Presentation
Incidental finding.
Patient Data
Age: 20
Gender: Male
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The right first superior molar tooth shows signs of decay and a cavity filled with soft tissue content is observed in its root. The adjacent right maxillary sinus is obliterated.
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MRI Brain performed for other reasons shows signs of acute sinusitis within the right maxillary sinus characterized by mucosal thickness and sinus obliteration by material with high-intensity on T2.
Case Discussion
This case demonstrated a periapical abscess associated with acute sinusitis as an incidental finding in a patient being evaluated for other reasons.
Dental abscesses can exert pressure on the root of tooth, which contains the neurovascular bundle, and can lead to devitalisation of the tooth.
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