He opening on the buccal sinus wall (L).A 26yearold female presented with impacted maxillary and mandibular thir Extraction of theon each sides (Figure 1E,F). A CT scan showedsame manner as deof the le molars maxillary third molar was performed inside the inverted impaction scribed in the maxillary cases. A round bony windowand left 1 cm diameter was produced in preceding third molar with cystic adjust, having a maxillary sinus mucosal thickening wa observed, which was probably because of the anterolateral wall of both maxillary sinuses usingaaperiapical lesion of your left2I). Use secon tiny round bur (Figure maxillary molar (Figure 1F). The ectopic left maxillary third molar as removed by means of MESS. on the smallest round bur tends to make the osteotomy margins as narrowwaspossible to allow The SM was the bony window having a scalpel to recognize the cystic lesion, along with the sinus bon optimal stability ofhorizontally incisedupon repositioning. A prebent titanium microplate window was enlarged superiorly to create enough (Figure 2J) to improve the was adapted for the bony window and secured with micro screwsspace to eliminate the cystic lesion an stability from the the impacted tooth (Figure 2E,F). Finally, the bony window having a preadapted micropla bony window. Then the microplate was very carefully removed (Figure 2K) to exwas maxillary third molar (Figure 2L).screws. Just after two years and nine months of adhere to tract the impacted repositioned and fixed with micro Postoperative radiographs were taken up, no complications tooth and adaptation of and radiographically (Figure to show satisfactory removal from the have been observed clinically the microplate (Figure 1K,L). 1G,H) an full bone regeneration was observed in the gap in between the bony window and th anterolateral aspect of your maxillary sinus wall following a 1year followup (Figure 2G,H 2.four. Case 4 Just after 1 year, adequate bone regeneration was observed where the bony window wa A 54yearold male presented with a mobile left maxillary second molar because of chronic repositioned within the anterolateral buccal aspect with the maxillary sinus wall (Figure 2D). periodontitis and an impacted left maxillary third molar with sinus mucosal thickening(Figure 1M,N). The patient underwent extraction of your left maxillary second molar with two.three. Case three treatment of the maxillary sinusitis and surgical extraction from the left maxillary third molar A 65yearold female through having a chief complaint of a mobile left by means of MESS. An endoscope was inserted presentedthe nasal cavity to observe the ectopic maxillar second molar. Upon clinical The overlying mucosa was curetted toapical periodontit tooth within the maxillary sinus (Figure 3A). and radiographic examination, chronic confirm in the left (Figure 3B), and molar was suspected as a consequence of vertical root fracture an the presence of the tooth maxillary second right after the tooth was identified, it was meticulously impacted maxillary third molars were observed in both BTLA/CD272 Protein site pathology in the with luxated and removed (Figure 3C,D). Just after confirming the absence of maxillary sinuses left no sign or symptoms of sinusitis (Figure 1I). The proper maxillary third molar was positioned in th maxillary sinus around four months later, bone grafting was performed within the left posteriorsuperior aspect on the right maxillary second molar (Figure 1J), as well as the le maxillary posterior alveolar ridge for future implant placement, and the microplate was maxillary third molar was situated inside the anteromedial wall in the maxillary sinus. Th removed simul.
