50 years old female pt came to clinic with a complaint of pus discharge from extraction site. She told that extraction of upper rt molar was done 5 months back. Since then there is pus discharge from extraction site. She went to many doctors but she got no relief. Opg was advised. In opg there is opaque structure found in molar area, whats the diagnosis and treatment plan?

Dr. Yasmin Asma ZoharaDentist27yrs exp

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Unilateral maxillary sinus opacity is usually inflammatory in origin, fungal sinusitis and neoplastic disorder are also likely. A careful history-taking, a thorough head and neck examination including nasal endoscopy, and ct evaluation are all imperative for reaching a correct diagnosis. One has to consider the increasing likelihood of fungal sinusitis or a neoplasm. Inflammatory disease is the major cause of unilateral maxillary sinus opacity.  

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