Sinus in relation to maxillary upper left first molar

Patient complaint of pain and tenderness since few days .On examination found an acess opening done left maxillary first molar.BMP done with subsequent files till 30 and irrigation with sodium hypochlorite, Normal saline and diluted hydrogen peroxide and EDTA .Then calcium hydroxide dressing given for two weeks Now patient complaining of pain and tenderness . Now wat to do further


Dear Madam There is insufficient history and clinic picture to answer the question definitely. Sinus related dx shouldn't be made in absence of opg. Please explore possibility of non negotiated canal or perforation.
Thank you doctor
Picture not clear
Valuable opinion

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