Complications after apicoectomy in maxillary premolar and molar teeth

This study was designed to enumerate the number of perforations to the maxi llary sinus while performing apicoectomy on maxillary premolar and molar te eth and to evaluate possible complications as a result of these perforation s, A total of 472 apicoectomies were performed in 440 patients; perforation s occurred in 10.4% of teeth, 23% in molars, 13% in second premolars and 2% in first premolars. No cases of acute or chronic sinusitis were recorded. It was concluded that apicoectomy, carried out using a meticulous surgical technique and proper postoperative care, should be considered as a treatmen t option before contemplating extraction.