Conduta clínica após diagnóstico de comunicação buco-sinusal crônica: revisão da literatura associada a relato de caso clínico

Abstract

Buccosinusal communications represent a relatively common complication in dental practice, especially in surgical procedures involving posterior maxillary teeth, due to the close anatomical relationship between dental roots and the floor of the maxillary sinus. When not properly identified and treated, these communications may progress to persistent oroantral communications, resulting in chronic sinus infections, patient discomfort, and the need for more complex surgical interventions. The present study aims to report the clinical management adopted in a case in which the dental surgeon, during preoperative radiographic evaluation, identified the close proximity between the apex of the tooth and the sinus cavity. The report highlights the importance of careful surgical planning, the use of appropriate imaging exams, such as periapical radiographs and computed tomography scans, and the careful selection of the safest surgical technique for each clinical situation. In addition, postoperative management and patient follow-up are discussed, emphasizing the relevance of a thorough, evidence-based approach. The results demonstrate that early diagnosis and appropriate clinical conduct are decisive for therapeutic success and for maintaining sinus health. Therefore, this study contributes to the improvement of clinical practice by assisting dental surgeons in making safe and effective decisions when faced with situations that pose a risk of buccosinusal communication, reinforcing the importance of prevention, proper surgical management, and adequate clinical follow-up.