Intentional replantation for the management of maxillary sinusitis.
OBJECTIVE
To present a case that emphasizes the importance of the use of intentional replantation as a technique to successfully treat a periapical lesion and an odontogenic maxillary sinusitis through the alveolus at the same time.


CONCLUSIONS
This case report presents a patient with odontogenic maxillary sinusitis secondary to periapical disease of a maxillary molar that had previously received root canal treatment. The molar was extracted, with drainage and rinsing of the maxillary sinus. The apices were resected extra-orally, the retrograde cavities prepared with ultrasound and retrograde fillings of silver amalgam placed. The tooth was then replanted. After 2 years, the patient was asymptomatic, periapical radiography showed no evidence of root resorption and computed tomography scanning demonstrated the resolution of maxillary sinusitis.


CONCLUSIONS
*When root canal treatment or periapical surgery cannot be undertaken or has failed, intentional replantation may be considered. *This alternative treatment may be predictable in certain cases.
Peñarrocha
M
M
Department of Oral Surgery, University of Valencia, Valencia, Spain. miguel.penarrocha@uv.es
García
B
B
Martí
E
E
Palop
M
M
von Arx
T
T
D000328:Adult; D001047:Apicoectomy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D015523:Maxillary Sinusitis / Q000209:etiology* / Q000601:surgery; D008963:Molar; D011176:Post and Core Technique / Q000009:adverse effects*; D019233:Retreatment; D012184:Retrograde Obturation; D014081:Tooth Extraction; D014090:Tooth Replantation