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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.
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.
It branches from the infraorbital nerve within the infraorbital canal [1] [2] at around the midpoint of this canal and enters the canalis sinuosus.It passes through towards the nose before passing inferior-ward and ramifying [2] into branches which innervate the upper/maxillary incisor and canine teeth; [1] [2] it usually innervates all the anterior teeth.
Bottom teeth of a seven-year-old, showing primary teeth (left), a lost primary tooth (middle), and a permanent tooth (right) Tooth eruption in humans is a process in tooth development in which the teeth enter the mouth and become visible. Current research indicates that the periodontal ligaments play an important role in tooth eruption.
After extraction of a tooth, the clot in the alveolus fills in with immature bone, which later is remodeled into mature secondary bone. Disturbance of the blood clot can cause alveolar osteitis, commonly referred to as "dry socket". With the partial or total loss of teeth, the alveolar process undergoes resorption.