Clinical Features and Treatments of Odontogenic Sinusitis

Abstract

PurposeThe aim of this study was to investigate how clinical features such as sex, age, etiologic factors, and presenting symptoms of odontogenic sinusitis are differentiated from other types of sinusitis. Also, this study was designed to find methods for reducing the incidence of odontogenic sinusitis.Materials and MethodsA retrospective chart analysis was completed on twenty-seven patients with odontogenic sinusitis. They were all treated at Kangbuk Samsung Hospital between February 2006 and August 2008. The study protocol and informed consent forms were approved by the institutional review boards for human beings at Kangbuk Samsung Hospital.ResultsTen patients (37.0%) had dental implant related complications and 8 (29.6%) had dental extraction related complications. Unilateral purulent nasal discharge was the most common symptom (66.7%). The therapeutic modality included transnasal endoscopic sinus surgery in 19 (70.4%) patients, and a Caldwell-Luc operation in two (7.4%) patients.ConclusionIn our study, there was no significant difference in the incidence between genders. The average age of the patients was 42.9 years. The incidence was highest in the fourth decade. There were no significant differences between the symptoms of odontogenic sinusitis and that of other types of sinusitis. However, almost all of the patients with odontogenic sinusitis had unilateral symptoms. Iatrogenic causes, which include dental implants and dental extractions, were the most common etiologic factors related to the development of odontogenic sinusitis. Therefore, a preoperative consultation between a rhinologist and a dentist prior to the dental procedure should be able to reduce the incidence of odontogenic sinusitis.

Surgical Treatment of Chronic Rhinosinusitis after Sinus lift

“…7 In a case series of 10 patients with dental implant-associated sinusitis, the onset was within 1 month in six patients (60%), 1 to 3 months in two patients (20%), 3 months to 1 year in one patient (10%), and Ͼ1 year in one patient (10%). 19 The existing literature implies that dental extraction is often necessary for treatment of medically refractory odontogenic sinus disease. 19 This concept has been extrapolated to the treatment of CRS after sinus lift procedures.…”

Rinosinusitis maxilar crónica de origen dental

“…Otras series tampoco han encontrado diferencias en la presentación clinica. Lee 12 estudió 27 pacientes con diagnóstico de RSMD, siendo el síntoma más habitual la rinorrea purulenta unilateral (66,7%) seguido por el dolor facial (33,3%). No encontraron diferencias significativas entre los síntomas de RSMD en comparación con otros tipos de rinosinusitis.…”

“…Especial consideración se debe tener en relación a las complicaciones de los implantes dentales. Su incidencia a pesar de ser aún baja, se encuentra gradualmente en aumento 12 . Lo observado con mayor frecuencia es la infección local de tejido alrededor del implante dental asociado o no a resorción ósea.…”

Chronic odontogenic paranasal sinusitis in the material provided by the Otorhinolaryngology Unit of the 4th Military Teaching Hospital in Wroclaw

“…The available literature lists complications after the insertion of dental implants as the most common cause of odontogenic maxillary sinusitis (OMS). 8 However, the sample group did not include any patients who underwent the aforesaid procedure. It is also quite difficult to assess the actual percentage of the oroantral communications, since patients suffering from this condition are usually directly sent to a maxillofacial surgery unit and not to the otorhinolaryngological departments.…”

“…The most common iatrogenic infections include post-implantation sinusitis. 8 The remaining ones are related to the mechanical damage inflicted to the mucous membrane of the maxillary sinus, occurring as a post-effect of the root canal treatment, dental material being forced into sinuses or improper augmentation of the sinus.…”