The symptoms of sinusitis are headache, usually near the involved sinus, and foulsmelling nasal or pharyngeal discharge, possibly with some systemic signs of infection such as fever and weakness. Clinical features and treatments of odontogenic sinusitis. Usually this kind of treatment is in the competence of the maxillofacial surgeon, dentisttherapeutist, dentistparodontologist. Chapter 20 odontogenic diseases of the maxillary sinus. A computerized tomography ct scan showed opacification of the right ethmoid and maxillary sinuses and periapical radiolucency in the first and second right maxillary molars figure 1. Maxillary sinus disease of odontogenic origin pdf free download.
Outcomes after endoscopic sinus surgery for unilateral versus bilateral chronic rhinosinusitis with nasal polyposis. It occurs when the schneiderian membrane is violated by conditions arising from dentoalveolar unit. Several theories propose that they serve to lighten the skull, protect the brain during head trauma and add resonance to the voice. Maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. The main objectives of this study were to estimate the frequency of chronic maxillary sinusitis of dental origin, and to evaluate the microbiology of odontogenic and nonodontogenic chronic maxillary sinusitis.
Odontogenic maxillary sinus pathology sciencedirect. Odontogenic sinusitis is diagnosed on ct when there is mucosal thickening in a sinus adjacent to an inflamed tooth, whether there is a dental carie, or in this case, a periapical lucency suggestive of a periapical abscess. The dental infection will cause a periapical abscess pus collection around the root of the tooth which is commonly located in the cheek sinus. The origin of sinusitis is considered to be primarily rhinogenous. Associated sinusitis of the left ethmoidal sinus is also noted. The unnecessary and useless remedy of viral sinusitis with antibiotics is commonplace. Nov 01, 2010 the origin of sinusitis is considered to be primarily rhinogenous. Failure to address dental pathology causing sinusitis can lead to failure of medical and surgical treatments. Epidemiology odontogenic sinusitis accounts for 570% of cases of chronic maxillary sinusitis.
Pdf background maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms. Rizwan elahi chohan medical officer ent department 2. To report the underlying cause and occurrence of odontogenic disease among patients requiring treatment for chro nic maxillary sinusitis in a. This type of sinusitis differs in its pathophysiology, microbiology. Tooth caries and periapical abscess may lead to maxillary sinusitis through direct extension of infection through maxillary alveolus. Odontogenic maxillary sinusitis can be difficult to diagnose, and consideration of imaging performed under various conditions is recommended. May 16, 2008 odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. The roots of the molars and sometimes also the premolars in the upper jaw are usually situated in close relation to or in direct contact with the maxillary sinus. Odontogenic infection involvement is implicated in sinusitis. Odontogenic sinusitis, rhinosinusitis of dental etiology, dental infection, periapical abscess, maxillary sinusitis.
Maxillary sinusitis of endodontic origin a call to. An odontogenic source should be considered in patients with symptoms of maxillary sinusitis who give a history positive for odontogenic infection or dentoalveolar surgery or who are resistant to standard sinusitis therapy. The next most common form of odontogenic infection is the periodontal abscess. Airfluid level or air bubble within the fluid suggests an acute episode. Odontogenic sinusitis among patients surgically treated for maxillary sinus disease abstract objective. Chronic odontogenic maxillary sinusitis paulius ugincius, ricardas kubilius, albinas gervickas, saulius vaitkus summary the aim of the present study was to estimate average age of the patients in both sexes treated for ms, distribution by sex, amount of dexter and sinister ms with and without the fistulas into the maxillary sinus. It is treated with tooth extraction and antibiotics.
Otolaryngologists perceptions of odontogenic maxillary. Conebeam computed tomography evaluation of maxillary. However, the change to oms can be prevented with early detection of periapical disease of the upper teeth and. Pokorny a, tataryn r 20 clinical and radiologic findings in a case series of maxillary sinusitis of dental origin. Introduction odontogenic maxillary sinusitis oms is a common type of sinusitis. Endodontic infections that develop in the maxillary posterior teeth can easily spread into the maxillary sinuses causing pathological effects that frequently go unrecognized by both patients and clinicians alike.
