CBCT Diagnosis: Case #6

Patient had pain in the entire right side to pressure, cold and to postural changes. The 2 dimensional x-ray shows a radiolucent finding at the apex of #3. But the CBCT shows the lesion clearly and how it is draining into her maxillary sinus. This is called MSDO (Maxillary Sinusitis of Dental Origin). Endodontics, Antibiotics and a decongestant help this resolve quickly. Many cases are miss categorized as maxillary sinusitis and treated for years with multiple courses of antibiotics and surgery prior to a dental evaluation.