Dental abscess

Case contributed by Doaa Faris Jabaz
Diagnosis almost certain

Presentation

Facial pain and headache.

Patient Data

Age: 25 years
Gender: Female
ct

Mucosal thickening obliterates the left ostiomeatal unit with total opacification of the maxillary sinus. Opacification of all ethmoid cells (50) %, and frontal sinuses (25%) with obliterated frontal recess.

Case Discussion

Focal enamel and dentin demineralization was noted in the left upper 3rd molar resulting in peri-apical lucency causing a defect in the maxillary antral floor possibly causing maxillary odontogenic sinusitis, approximal dental caries was noted. No alveolar ridge defect, no soft tissue abscess formation

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