Background: Removal of dental implants from the maxillary sinus may require surgical treatment of comorbidities.
Method: Canine fossa endoscopy with an additional laterobasal access originally has been used for flapless sinus floor augmentation. The combined technique is presented to remove a titanium screw from the maxillary sinus. The same portals served for dissection of a mucocele using a diode laser.
Conclusions: The combination of canine fossa endoscopy and laterobasal access allows an appropriate instrumentation and triangulation of the scope for the endoscopically assisted implant removal and dissection of the mucocele.