A Case report showing the removal of a dentigerous cyst associated with an ectopic wisdom tooth in the maxillary sinus combining endoscopic and intraoral approach is presented.A woman aged 30 sought care at San Raffaele Hospital's Dentistry Department in Milan, Italy.She presented with a one-year history of nasal congestion, frequent runny nose, and sinusitis.Rigid nasal endoscopy revealed a sizable, irritated mass extending into the right maxillary sinus.A subsequent computed tomography scan confirmed the presence of a substantial soft-tissue density housing a tooth within the right maxillary sinus.Under general anesthesia, by means of endoscopic and intraoral approach it was possible to remove the dentigerous cyst associated to the ectopic wisdom tooth.The postoperative course was uneventful.This case report suggests that in case of dentigerous cyst associated to wisdom teeth into the maxillary sinus cavity, combined trans-nasal endoscopy and intraoral approach may represent a valid alternative to more demolishing traditional surgeries.
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