Endodontics · single question

Which tooth carries the greatest risk of extruding endodontic sealer into the maxillary sinus?

  1. Mandibular second molar
  2. Maxillary second molar
  3. Maxillary canine
  4. Mandibular first premolar
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Correct answer: B. Maxillary second molar

  • A. Mandibular teeth have no anatomic relationship to the maxillary sinus.
  • B. Correct. The palatal and buccal roots of maxillary molars — especially the second molar — lie closest to (and sometimes project into) the sinus floor, with the thinnest or absent intervening cortical bone.
  • C. The maxillary canine relates to the nasal cavity/canine fossa, not the sinus floor.
  • D. Mandibular premolars relate to the mental foramen, not the sinus.

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