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Scholars Journal of Dental Sciences | Volume-12 | Issue-09
Open Access to a Closed Sinus: Caldwell-Luc Management of Dual Dental Foreign Bodies: A CT-Guided Surgical Resolution
O. Ilhami, H. El Yazidi, M. A. Ezzirani, Y. Toko, A. Oukerroum, F. Slimani
Published: Oct. 15, 2025 |
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Pages: 135-140
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Abstract
Accidental migration of dental structures into the maxillary sinus is a rare but potentially severe iatrogenic complication that may lead to chronic sinusitis, mucosal inflammation, or orbital involvement. We report the case of a 31-year-old woman presenting with simultaneous migration of the upper left third molar and its orthodontic bracket into the left maxillary sinus and infratemporal fossa following dental extraction. Management by Caldwell-Luc approach allowed complete removal of the foreign bodies, curettage of the sinus cavity, and elimination of an unexpected cotton fragment. Postoperative recovery was uneventful, with complete symptom resolution by day 7.