Endo-antral Syndrome and various endodontic complications

Selden, Howard S.

doi:10.1016/s0099-2399(06)81178-7

Cited by 38 publications

(28 citation statements)

References 6 publications

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“…The American Academy of Endodontics published a 2018 position statement on maxillary sinusitis of endodontic origin, suggesting that dental treatment should be performed first, followed by ESS only if needed . To support this position, the authors cited case reports or series showing full resolution of maxillary ODS following endodontic treatment . They also referenced Tomomatsu et al for their assessment of 39 maxillary ODS patients who underwent primary endodontic therapy or extraction plus 3 months of oral antibiotics.…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

et al. 2019

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“…Selden called the spread of pulpal disease into the maxillary sinus endo‐antral syndrome, which is characterized by:…”

Section: Pathogenesis Of Odontogenic Sinusitismentioning

confidence: 99%

Pathophysiology of sinusitis of odontogenic origin

Taschieri

Torretta

Corbella

et al. 2015

J of Invest & Clin Dent

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Sinusitis of odontogenic origin, which is frequently encountered in routine otolaryngological and dental clinical practice, has been described as a reactive maxillary inflammation secondary to maxillary tooth infection or trauma to an odontogenic disease of maxillary bone, dental extractions, implant placement, or endodontic treatment impairing the integrity of the Schneiderian membrane. The aim of the present review was to investigate and discuss the most recent pathophysiological findings, predisposing odontogenic factors, microbiology, and the possible involvement of bacterial biofilms (BB) in the development of sinusitis. The narrative literature review showed that there might be a correlation between the bacteria present in pathological teeth in communication with the sinus and those found in infected sinus. The formation of a BB might be also involved in the etiopathogenesis of sinusitis of odontogenic origin. In conclusion, the true origin of odontogenic sinusitis is still unresolved. In clinical terms, the choice of suitable therapy depends on the characteristics of the biofilm. Further microbiological studies are required to better investigate the role of BB.

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“…The literature mentions many cases of extension of periapical infection to the maxillary sinus. [1][2][3][4] Stafne estimated that 15-75% of the sinusitis cases occur through a dental cause although the actual cause is difficult to determine accurately. [5] Sinusitis can be divided into acute, subacute and chronic types.…”

Section: Introductionmentioning

confidence: 99%

Management of maxillary sinusitis of endodontic origin: A case report

Alghamdi¹

2015

IJMDCR

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Endodontic implications of the maxillary sinus comprise extension of periapical lesion into the sinus. Though the actual cause of sinusitis is difficult to determine accurately, majority of the cases occur through a dental cause. The purpose of this paper was to present the management of maxillary sinusitis of endodontic origin. A 48-year-old generally healthy male patient reported to the dental clinic for the implant placement in the area of missing #26. During the procedure, the dental surgeon noticed a thick granulation tissue in the deep area with a painful sensation. Further, endodontic consultation revealed the tooth #25 was endodontically treated 9 years ago, and cone beam computed tomography showed periapical lesion perforated the maxillary sinus. Extraction and enucleation were done and the biopsy sent to the histopathological laboratory revealed periapical granuloma. After 2 months, patient was asymptomatic and ENT examination showed the floor of maxillary sinus with reduced hyperplasia. Symptoms of maxillary sinusitis can induce pain of dental origin, and a cautious differential diagnosis is essential when dealing with pain in the maxillary posterior region.

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Endo-antral Syndrome and various endodontic complications

Cited by 38 publications

References 6 publications

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

Pathophysiology of sinusitis of odontogenic origin

Management of maxillary sinusitis of endodontic origin: A case report

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