Furthermore, the microbial flora of purulent odontogenic maxillary sinusitis was analyzed in order to present a proper antibiotic treatment in addition to a surgical approach. Mar 08, 2015 odontogenic sinusitis second name sinusitis is an inflammation of the mucosa of the maxillary sinus, which arises as a result of the focus of infection in the mouth. Etiology of odontogenic maxillary sinusitis the extrusion of endodontic obturation materials into the maxillary sinus represented the 22,27%, the amalgam remains after apicoectomies the 5,33%, the maxillary sinus lift. Shahbazian m, jacobs r 2012 diagnostic value of 2d and 3d imaging in odontogenic maxillary sinusitis. Chronic odontogenic maxillary sinusitis stomatologija baltic. It occurs when the schneiderian membrane is violated by conditions arising. Frequency of the odontogenic maxillary sinusitis extended to the. In order to determine the most appropriate treatment for sinusitis, whether such treatment will be surgery, dental treatment, conservative therapy, or other treatments, collaboration. Odontogenic sinusitis is most common among 4060 year olds with a slight female predominance. It should be noted that oaf mostly led to odontogenic sinusitis, especially chronic cases, although the sinusitis may be silent at first, without any signs or symptoms 21, 22. Pdf clinical aspects of odontogenic maxillary sinusitis.
Odontogenic maxillary sinusitis originating from both an impacted third molar and a root infection of an external resorbed first molar in the right maxillary sinus. Odontogenic sinusitis accounts for approximately 10% to 12% of maxillary sinusitis cases 1. Mar 29, 2019 maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. Sinusitis of odontogenic origin has traditionally been considered to account for approximately 10% of sinusitis cases 7. If poorly treated, maxillary sinusitis can extend locally or regionally, among the first affected structures being the other paranasal sinuses.
John craig, henry ford rhinologyskull base 558 views. Reviews scientific articles stomatologija, baltic dental. If a periapical dental infection or dentaloral surgery procedure violates the schneiderian membrane integrity, infection will likely spread. Maxillary sinus disease of odontogenic origin pdf free. Odontogenic dental sinusitis nevada ear, nose, throat. Sinusitis is characterized as acute when the duration of symptoms is shorter than 4 weeks, subacute when the duration is from 4 weeks to 12 weeks, and chronic when the duration is more than 12 weeks. It is therefore possible that odontogenic diseases, dental treatment and the position of a dental implant affect the maxillary sinus.
Etiologies and treatments of odontogenic maxillary. Odontogenic maxillary sinusitis need for multidisciplinary. Definition and management of odontogenic maxillary sinusitis ncbi. Aspirates of 20 acutely and 28 chronically infected maxil. Etiology of odontogenic maxillary sinusitis the extrusion of endodontic obturation materials into the maxillary sinus represented the 22,27%, the amalgam remains after apicoectomies the 5,33%, the maxillary sinus lift preimplantology surgery the 4,17%, and. Three clinical cases of unilateral odontogenic sinusitis are presented. To report the underlying cause and occurrence of odontogenic disease among patients requiring treatment for chro nic maxillary sinusitis in a university hospital setting in denmark. Maxillary sinusitis is inflammation of the maxillary sinuses.
Maxillary sinusitis of odontogenic origin springerlink. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Periapical abscess of the 1st upper left molar tooth with associated complete obliteration of the left maxillary sinus with high density fluid showing two air bubbles inside and obliterating the left osteomeatal complex. Mucosal thickening of both ethmoid complexes and the left side of the frontal sinus, impressive of sinusitis. Reviews scientific articles stomatologija, baltic dental and. Pdf maxillary sinusitis of odontogenic origin is a wellknown condition in both the dental and otolaryngology communities. T 2 paranasal sinuses they are paired, air filled chambers in the skull. Odontogenic sinusitis describes inflammation of the maxillary sinus secondary to dental pathology or dental procedures. Although uncommon, direct spread of dental infections into the maxillary sinus is possible due to the close relationship of the maxillary posterior teeth to the maxillary sinus. Management of odontogenic maxillary sinusitis includes treatment of both the dental cause and the sinusitis, which often includes functional endoscopic sinus surgery or an open procedure as well as antibiotic therapy. Unusual case of odontogenic maxillary sinusitis bmj case.
Three months after oral surgery, the extraction sites were completely healed, and the right maxillary sinus appeared free of disease endoscopically figure 3. Maxillary odontogenic sinusitis, complicated with cerebral. Identification of odontogenic infections as a cause of maxillary sinusitis is difficult if evaluation is performed by intraoral radiograph and dental evaluation, whereas cbct provides more detailed picture of the association of maxillary posterior teeth. Definition and management of odontogenic maxillary sinusitis. The maxillary molars were considered the source of the persistent sinus infection, and the patient was referred to oral surgery for extraction. Maxillary sinusitis of odontogenic origin is a wellknown condition in both the dental and otolaryngology communities.
