Chronic Maxillary Sinusitis Caused by Denture Lining Material

Abstract

We report a case of chronic maxillary sinusitis caused by denture lining material entering through an oroantral fistula after tooth extraction. The patient was an 80-year-old female who visited us with a complaint of pus discharge from the right posterior maxilla. She had extraction of the upper right second molar and had her upper denture relined with silicone lining material. The patient noticed swelling of the right cheek and purulent rhinorrhea 20 days before her first visit to our clinic. Oral examination showed an oroantral fistula with a diameter of 3 mm in the posterior alveolar ridge of the right maxilla. Computed tomography revealed a hyperdense foreign body in the right maxillary sinus and thickening of the mucosal lining. Under diagnosis of maxillary sinusitis caused by a foreign body, endoscopic maxillary surgery was performed simultaneously with the removal of the foreign body. The foreign body removed was 12 × 6 mm in size, oval in shape, light pink in color, and compatible with silicone denture lining material. During the follow-up it was observed that the oroantral fistula closed spontaneously after the removal of the foreign body. The maxillary sinus was in a good shape without recurrence of sinusitis seven months after surgery.

UTILIZAÇÃO DE GUIA CIRÚRGICO PARA REMOÇÃO DE TERCEIRO MOLAR EM SEIO MAXILAR: relato de caso

“…Os elementos dentais podem ser deslocados para o seio maxilar devido traumas ou acidentes durante um procedimento cirúrgico. (SAHIN et al, 2012;SUGIURA et al, 2016).…”

Radiological Evaluation of Maxillary Sinus Pathologies and Osteomeatal Complex

“…Diş kökleri, kök dolgu malzemeleri, diş implantları ve ölçü maddeleri yabancı cisimler sıklıkla iyatrojenik diş manipülasyonu veya oroantral fistül aracılığı ile sinüse taşınır 53 . Genellikle, panoramik radyografi yabancı cisimlerin ilk teşhis ve lokalizasyonu için kullanılır 54 .…”

Maxillary Antroliths: A Digital Panoramic-based Study

“…In some cases, clinical symptoms such as facial pain, purulent and/or blood discharge, buccoantral communication, and others may be present [2,5- . Moreover, chronic sinusitis may result from infection around MAs [2,3,7]. Adversely, other studies suggest that chronic sinusitis can be behind the development of MAs as chronic infection can promote the deposition of mineral salts in the affected region [2,8].…”

“…Radiographically, MAs are described as faintly to extremely radiopaque masses embedded within the maxillary sinus. They are irregular, well-defined, and of different sizes and forms [2,3,7]. Their radiological differential diagnosis may include radiopacities located in the maxillary sinus such as residual root fragments, osteogenic (osteomas) and odotogenic lesions (cementoma), periapical condensing osteitis, and calcified neoplasms [4].…”