control group [20]
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Though relatively the same, there are some minor differences between the deciduous (baby) maxillary canine and that of the permanent maxillary canine. It is the longest tooth in total length (from the root to the incisal edge) in the mouth. Canines are also the only anterior teeth with a cusp. Maxillary canines begin to calcify by 4 months of age.
In humans, the upper canine teeth (popularly called eye teeth, from their position under the eyes [1]) are larger and longer than the lower, and usually present a distinct basal ridge. Eruption typically occurs between the ages of eleven and twelve years for upper canines and between nine and ten years for lower canines.