Start studying chapter 20 odontogenic diseases of the maxillary sinus. Oaf was the most common cause of odontogenic maxillary sinusitis among all dental etiologies 12, 2022 all oafs led to chronic sinusitis, while other dental etiologies caused acute sinusitis. Treatment of maxillary sinusitis of odontogenic origin. Only three of the 85 sinusitis guidelines studied recommended a dental examination, and none mentioned referral to endodontic specialists. Clinical manifestations and symptoms of maxillary sinusitis. Histopathology of the maxillary sinus mucosa with intractable odontogenic maxillary sinusitis oms was investigated and the role endoscopic sinus surgery ess plays in its pathophysiology was. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin itzhak brook, md, msc objectives. Conebeam computed tomography evaluation of maxillary sinusitis. Stomatologija, baltic dental and maxillofacial journal, 2014, vol. Odontogenic sinusitis among patients surgically treated. Failure to diagnose and properly manage these endodontic infections can lead to symptomatic sinus disease, defined as maxillary sinusitis of endodontic origin mseo. Treatment of chronic odontogenic sinusitis is exclusively surgical, its tactics are determined by the nature of the inflammatory odontogenic process and the degree of involvement of the maxillary sinus in this process. Otolaryngologists perceptions of odontogenic maxillary sinusitis. Odontogenic sinusitis comprises 510% of chronic sinusitis.
Introduction odontogenic maxillary sinusitis is a very common disease encountered by otorhinolaryngologists accounting for about 10 to12 % of maxillary sinusitis1. Bacteriological findings and antimicrobial resistance in odontogenic and non odontogenic chronic maxillary sinusitis salvatore puglisi 1, salvatore privitera 1, luigi maiolino 2, agostino serra 2, matteo garotta 3, giovanna blandino 1, annamaria speciale 1. Case discussion odontogenic sinusitis is the inflammation of the sinus adjacent to odontogenic infection. Sinusitis of odontogenic supply money owed for about one tenth of instances of all maxillary sinusitis. Original contribution odontogenic sinusitis among patients surgically treated for maxillary sinus disease abstract objective. The study was performed to investigate the different origins of the odontogenic maxillary sinusitis ranging from periodontitis to augmentative implant surgery. Odontogenic sinusitis second name sinusitis is an inflammation of the mucosa of the maxillary sinus, which arises as a result of the focus of infection in the mouth. Bacteriological findings and antimicrobial resistance in. Rhinosinusitis, odontogenic maxillary sinusitis oms, functional endoscopic sinus surgery fess, modified endoscopyassisted. To study the microbiology of sinusitis associated with odontogenic origin. Aspirates from 59 patients with chronic maxillary sinusitis 47 nonodontogenic, 12 odontogenic, collected during a 3year period, were microbiologically processed for aerobic and. Scientific articles stomatologija, baltic dental and maxillofacial journal, 8. Odontogenic maxillary sinusitis oms is a common cause of chronic rhinosinusitis crs. The presenting symptoms, diagnostic procedures, treatment and followup of patients are.
Rhinosinusitis, odontogenic maxillary sinusitis oms, functional endoscopic sinus surgery fess, modified endoscopyassisted maxillary sinus. Introduction odontogenic maxillary sinusitis is a very common disease encountered by otorhinolaryngologists accounting for about 10 to12 % of maxillary sinusitis 1. Infections associated with teeth may be responsible for approximately 20% of cases of maxillary sinusitis. Furthermore, negative dental evaluations do not definitively rule out a dental cause of sinusitis, particularly in the patient with recalcitrant chronic rhinosinusitis.
Treatment approaches for odontogenic cysts of the maxillary sinus, a textbook of advanced oral and maxillofacial surgery volume 2, mohammad hosein kalantar motamedi, intechopen, doi. Pdf definition and management of odontogenic maxillary sinusitis. The skin over the involved sinus can be tender, hot, and even reddened due to the inflammatory process in the area. Sinusitis is characterized as acute when the duration of symptoms is shorter than 4 weeks, subacute when the duration is from 4 weeks to 12 weeks, and chronic when the duration is. Odontogenic sinusitis among patients surgically treated for maxillary. Odontogenic sinusitis is a persistent infection of the sinuses that arises from a diseased upper tooth root usually a molar. Sinusitis is inflammation of the paranasal air sinuses.
Odontogenic sinusitis is a wellrecognized condition and accounts for approximately 10% to 12% of cases of maxillary sinusitis. The relationship between odontogenic infections and maxillary sinusitis is well established 1,2. Cone beam ct can also be used to evaluate maxillary sinus disease when suspecting an odontogenic cause. The incidence of odontogenic maxillary sinusitis oms is unknown. This type of sinusitis differs in its pathophysiology, microbiology, diagnostics and management from sinusitis of other causes. The purpose of this article is to present an oms patient series. Odontogenic sinusitis among patients surgically treated for. Metaanalisis of the etiology of odontogenic maxillary sinusitis. Odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. Mar 25, 2018 odontogenic sinusitis is most common among 4060 year olds with a slight female predominance. Metaanalisis of the etiology of odontogenic maxillary.
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