Simple and routine procedure in a majority of cases a tooth extraction occasionally requires an approach and the use of differentiated solutions. The anticipation of possible problems and complications that may arise resulting from the extraction favour proper planning and good surgical results. We report a young female who had her first molar extracted without taking into account the presence of a periapical cyst partially eroding the floor of the maxillary sinus molar, as well as the likely oroantral comm
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