ENT and dentist cooperation in the management of odontogenic sinusitis. A review

Saibene, Alberto Maria; Pipolo, Carlotta; Borloni, Roberto; Felisati, Giovanni

doi:10.14639/0392-100x-suppl.1-41-2021-12

Cited by 19 publications

(19 citation statements)

References 37 publications

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“…4,5,[15][16][17] However, the lack of standardized diagnostic criteria and classification of ODS etiology in the past publications limits direct comparison of our study results with previous literatures or IR-ODS and ODS caused by other etiologies. 18,19 The authors have accepted the most recent, in-consensus diagnostic criterion for ODS and IR-ODS, supporting the validity and reproducibility of our study results.…”

Section: Discussionsupporting

confidence: 82%

Features of Odontogenic Sinusitis Associated With Dental Implants

Park

Ahn

et al. 2022

The Laryngoscope

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Objectives With the increase in dental implants for tooth loss, odontogenic sinusitis following maxillary dental implants is frequently encountered in otorhinolaryngology practice. The authors aimed to reveal the association between implant extrusion into maxillary sinus, along with implant‐related complications in patients diagnosed with implant‐related odontogenic sinusitis (IR‐ODS). Study Design Case–control study. Methods This study enrolled 60 patients who received functional endoscopic sinus surgery due to IR‐ODS. The preoperative sinus computed tomography was retrospectively reviewed. Among the 120 maxillary sinuses of the 60 patients, 68 sides were diagnosed with IR‐ODS sides, whereas 27 sides showed no clinical or radiological evidence of this condition after the implant insertion and were defined as the control sides. Statistical analysis between these two groups was conducted, in addition to odds ratio (OR) calculations for associations with IR‐ODS. Results The mean age of the IR‐ODS subjects was 59.5 ± 19.1, with a male to female ratio of 32/28 (53.3%/46.7%). Implants extruding by more than 4 mm into the maxillary sinus, peri‐implantitis, bone graft disruption–extrusion were associated with a significantly higher incidence in the IR‐ODS (p = 0.035, p = 0.003, p = 0.011, respectively). The IR‐ODS sides showed an adjusted‐OR (95% confidence interval) of 27.4 (2.7–276.5) for extrusion length >4 mm, 11.8 (3.0–46.5) for peri‐implantitis, and 34.1 (3.3–347.8) for bone graft disruption (p = 0.005, p < 0.001, and p = 0.003, respectively). Conclusion Maxillary dental implants extruding more than 4 mm into the maxillary sinus, peri‐implantitis, and disrupted–extruded bone grafts show significant association with IR‐ODS. Level of Evidence 4 Laryngoscope, 133:237–243, 2023

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Section: Discussionsupporting

confidence: 82%

Features of Odontogenic Sinusitis Associated With Dental Implants

Park

Ahn

et al. 2022

The Laryngoscope

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“…Due to different causes (associated diseases, immunodeficiency, particularly virulence of germs), serious complications can occur that may threaten the patient’s life [ 71 , 72 , 73 , 74 ]. The importance of a thorough evaluation to establish the correct diagnosis is emphasized by results showing that 20% of patients with OS are not diagnosed correctly and only 33% have been cured after initial treatment [ 75 ]. Moreover, OS does not respond to antibiotic treatment in 79% of cases, thus endoscopic surgery is required [ 76 ].…”

Section: Treatment Of Osmentioning

confidence: 99%

“…Considering the increasing tendency of resistance to conventional treatment of OS, the need for an interdisciplinary consensus of OS is underlined [ 75 ].…”

Section: Treatment Of Osmentioning

confidence: 99%

Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data

et al. 2022

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The maxillary sinus is a structure at the border of specialties: otorhinolaryngology and maxillofacial surgery. Due to this fact, regarding etiology, it can be affected by both the rhinogenic and odontogenic path and can impose diagnostic difficulties. The etiopathogenic mechanisms that can affect the Schneiderian membrane are mainly inflammatory, iatrogenic, traumatic, and tumorous in nature. From a microbiological point of view, the bacteriology is polymorphic, including both aerobic and anaerobic species in acute OS, the predominating species in acute OS being aerobic, and in chronic anaerobic germs. The role of fungi in the determination of this pathology and in the production of the biofilm that leads to resistance to antibiotic treatment is also discussed. The present paper aims to present the etiopathogenesis, bacteriology, clinical manifestations, as well as treatment of odontogenic sinusitis (OS) from an updated perspective through reviewing the literature. If unilateral maxillary sinusitis is usually due to odontogenic causes, this does not clinically exclude the possibility of strictly rhinogenic causes in the occurrence of sinusitis. This underlines the important role of complex oral and rhinological clinical examination as well as the role of preclinical examinations in specifying the certainty diagnosis. Simple radiography, orthopantomography, CT, and CBCT are compared in terms of diagnostic accuracy. The treatment of OS is complex, involving medication, dental, and surgical measures. The value of endoscopic surgery is emphasized, comparing its advantages over the classic Caldwell-Luc technique.

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“…Management of OS requires dealing with not only dental problems but also sinus problems and often requires Endoscopic sinus surgery (ESS) [7]. However, CRS caused by dental pathology is frequently ignored[8] that may result in medical and surgical failure [9].…”

Section: Introductionmentioning

confidence: 99%

Bacterial Diversity and Community Characteristics of the Sinus and Dental Regions in Adults with Odontogenic Sinusitis

Zheng

Zhao

et al. 2023

Preprint

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Background The microbiome plays a crucial role in Odontogenic sinusitis (OS); however, bacterial characteristics of the sinuses and connected dental regions in OS are poorly understood. In this study, nasal secretion were collected from 41 OS patients and 20 simple nasal septum deviation patients, and oral mucosa samples from dental regions were collected from 28 OS patients and 22 impacted teeth extraction patients. DNA was extracted and 16S rRNA sequencing was performed to explore the characteristics and structure of microbiome in sinuses and dental regions of OS patients. Results Alpha diversity of oral and nasal microbiome in OS patients all were higher than that in control. Principal co-ordinates analysis (PCoA) showed that oral samples clustered separately from nasal samples, beta diversity of oral and nasal samples in OS patients were also higher than that in control. Dominant phylum was Bacteroidota in OS patients and Firmicutes in control, either in oral or nasal cavity. Dominant genera in oral microbiome of OS patients were similar to that of control, were Fusobacterium, Porphyromonas and Prevotella, which were close to nasal microbiome structure of OS, while dominant genus in nasal microbiome of control were Staphylococcus, Corynebacterium and Cutibacterium. Co-occurrence network analysis showed decreased microbial connectivity in oral mucosa and nasal secretion samples of OS patients. Conclusions Odontogenic infection promotes structural and functional disorders of nasal microbiome in OS. The interaction of dominant pathogens in nasal and oral regions may promote the development of OS. Our study provides the microbiological aetiology of the nasal and connected dental regions in OS and is expected to provide novel insights into the diagnosis and therapeutic strategies for OS.

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ENT and dentist cooperation in the management of odontogenic sinusitis. A review

Cited by 19 publications

References 37 publications

Features of Odontogenic Sinusitis Associated With Dental Implants

Features of Odontogenic Sinusitis Associated With Dental Implants

Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data

Bacterial Diversity and Community Characteristics of the Sinus and Dental Regions in Adults with Odontogenic Sinusitis

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