Management of sinusitis

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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A 51-year-old female patient was referred to the clinic.
Severe sinusitis has occurred from #27.


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From the CT scan, the sinus was filled with fluid, and pus with foul odor came out of the patient’s nose.

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Intra-oral photograph.

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5mm small vertical incision was made on the buccal side of the #26.

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A small hole was made into the sinus above the implant apex with a round bur.

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A 20 gauge needle was connected to a 10cc syringe, and the needle was inserted into the sinus cavity for aspiration.

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Approximately 8cc of pus was extracted.

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Saline was inserted into the sinus, and the process was repeated 3-4 times, until clean water was extracted.

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1g of cephalosporin was diluted with 1.5cc of saline.

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The antibiotic was injected into the sinus directly.
This procedure was repeated every day for 3-4 days until the sinus became clean.


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Click on the image to see clinical video.

By crestally injecting the 10cc syringe for aspiration, a great amount of pus was aspirated. Saline was injected, aspirated, and injected again. This process was repeated until clean water was extracted.

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