PMC7452633_01
Dental panoramic radiograph of the patient.. A well-defined, rounded radiopacity was visualised within her right maxillary sinus.
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The patient, a 67-year-old lady, was referred to us for management of a well-defined, rounded radiopacity within her right maxillary sinus seen on her dental panoramic radiograph (Fig. 1).
Transverse view of patient's CBCT.. A well-defined radiopacity was visualised within the right maxillary sinus approximating the roots of the upper right molar.
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The scan showed a circumscribed, dense radiopacity measuring 3.1 mm x 3.6 mm at the floor of the right maxillary sinus, approximating the buccal roots of the upper right molar (Fig. 2, Fig. 3).
Sagittal view of patient's CBCT with measurements.. Radiopacity measuring 3.1 mm x 3.6 mm. A vertical reference point of 16.9 mm from the cuspal edge of the upper molar was measured with the CBCT and used as a guide for access.
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CBCT scan was reviewed and measurements taken as references for the surgical access (Fig. 4). Caldwell Luc procedure was done under local anaesthesia with no intraoperative complications.
Image of excised calculi.. Calculi after removal and sent for histopathology analysis.
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The calculi (Fig. 5) was retrieved and sent for histopathologic evaluation.