Intra Alveolar Method of Root Fragment Retrieval using High-Pressure Suction and Its Sequelae: Case Report

Abstract

Displacement of tooth roots into the maxillary sinus is not an uncommon scenario encountered by a dental surgeon. Early identification and retrieval prevent sequelae like infection and chronic maxillary sinusitis. However, after retrieval of the tooth root, the created OAC needs careful evaluation and appropriate treatment. We are reporting a unique case of Intra alveolar method of retrieval of palatal root from the maxillary sinus using high-pressure suction followed by primary closure. On the third postoperative day, the patient reported a complaint of nasal regurgitation, and blood clot dislodgement was noticed in the extracted tooth socket. The patient was taken into the operating theatre, and OAC was managed with a combined bichat’s fat pad and buccal advancement flap. The present article aims to document the complication of the intra-alveolar method of palatal root fragment retrieval using high-pressure suction and reinforce the importance of a soft tissue barrier between the oral cavity and antrum in the management of OAC. This combined method ensured the dual layer soft tissue barrier, hence satisfactory healing was achieved in the postoperative phase.