In patients with chronic sinusitis, can the extraction of an impacted upper tooth damage the sinus cavity or trigger the disease?

The roots of impacted wisdom teeth in the upper jaw are anatomically located very close to the maxillary sinus (cheek sinus) cavities or directly under the sinus membrane. In patients with chronic sinusitis, the sinus membrane is already sensitive, inflamed, and thickened. In such cases, if the root of the impacted tooth is connected to the sinus cavity during extraction, there is a risk of a hole (oroantral fistula) forming between the mouth and the sinus after extraction. To prevent this, a thorough CT scan is performed before the procedure. If an opening occurs after extraction, the surgeon immediately closes the area with special suturing techniques or biomaterials. After the operation, strict rules such as restricting sneezing, not using a straw, and not increasing intranasal pressure are imposed on the patient to completely prevent damage to the sinus cavity.