Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i2.12353

Keywords:

Maxillary sinus; Third molar; Maxillary sinusitis; Maxillofacial surgery.

Abstract

During the surgical removal of maxillary molars, tooth or fragment displacement into the maxillary sinus may occur. The presence of foreign bodies inside these cavities leads to complications such as mucoceles, cellulitis, oroantral fistulae and maxillary sinusitis, to prevent the arise and worsening of complications, these events must be addressed in an early stage. This article aims to report the removal of a tooth root from the maxillary sinus, through the modified Caldwell-Luc (CLM) approach and describe the current indications for the Caldwell Luc technique. It reports an upper third molar surgery in which a patient had the distal root of the left superior third molar displaced into the maxillary sinus, later showing signs of sinus opacification and loss of patency of the maxillary ostium obstructed by the root. After antibiotic treatment, the root was recovered through the CLM technique by local anesthesia, without complications. Foreign bodies in the maxillary sinuses must be urgently addressed, avoiding the development of infectious conditions, the CLM approach is the choice approach to manage these complications by a simple and safe way.

Author Biographies

José Wittor de Macêdo Santos, Federal University of Rio Grande do Norte

DDS, Oral and Maxillofacial Surgeon Resident from the Oral and Maxillofacial Surgery Residency Program, Department of Dentistry-UFRN, Natal-RN, Brazil.  

Emily Ricelly da Silva Oliveira, Federal University of Rio Grande do Norte

DDS, Intern of the Maxillofacial Surgery Residency Program, Department of Dentistry-UFRN, Natal-RN, Brazil.

Humberto Pereira Chaves Neto, Federal University of Rio Grande do Norte

DDS, Oral and Maxillofacial Surgeon Resident from the Oral and Maxillofacial Surgery Residency Program, Department of Dentistry-UFRN, Natal-RN, Brazil.  

Fernanda Soares Ramos, Federal University of Rio Grande do Norte

DDS, Intern of the Maxillofacial Surgery Residency Program, Department of Dentistry-UFRN, Natal-RN, Brazil.

Braz da Fonseca Neto, Federal University of Rio Grande do Norte

DDS, Oral and Maxillofacial Surgeon Resident from the Oral and Maxillofacial Surgery Residency Program, Department of Dentistry-UFRN, Natal-RN, Brazil.  

Edynelson da Silva Gomes, Federal University of Rio Grande do Norte

DDS, Oral and Maxillofacial Surgeon Resident from the Oral and Maxillofacial Surgery Residency Program, Department of Dentistry-UFRN, Natal-RN, Brazil.  

Adriano Rocha Germano, Federal University of Rio Grande do Norte

DDS, Ms, PhD. Professor of Oral and Maxillofacial Surgery, Department of Dentistry -UFRN, Natal-RN, Brasil.

Reprint requests and correspondence to: Adriano Rocha Germano, Dept. of Oral and Maxillofacial Surgery, Hospital Universitário Onofre Lopes, Federal University of Rio Grande do Norte – UFRN. Av. Nilo Peçanha, 620 – Petrópolis, Natal-RN, Brazil, CEP:59.012-300.

Email: adrianogermanoufrn@yahoo.com.br  Phone/Fax: +55 84 3215-4130

References

Asmael, H. M. (2018). The Modified Caldwell-Luc Approach in Retrieval of Accidentally Displaced Root into the Maxillary Sinus. Journal of Craniofacial Surgery, 29(2), 130–131.

Aukštakalnis, R., Simonavičiūtė, R., & Simuntis, R. (2018). Treatment options for odontogenic maxillary sinusitis: a review. Stomatologija, Baltic Dental and Maxillofacial Journal 20(1), 22–26.

Bozkurt, P., & Erdem, E. (2017). Management of upper and lower molars that are displaced into the neighbouring spaces. British Journal of Oral and Maxillofacial Surgery, 55(9), 49–52.

Chagas Junior, O. L., Moura, L. B., Sonego, C. L., Farias, E. O. C., Giongo, C. C., & Fonseca, A. A. R. (2016). Unusual Case of Sinusitis Related to Ectopic Teeth in the Maxillary Sinus Roof/Orbital Floor: A Report. Craniomaxillofacial Trauma & Reconstruction, 9(3), 260–263.

Courtot, R., Devoize, L., Louvrier, A., Pereira, B., Caillet, J., Meyer, C., Barthélémy, I., & Depeyre, A. (2020). Surgical approach of ectopic maxillary third molar avulsion: Systematic review and meta-analysis. Journal of Stomatology, Oral and Maxillofacial Surgery, 1–6.

Furuya, Y., Norizuki, Y., & Yajima, Y. (2015). A Case of Simultaneous Ectopic Tooth Extraction and Removal of Migrated Dental Implant from Maxillary Sinus. The Bulletin of Tokyo Dental College, 56(4), 253–258.

Gnigou, M., Goutzanis, L., Sarivalasis, S., & Petsinis, V. (2019). Retrieval of displaced implants inside the maxillary sinus: two case reports and a short review. International Journal of Implant Dentistry, 5(1), 1–8.

Hara, Y., Shiratsuchi, H., Tamagawa, T., Koshi, R., Miya, C., Nagasaki, M., Ohyama, T., Oka, S., Sakashita, H., Kaneko, T. (2018). A large-scale study of treatment methods for foreign bodies in the maxillary sinus. Journal of Oral Science, 60(3), 321–328.

Huang, I. Y., Chen, C. M., & Chuang, F. H. (2011). Caldwell-Luc procedure for retrieval of displaced root in the maxillary sinus. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 112(6), 59–63.

Huang, Y. C., & Chen, W. H. (2012). Caldwell-Luc Operation Without Inferior Meatal Antrostomy: A Retrospective Study of 50 Cases. Journal of Oral and Maxillofacial Surgery, 70(9), 2080–2084.

Jeong, K. I., Kim, S. G., Oh, J. S., & You, J. S. (2016). Implants Displaced Into the Maxillary Sinus. Implant Dentistry, 25(4), 547–551.

Manor, Y., Anavi, Y., Gershonovitch, R., Lorean, A., & Mijiritsky, E. (2018). Complications and Management of Implants Migrated into the Maxillary Sinus. The International Journal of Periodontics & Restorative Dentistry, 38(6), e112–e118.

Pell, G. J., & Gregory, B. T. (1933). Impacted mandibular third molars, classification and modified technique for removal. Dental Digest, 39, 330–338.

Pereira, A. S., Shitsuka, D. M., Pereira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Şahin, M. M., Yılmaz, M., Karamert, R., Cebeci, S., Uzunoğlu, E., Düzlü, M., & Ceylan, A. (2020). Evaluation of Caldwell-Luc Operation in the Endoscopic Era: Experience From Past 7 Years. Journal of Oral and Maxillofacial Surgery, 78(9), 1478–1483.

Sencimen, M., Gülses, A., Secer, S., Zerener, T., & Özarslantürk, S. (2016). Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature. Oral and Maxillofacial Surgery, 21(1), 1–6.

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Published

14/02/2021

How to Cite

SANTOS, J. W. de M. .; OLIVEIRA, E. R. da S. .; CHAVES NETO, H. P. .; RAMOS, F. S. .; FONSECA NETO, B. da; GOMES, E. da S.; GERMANO, A. R. . Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report. Research, Society and Development, [S. l.], v. 10, n. 2, p. e26210212353, 2021. DOI: 10.33448/rsd-v10i2.12353. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12353. Acesso em: 22 dec. 2024.

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Section

Health Sciences