S-14 - Surgical Endodontics and the Maxillary Sinus

Endodontic pathology can induce sinus diseases because of the anatomic situation.

Classical sinusitis, pain, otolaryngological pathologies are the most common side effects.

Proper investigation procedures followed by a faithfull diagnosis will enable effective treatment to be administered.
The surgical approach should be performed according to the latest radiological, and clinical studies on tissue regeneration.

It is important to understand clinical evaluation and specific investigation (CBCT or CT scann) for determining the precise diagnosis and rational treatment, and modulate the clinical approach depending on the size of the Endodontic lesion, the extension of the sinus disease and the anatomical considerations.

The maxillary surgery induce a lot of difficulties and complications,concerning
-The particular bone regeneration approach.
-The possibilities removing old over filling or aspergilosis inside the sinus.

These procedures induce knowledge to chose an efficient access way and to respect
soft and hard tissues.and to be able manage bone substititute materials,
bone regenerative membrane and eventualy the piezo surgery to facilate the access
and cleaning.