Patient Profile: Patient is a 62-year old retired lady who attended the dentist seeking a dental extraction.

Chief Complaint: “Pain and bad taste from infection around the broken tooth”

Dental History: Her last dental appointment was two years ago for a cleaning.

Medical History: No relevant medical history. Her blood pressure was recorded at 135/85 mm/hg and bloods were all within normal limits. 

Extraoral Examination:

• Assessment reported all within normal limits.

Supplemental Information:

• The tooth was non-restorable and extraction was advised. 
• During extraction with her dentist one of the roots slipped into the sinus.
• The complication was immediately identified by the dentist and the patient was referred.
• The roots were extracted and the oro-antral fistula (hole into the sinus) was repaired with Platelet Rich Growth Factors.
• A CT scan identified the root in the sinus that had migrated to the superior medial aspect of the sinus at the ostium. 
• The root was retrieved under GA using piezosurgery to access the root  via a lateral window into the maxillary sinus.
• The lateral window was repaired with collagen membranes.