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Apical periodontitis treatment with suspected odontogenic sinusitis

Apical periodontitis treatment with suspected odontogenic sinusitis

Complaints:

Pain in the upper jaw while chewing. The patient was referred by an otolaryngologist for treatment of tooth 1.6 due to suspected odontogenic sinusitis.

Diagnosis:

Chronic apical periodontitis of tooth 1.6.

Treatment:

Endodontic treatment was performed under STA computer-assisted anesthesia with rubber dam isolation. Using a Seiler Evolution XR6 dental microscope, the carious lesion was accessed, endodontic access was created, and the root canals were treated. After mechanical and chemical canal preparation with step-by-step antiseptic irrigation, additional disinfection was carried out using an Ozymmed ozone generator, followed by hermetic obturation with warm gutta-percha using the 3D filling technique. After completion of the endodontic stage, the tooth was restored with Estelite Asteria composite material, recreating its natural anatomy and function. Follow-up examinations and CBCT scans at 6 months and 1.5 years confirmed successful treatment outcomes, after which the tooth was prepared for prosthetic restoration and a zirconia crown was permanently cemented.

In this clinical case, the patient presented with pain in the upper jaw while chewing. An otolaryngologist referred the patient for treatment of tooth 1.6 due to suspected odontogenic maxillary sinusitis.

During the examination and CBCT scan of the jaws, chronic apical periodontitis of tooth 1.6 was diagnosed.

Endodontic treatment was performed under STA computer-assisted anesthesia with rubber dam isolation. Using a Seiler Evolution XR6 operating microscope, the root canals were treated, additionally disinfected with the Ozymmed ozone generator, and hermetically sealed using warm gutta-percha.

The tooth was then restored with Estelite Asteria composite material. Follow-up examinations and CBCT scans performed after 6 months and 1.5 years confirmed successful healing, after which the tooth was prepared for the prosthetic stage and restored with a zirconia crown.

Result:
Inflammation was eliminated, the tooth’s function was restored, and the condition of the maxillary sinus returned to normal.

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Who provided the treatment:

The endodontic stage was performed by
Kukhar Irina