Removal of dental surgical bur from maxillary sinus: a case report


  • Yeon Jung Kim University of Santo Amaro
  • Ana Maria Barg da Silva University of Santo Amaro
  • Mirko Dennys Ayala Perez University of Santo Amaro
  • Heloisa F. Marão University of Santo Amaro
  • Debora Pallos University of Santo Amaro



Foreign bodies. Molar, third. Maxillary sinus.


The most commonly performed surgical procedure in Oral and Maxillofacial Surgery practices are the removal of impacted third molars. Extensive training, skill and experience allow this procedure to be performed in an atraumatic approach. The aim of this study was to drawing attention to the importance of the correct management of the complications cases of foreign body inside maxillary sinus after surgical removal of maxillary third molars. This is an unusual clinical case of a dental surgical bur accidentally displacement into the maxillary sinus during an upper third molar extraction surgery. After removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical examination to achieve a correct diagnosis and an appropriate treatment plan, which is essential for a favorable prognosis.


Download data is not yet available.


Metrics Loading ...

Author Biographies

Yeon Jung Kim, University of Santo Amaro

Department of Implantology

Ana Maria Barg da Silva, University of Santo Amaro

Department of Implantology

Mirko Dennys Ayala Perez, University of Santo Amaro

Department of Implantology

Heloisa F. Marão, University of Santo Amaro

Department of Implantology

Debora Pallos, University of Santo Amaro

Department of Implantology


Coulthard P, Bailey E, Esposito M, Furness S, Renton TF, Worthington HV. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database Syst Rev. 2014;(7):CD004345. doi: 10.1002/14651858.

Gómez-Oliveira G, Arribas-García I, Alvarez-Flores M, Gregoire-Ferriol J, Martínez-Gimeno C. Delayed removal of a maxillary third molar from the infratemporal fossa. Med Oral Patol Oral Cir Bucal. 2010;15(3):e509-11.

Nogami S, Yamauchi K, Tanuma Y, Odashima K, Matsui A, Tanaka K, et al. Removal of dental implant displaced into maxillary sinus by combination of endoscopically assisted and bone repositioning techniques: a case report. J Med Case Rep. 2016; doi: 10.1186/s13256-015-0787-1.

Zirk M, Dreiseidler T, Pohl M, Rothamel D, Buller J, Peters F, et al. Odontogenic sinusitis maxillaris: A retrospective study of 121 cases with surgical intervention. J Craniomaxillofac Surg. 2017;45(4):520-5.

Pingarrón Martín L, Morán Soto MJ, Sánchez Burgos R, Burgueño García M. Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature. Oral Maxillofac Surg. 2010;14 (1):43-7.

Guo Y, Xu DD, Lv K, Wan QL, Li ZB, Li Z. Use of Computer-Assisted Navigation in the Retrieval of Accidentally Displaced Third Molars. J Oral Maxillofac Surg. 2016;74(5):889-94.

Smith JL 2nd, Emko P. Management of a maxillary sinus foreign body (dental bur). Ear Nose Throat J. 2007;86(11):677-8.

Sencimen M, Gülses A, Secer S, Zerener T, Özarslantürk S. Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature. Oral Maxillofac Surg. 2017;21(1):1-6.

Deniz Y, Zengin AZ, Karli R. An unusual foreign body in the maxillary sinus: Dental impression material. Niger J Clin Pract. 2016;19(2):298-300.

Felisati G, Lozza P, Chiapasco M, Borloni R. Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant. Clin Oral Implants Res. 2007;18(6):776-80.

Kim E, Duncavage J. Caldwell-Luc procedure. Operative Techniques. Oper Techn Otolaryngol. 2010 Sep;21(3):163-5.

Huang IY, Chen CM, Chuang FH. Caldwell-Luc procedure for retrieval of displaced root in the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(6):e59-63.

Costa F, Emanuelli E, Robiony M, Zerman N, Polini F, Politi M. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg. 2007;65(2):223-8.

Chandrasena F, Singh A, Visavadia BG. Removal of a root from the maxillary sinus using functional endoscopic sinus surgery. Br J Oral Maxillofac Surg. 2010;48(7):558-9.

Kumar A, Srivastava RK, Saxena A, Khanna R, Ali I. Removal of Infected Maxillary Third Molar from the Infra-temporal Fossa by Caldwell Luc Procedure - Rare Case Report with Literature Review. J Clin Diagn Res. 2016;10(12):ZD01-3.




How to Cite

Kim YJ, Silva AMB da, Perez MDA, Marão HF, Pallos D. Removal of dental surgical bur from maxillary sinus: a case report. Braz. J. Oral Sci. [Internet]. 2018 Oct. 30 [cited 2022 Aug. 10];17:e18224. Available from:

Most read articles by the same author(s)