Wandering of gutta percha in maxillary sinus

Abstract

Abstract : In the endodontic therapy, endodontists must have caution for prevention of dental accident. Especially, the relation between maxillary sinus and clinical root is important. Sometimes, molar and premolar roots perforate in maxillary sinus. In this case report, remained gutta percha in maxillary sinus was pursued for over five years. In the case 1, the first root canal treatment of palatal root canal of upper right first molar, over filled gutta percha point was cut off. The point remained in maxillary sinus. After seven weeks, patient has incompatibility in nose, and he excreated pituita. Then, remained gutta percha point was checked by taking X-ray before root canal filling, and gutta percha point disappeared from maxillary sinus. The gutta percha point might be excreted from maxillary ostium. After five years, patient has no problem on maxillary sinus and tooth. In the case 2, root canal filling for upper left second molar, gutta percha mass was overflowed from apical foramen of palatal root. The aberrant gutta percha mass was found in maxillary sinus. After six years, gutta percha mass disappeared from maxillary sinus. The gutta percha mass might be excreted from maxillary ostium. After six years, patient has no problem on maxillary sinus and tooth.