Forum for Clinical and Surgical Oral Pathology

Case BBOPF 13-3

This is an 85 year old female who had an upper left molar (#15) tooth extracted. Approximately 3 weeks following the extraction, the patient developed an oral-antral communicating sinus. A surgical procedure was performed to close the fistulous tract. At the time of surgery, the sinus floor was intact but a very large amount of tissue was extracted during the procedure, clinically felt to be a greater volume of tissue than should be expected for the type of procedure performed.

I would appreciate your thoughts about this case.

Harvey P. Kessler
Professor
Department of Diagnostic Sciences
Texas A & M University, Baylor College of Dentistry
3302 Gaston Avenue
Dallas, Texas 75246

Images

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[Click for a larger image] Radiograph 1 [Click for a larger image] Radiograph 2
[Click for a larger image] Figure 1	[Click for a larger image] Figure 2	[Click for a larger image] Figure 3
[Click for a larger image] Figure 4	[Click for a larger image] Figure 5	[Click for a larger image] Figure 6
[Click for a larger image] Figure 7	[Click for a larger image] Figure 8	[Click for a larger image] Figure 9
[Click for a larger image] Figure 10	[Click for a larger image] Figure 11	[Click for a larger image] Figure 12
[Click for a larger image] Figure 13	[Click for a larger image] Figure 14	[Click for a larger image] Figure 15

Case prepared by Dr. Alfredo Aguirre (BBOP Manager) and Daniel Emmer (Web Administrator, University at Buffalo School of Dental Medicine).