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

  • Yeon Jung Kim
  • Ana Maria Barg da Silva
  • Mirko Dennys Ayala Perez
  • Heloisa F. Marão
  • Debora Pallos
  • Ana Carla Raphaelli Nahás-Scocate


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.


1. 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.
2. 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.
3. 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.
4. 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.
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.
6. 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.
7. Smith JL 2nd, Emko P. Management of a maxillary sinus foreign body (dental bur). Ear Nose Throat J. 2007;86(11):677-8.
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.
9. 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.
10. 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.
11. Kim E, Duncavage J. Caldwell-Luc procedure. Operative Techniques. Oper Techn Otolaryngol. 2010 Sep;21(3):163-5.
12. 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.
13. 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.
14. 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.
15. 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, Yeon Jung et al. Removal of dental surgical bur from maxillary sinus: a case report. Brazilian Journal of Oral Sciences, [S.l.], p. e18224, dec. 2018. ISSN 1677-3225. Available at: <>. Date accessed: 16 july 2019. doi:
Original Research

Most read articles by the same author(s)