Management of sinusitis

Situation

A 51-year-old female patient was referred to the clinic. Severe sinusitis has occurred from #27.

Pre-operative Panorama

From the CT scan, the sinus was filled with fluid, and pus with foul odor came out of the patient’s nose.

Intra-oral photograph.

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5mm small vertical incision was made on the buccal side of the #26.

A small hole was made into the sinus above the implant apex with a round bur.

A 20 gauge needle was connected to a 10cc syringe, and the needle was inserted into the sinus cavity for aspiration.

Approximately 8cc of pus was extracted.

Saline was inserted into the sinus, and the process was repeated 3-4 times, until clean water was extracted.

1g of cephalosporin was diluted with 1.5cc of saline.

The antibiotic was injected into the sinus directly. This procedure was repeated every day for 3-4 days until the sinus became clean.

Click on the image to see clinical video.