He opening on the buccal sinus wall (L).A 26yearold female presented with impacted maxillary and mandibular thir Extraction of theon both sides (Figure 1E,F). A CT scan showedsame manner as deof the le molars maxillary third molar was performed within the inverted impaction scribed in the maxillary circumstances. A round bony windowand left 1 cm diameter was produced in earlier third molar with cystic adjust, with a maxillary sinus mucosal thickening wa observed, which was most likely on account of the anterolateral wall of each maxillary sinuses usingaaperiapical lesion with the left2I). Use secon little round bur (Figure maxillary molar (Figure 1F). The ectopic left maxillary third molar as removed by means of MESS. in the smallest round bur tends to make the osteotomy margins as narrowwaspossible to permit The SM was the bony DL-Lysine monohydrate window having a scalpel to recognize the cystic lesion, plus the sinus bon optimal stability ofhorizontally incisedupon repositioning. A prebent titanium microplate window was enlarged superiorly to make sufficient (Figure 2J) to enhance the was adapted to the bony window and secured with micro screwsspace to eliminate the cystic lesion an stability in the the impacted tooth (Figure 2E,F). Finally, the bony window using a preadapted micropla bony window. Then the microplate was carefully removed (Figure 2K) to exwas maxillary third molar (Figure 2L).screws. Immediately after two years and nine months of follow tract the impacted repositioned and fixed with micro Postoperative radiographs have been taken up, no complications tooth and adaptation of and radiographically (Figure to show satisfactory removal from the were observed clinically the microplate (Figure 1K,L). 1G,H) an total bone regeneration was observed in the gap amongst the bony window and th anterolateral aspect from the maxillary sinus wall immediately after a 1year followup (Figure 2G,H two.4. Case 4 Soon after 1 year, adequate bone regeneration was observed where the bony window wa A 54yearold male presented having a mobile left maxillary second molar resulting from chronic repositioned within the anterolateral buccal aspect in the maxillary sinus wall (Figure 2D). DS44960156 Protocol periodontitis and an impacted left maxillary third molar with sinus mucosal thickening(Figure 1M,N). The patient underwent extraction of the left maxillary second molar with two.3. Case three treatment from the maxillary sinusitis and surgical extraction of your left maxillary third molar A 65yearold female via with a chief complaint of a mobile left via MESS. An endoscope was inserted presentedthe nasal cavity to observe the ectopic maxillar second molar. Upon clinical The overlying mucosa was curetted toapical periodontit tooth within the maxillary sinus (Figure 3A). and radiographic examination, chronic confirm in the left (Figure 3B), and molar was suspected because of vertical root fracture an the presence from the tooth maxillary second soon after the tooth was identified, it was very carefully impacted maxillary third molars have been observed in both pathology inside the with luxated and removed (Figure 3C,D). Just after confirming the absence of maxillary sinuses left no sign or symptoms of sinusitis (Figure 1I). The ideal maxillary third molar was located in th maxillary sinus approximately four months later, bone grafting was performed inside the left posteriorsuperior aspect of your right maxillary second molar (Figure 1J), and also the le maxillary posterior alveolar ridge for future implant placement, and the microplate was maxillary third molar was positioned in the anteromedial wall in the maxillary sinus. Th removed simul.
