Maxillary sinus /certified fixed orthodontic courses by Indian dental academy

1,014 views

Published on


The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

Published in: Education
0 Comments
4 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,014
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
26
Comments
0
Likes
4
Embeds 0
No embeds

No notes for slide

Maxillary sinus /certified fixed orthodontic courses by Indian dental academy

  1. 1. Maxillary Sinus Diseases INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. Diseases of the maxillary sinus - Sinusitis - Oro antral fistula - Root displacement - Cysts involving sinus - Tumours www.indiandentalacademy.com
  3. 3. Maxillary sinus diseases Surgical anatomy - Located in the body of the maxilla - Very small at Birth - Reaches maximum size in early adult life - Pyramidal in shape with base at naso antral wall - Lined by ciliated epithelium www.indiandentalacademy.com
  4. 4. Maxillary sinus diseases Surgical anatomy Nerve supply – Maxillary branch of Vth nerve through postero superior alveolar Blood supply- Infra orbital artery branch of maxillary artery Lymphatic drainage- into submandibular Functions : Resonance, Warming the inspired air, reduces the weight of the skull www.indiandentalacademy.com
  5. 5. Maxillary sinus diseases Applied anatomy Relationship with Oral cavity Nasal cavity Orbital cavity Infra temporal fossa www.indiandentalacademy.com
  6. 6. Maxillary sinus diseases Acute: Inflammation of the mucous membrane of the maxillary sinus - Infection either nasal or dental - Severe pain, radiating to the eye, cheek and frontal region - Teeth become tender -Nasal discharge- later becomes mucopupulent - Irritation of the nasopharynx -General symptoms: chills, sweat, elevation of temparature, dizziness, nausea, difficulty in breathing www.indiandentalacademy.com
  7. 7. Maxillary sinus diseases Surgical approaches Through the tooth socket Caldwell – Luc approach Denker’s www.indiandentalacademy.com
  8. 8. Maxillary sinus diseases Caldwell – Luc advantages # Easy access # Thin bone # No vital structures www.indiandentalacademy.com
  9. 9. Maxillary sinus diseases Caldwell- Luc:- surgical procedure Anaesthesia Incision Bony window Removal of lining, root, cyst etc Haemostasis Closure Post operative care www.indiandentalacademy.com
  10. 10. Maxillary sinus diseases Oro Antral Fistula :- Causes -Extraction of maxillary posterior teeth - Root displaced in to sinus - Chronic osteomyelitis - Malignancy - Trauma www.indiandentalacademy.com
  11. 11. Maxillary sinus diseases Oro Antral Fistula :- Clinical features Acute : Unilateral epistaxis Escape of fluids through nose Air escapes through opening While blowing. www.indiandentalacademy.com
  12. 12. Maxillary sinus diseases Oro Antral Fistula :- Clinical features Chronic: Sinusitis Change in voice Nasty smell & taste Mucosal polyps protrude out of opening. www.indiandentalacademy.com
  13. 13. Maxillary sinus diseases Oro Antral Fistula:- Management Buccal advancement Palatal rotation Palatal island flap Buccal pad of fat Palatal flap anterior based Tongue flap www.indiandentalacademy.com
  14. 14. Maxillary sinus diseases Oroantral fistula closure Buccal flap - Anaesthesia- local - Excision of the fistulous tract - Incision- Divergent incisions are made from extreme edges and carried upward into mucobuccal fold - Muco periosteal flap is raised Scoring of the periosteum to lengtheng the flap Mattress sutures www.indiandentalacademy.com are placed
  15. 15. www.indiandentalacademy.com
  16. 16. Maxillary sinus diseases Oroantral fistula closure Palatal flap - Anaesthesia- local - Excision of the margins of the opening - Incision - A palatal mucoperiosteal flap is raised with greater palatine artery - The flap is turned to close the defect A V shaped notch is made where flap turns maximum - Mattress sutures are placed - The exposed raw area is covered with a gauge strip till the epithelialisation takes place www.indiandentalacademy.com
  17. 17. www.indiandentalacademy.com
  18. 18. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

×