Maxillary Sinusitis due to Dental Infection: A Case Series Study Odontogenic maxillary sinusitis
Journal of "Regeneration, Reconstruction & Restoration" (Triple R),
Vol. 6 (2021),
13 Esfand 2021
,
Page e3
https://doi.org/10.22037/rrr.v6i.33163
Abstract
Introduction: Odontogenic infection is one of the most common causes of maxillary sinusitis which can lead to severe complications like cerebral abscess and orbital cellulitis. This study aims to evaluate the frequency of acute and chronic maxillary sinusitis by odontogenic source in 120 patients.
Materials and Methods: One hundred and twenty patients (240 sinuses) were examined by clinical examinations and their sinuses were assessed for the extent of fluid or mucosal thickening in computed tomography (CT) images and water's views. A dental examination has been performed to detect dental involvement and priapical radiography has been obtained to confirm the findings. Combination treatments were performed on five patients with refractory odontogenic sinusitis. Chi-square analysis has been used to identify the correlation between the prevalence of odontogenic sinusitis, age, and gender.
Results: Sinus involvement caused by dental origin has been found in 11.2% of the cases. Periapical involvement of maxillary first molar has been the most common cause of sinusitis with dental source (68%). The incidence of chronic apical periodontitis has been significantly higher than the other periapical infections (75% versus 25%). The signs and symptoms of sinusitis in all five cases were eliminated after the combination treatment after four months.
Conclusions: Odontogenic sources especially chronic apical periodontitis may lead to inflammation of the maxillary sinus membrane which usually is ignored because of its silent progression.
- Maxillary Sinusitis
- Odontogenic Infection
- Chronic Apical Periodotitis
How to Cite
References
2. Mehra P, Caiazzo A, Bestgen S. Odontogenic sinusitis causing orbital cellulitis. J Am Dent Assoc 1999; 130 (7): 1086-1092.
3. Maloney PL, Doku HC. Maxillary sinusitis of odontogenic origin. J Can Dent Assoc 1968; 34: 591-603.
4. Abrahams JJ, Glassberg RM. Dental disease: a frequently unrecognized cause of maxillary sinus abnormalities. AJR Am J Roentgenol. 1996; 166 (5): 1219-23.
5. Lopatin A,Sysolytin S,Sysolytin P,Melnikov M:Chronic maxillary sinusitis of dental origion:Is external surgical approach mandatory. Laryngoscope 2002; 112: 1056-1059.
6. Nair UP, Nair MK. Maxillary sinusitis of odontogenic origin: cone-beam volumetric computerized tomography–aided diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: e53-e57.
7. Mehra P, Jeong D. Maxillary sinusitis of odontogenic origin. Curr Allergy Athm Reports 2009; 9:238-243.
8. Bomeli SR, Branstetter BF 4th, Ferguson BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope 2009; 119 (3): 580-4.
9. Mathew AL, Pai KM, Sholapurkar AA. Maxillary sinus findings in the elderly: a panoramic radiographic study. J Contemp Dent Pract 2009; 10 (6): E041-8.
10. Lewis ME, Roberts CA, Manchester K. Comparative study of the prevalence of maxillary sinusitis in later Medieval urban and rural populations in northern England. Am J Phys Anthropol 1995; 98 (4): 497-506.
11. GutteridgeDL. The use of radiographic techniques in the diagnosis and management of periodontal diseases. Dentomaxillofac Radiol 1995; 24: 107-13.
12. Brook I, friedman EM. Intracranial complications of sinusitis in children: a sequel of periapical abscess. Ann Otol Rhinol Laryngol 1982; 91: 41-43.
13. Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J 1991; 70 (8): 488-90.
14. Nash D, Wald E. Sinusitis. Pediatr rev 2001; 22: 111-117.
15. Nord CE. The role of the anaerobic bacteria in recurrent episodes of sinusitis and tonsillitis. Clin Infect Dis 1995; 20: 1512-1524.
16. Mattucci KF, Levin WJ, Habib MA. Acute bacterial sinusitis. Minocycline vs amoxicillin. Arch Otolaryngol Head Neck Surg 1986; 112 (1): 73-6.
17. Khudaĭbergenov GG, Gun'ko VI. Experience in diagnostics and treatment of patients with odontogenous maxillary sinusitis. Stomatologiia (Mosk) 2011; 90 (3): 59-61.
18. Eberhardt JA, Torabinejad M, Christiansen EL. A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surg Oral Med Oral Pathol. 1992; 73 (3): 345-6.
19. Oberli K, Bornstein MM, von Arx T. Periapical surgery and the maxillary sinus: radiographic parameters for clinical outcome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103 (6): 848-53.
20. Paparella MM. Otolaryngology: Plastic and reconstructive surgery and interrelated disciplines. W B Saunders Co, New York; 1991, 3rd ed: 2937-3117.
21. Ogunleye AO, Nwargu OG, Lasisi AO, Ijaduola GT. Trends of sinusitis in Ibadan, Nigeria. West Afr J Med 1999; 18 (4): 298-302.
22. Costa F, Emanuelli E, Robiony M, Zerman N, Polini F, Politi M. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg. 2007; 65(2): 223-8.
23. Huang IY, Chen CM, Chuang FH. Caldwell-Luc procedure for retrieval of displaced root in the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112(6): e59-63.
24. Gina D.Roque-Torres-Laura Ricardina Ramirez-Sotelo. Association between maxillary sinus pathologies and healthy teeth. Brazilian j. of otorhinolaryngology.2016;82(1):33-38
25. Soung Min Kim. Definition and management of odontogenic maxillary sinusitis. Maxillofacial Plastic and Reconstruction Surgery. vol.41,article number:13(29March2019) Available At:
http://www.cdc.gov/ncidod/EID/eid.htm
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