Clinical features and treatment outcomes of dental implant‐related paranasal sinusitis: A 2‐year prospective observational study

Kim, So Jeong; Park, Jee Soo; Kim, Hee Tae; Lee, Cha Hee; Park, Yun Hwi; Bae, Jung Ho

doi:10.1111/clr.12570

Cited by 45 publications

(58 citation statements)

References 21 publications

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“…Sinonasal symptoms of ODS are consistent with cardinal symptoms of acute and chronic sinusitis, although ODS symptoms are more commonly unilateral . Anterior and posterior nasal drainage are most frequently reported in ODS in 60% or more of patients . Some series have reported foul smell or taste in 50% to 84% of ODS cases, whereas other series have reported foul smell or taste in a minority of cases .…”

Section: Introductionmentioning

confidence: 79%

“…6,13,[15][16][17] Anterior and posterior nasal drainage are most frequently reported in ODS in 60% or more of patients. 6,15,16,18 Some series have reported foul smell or taste in 50% to 84% of ODS cases, 6,18 whereas other series have reported foul smell or taste in a minority of cases. 15,16 Dental symptoms are usually minimal to absent in ODS, 6,15,19 although Pokorny and Tataryn reported a 40% incidence of maxillary tooth pain in their series of predominantly endodontic-related ODS.…”

Section: Introductionmentioning

confidence: 99%

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Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

et al. 2019

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Objectives Odontogenic sinusitis (ODS) is more common than historically reported, and management recommendations are limited in the literature. Although ODS case series have shown successful outcomes with dental treatment and endoscopic sinus surgery (ESS), no studies have considered the optimal timing of these treatments. The purpose of this study was to analyze times to ODS resolution after primary dental treatment and ESS based on symptom, 22‐item sinonasal outcome test (SNOT‐22), and endoscopic outcomes. Study Design Prospective cohort study. Methods Thirty‐seven symptomatic ODS patients who failed medical management were offered primary dental treatment or ESS. Eleven patients selected primary dental treatment, and 26 patients selected ESS. The following variables were collected prospectively at every office visit before and after dental treatment or ESS: SNOT‐22, presence or absence of cardinal sinusitis symptoms, and presence or absence of middle meatal endoscopy findings (edema, polyps, purulence). Times to resolution of these clinical variables were analyzed with t test, chi‐square test, Fisher exact test, McNemar test, and Kaplan‐Meier survival analysis. Results Patients in the dental treatment and ESS groups showed no significant differences in preoperative sinusitis disease burdens based on symptoms, SNOT‐22, endoscopy, and computed tomography. The ESS group experienced faster and more significant improvement in nearly all symptom, SNOT‐22, and endoscopic outcomes. Conclusions For symptomatic ODS, primary ESS resulted in faster resolution of SNOT‐22, sinusitis symptoms, and endoscopic findings in ODS patients compared with primary dental treatment. ESS can be considered first‐line therapy for symptomatic ODS, followed by dental treatment when necessary. Level of Evidence 2b Laryngoscope, 129:1976–1983, 2019

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Section: Introductionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

et al. 2019

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“…5,6,17 In addition, rates of surgical intervention to address iatrogenic cases of odontogenic sinusitis may be as high as 80%. 11 Damage to the Schneiderian membrane of the sinus floor can occur with dental implants or foreign bodies, and this finding has also been associated with the need for surgical intervention. 11…”

Section: Etiologymentioning

confidence: 99%

“…The ostiomeatal unit is a functional unit involved in the drainage pathway for and ventilation of the maxillary, anterior ethmoid and frontal sinuses . Processes which impact the patency of the ostiomeatal unit may have an impact on the adjacent sinuses and have a significant impact on sinonasal disease …”

Section: Introductionmentioning

confidence: 99%

Odontogenic sinusitis: A review of the current literature

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Loehrl

et al. 2018

Laryngoscope Investig Oto

143

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ObjectivesTo present current literature on the topic of odontogenic sinusitis.Data SourcePubMed literature search for odontogenic sinusitis.ResultsOdontogenic sinusitis is an inflammatory condition of the paranasal sinuses that is the result of dental pathology, most often resulting from prior dentoalveolar procedures, infections of maxillary dentition, or maxillary dental trauma. Infections are often polymicrobial with an anaerobe‐predominant microbiome requiring special considerations for antimicrobial therapy. Medical management and treatment of the underlying dental pathology remains a critical initial step in the treatment of odontogenic sinusitis, however recent literature suggests that a significant portion of patients may require endoscopic sinus surgery for successful disease resolution.ConclusionsThis review describes the essential epidemiological and etiological factors, relevant clinical findings and diagnostic modalities, microbiologic and antimicrobial considerations, as well as the medical and surgical treatment approaches commonly utilized for the management of odontogenic sinusitis.Level of EvidenceNA.

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“…Mehra and colleagues found that, due to anatomical proximity of the maxillary sinus and adjacent teeth, approximately 10% of sinusitis is caused of dental origin. 13,14 The infected tooth apex with necrotic pulp may lead to sequential inflammations. 15 Evren and colleagues classified the relationship of the maxillary molars and sinus floor into 3 types according to the vertical distance of the molar roots to sinus floor.…”

mentioning

confidence: 99%