Heavy overfill and sinus involvement (by Ilya Mer)

Patient is suffering of sinus tract open and close last year. Tooth had come through two NsReTx resulted with heavy overfilling into sinus.

Preoperative X-rays and CBCT scans.
Preoperative X-rays and CBCT scans. Treatment plan was SRetx and overfilling material removal
Sinus tract
Sinus tract
First root resection  was done without touching  the lesion itself. The hope was try to take it out in one  piece.  Methylene blue was showing root ootline
First root resection was done without touching the lesion itself. The hope was try to take it out in one piece. Methylene blue was showing root outline
Unfortunately lesion was removed without a root filling extension at sinus.
Unfortunately lesion was removed without a root filling extension at sinus.
Turning microscope it was possible to discover guttapecha remains on a sinus membrane then the rest was the matter of technique.
Turning microscope it was possible to discover guttapecha remains on a sinus membrane then the rest was the matter of technique.
Next  point was resected root tip inspection and retro preparing.
Next point was resected root tip inspection and retro prep and filling.

 

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