case_images: PMC9150996_01
case_images: OPG (a) and CBCT 3D scan (b). A considerable size of the lesion and translocation of tooth 13 are visible (arrow).
case_images: CRID2022-4852464.001.jpg
case_images: PMC9150996_01_CRID2022-4852464.001.jpg
case_images: fig1
case_images: We performed an orthopantomogram (OPG) and CBCT (Cone-Beam Computed Tomography) which revealed a massive cyst-like lesion in the right maxillary sinus with translocation of tooth 13 (Figure 1) what confirmed our initial diagnosis.
case_images: Intraoral view on operative region. Pus discharge is still present despite antimicrobial treatment.
case_images: CRID2022-4852464.002.jpg
case_images: PMC9150996_01_CRID2022-4852464.002.jpg
case_images: fig2
case_images: Despite the antimicrobial treatment, pus discharge was still present (Figure 2).
case_images: Tooth 53 is removed and oroantral fistula is excised.
case_images: CRID2022-4852464.003.jpg
case_images: PMC9150996_01_CRID2022-4852464.003.jpg
case_images: fig3
case_images: Under general anesthesia (87.5 mg of propofol and 100 mug of phentanyl) with monitoring of oxygen saturation and heart rate (by pulse oximeter attached to patient's finger), tooth 53 was removed and the fistula was excised (Figure 3).
case_images: After incision and mucoperiosteal flap reflection, tooth 13 is visible. The anterior wall of maxillary sinus has been resorbed by the cyst.
case_images: CRID2022-4852464.004.jpg
case_images: PMC9150996_01_CRID2022-4852464.004.jpg
case_images: fig4
case_images: The flap was reflected with anterior part of the cyst attached to it as the anterior wall of maxillary sinus was completely resorbed and tooth 13 became visible immediately (Figure 4).
case_images: The wound closed with resorbable sutures. Depth of the vestibule is decreased due to the necessity of closing oroantral fistula.
case_images: CRID2022-4852464.005.jpg
case_images: PMC9150996_01_CRID2022-4852464.005.jpg
case_images: fig5
case_images: The wound after tooth 53 extraction was sutured with a horizontal mattress (Novosyn 2/0). (Figure 5).
case_images: Intraoral view on operative area 2 months after surgery. Tooth 13 has started its eruption.
case_images: CRID2022-4852464.006.jpg
case_images: PMC9150996_01_CRID2022-4852464.006.jpg
case_images: fig6
case_images: On the third appointment, the eruption of the tooth 13 was noticed, so the patient was referred for subsequent orthodontic treatment (Figure 6).