Odontogenic Maxillary Sinusitis: The Interface and Collaboration between Rhinologists and Dentists

Nandakumar, Beeshman Saireuben; Niles, Naomi Natasha Amalee; Kalish, Larry

doi:10.3390/ohbm2040008

Cited by 6 publications

(7 citation statements)

References 52 publications

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“…The similarity between the germs of the oral cavity and those in OS is observed in many studies, which explains the prevalence of anaerobes in OS [11,[40][41][42][43] and the large variation of the flora of the periapical infections involved in the aetiology of these infections. Intraradicular bacteria and fungi that may cause secondary periapical lesions are Streptococcus, Propionibacteriu, and Candida spp., in particular, Candida albicans [16,[41][42][43][44].…”

Section: Microbiologymentioning

confidence: 96%

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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Section: Microbiologymentioning

confidence: 96%

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

et al. 2022

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“…Pathologies like apical periodontitis, odontogenic cysts, pulpal necrosis and root fracture, periapical cysts, abscesses, or granulomas can cause repeated dental infections and breach the physical barrier of the root of the tooth, spreading to the periapical region, maxillary bone and sinus. 3…”

Section: Endodontic and Periodontic Diseasementioning

confidence: 99%

“THE BROKEN TOOTH” - Case Series on Unilateral Maxillary Sinusitis

Sajai¹,

Menon²,

Vazhapilly³

et al. 2022

KJENT

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“…Odontogenic maxillary sinusitis (ODMS) is a common form of paranasal sinus disease and can be secondary to endodontic or periodontal pathology or as a complication of dental procedures, which includes extraction-related oroantral communication or extrusion of dental foreign bodies [1][2][3][4]. In the former, there is inflammatory spread through the alveolar process of the maxilla with subsequent infection of the Schneiderian membrane that lines the maxillary sinus.…”

Section: Introductionmentioning

confidence: 99%

Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body

Ananthapadmanabhan

Noor

Sritharan

2022

Case Reports in Dentistry

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The floor of the maxillary sinus is partly formed by the alveolar process of the maxilla, and this anatomical relationship forms an interface for collaboration between rhinologists, maxillofacial and dental surgeons, and dentists. Odontogenic maxillary sinusitis (ODMS) occurs secondary to infectious processes of the maxillary molar and premolar teeth or following complications from dental procedures. Extruded dental foreign bodies within the sinus can cause chronic mucosal irritation leading to mucociliary dysfunction and sinogenic symptoms. Anteriorly placed foreign bodies are difficult to access via the conventional endoscopic maxillary antrostomy. Endoscopic approaches to access the anterior maxillary sinus involve extended resection of the medial maxillary wall, potentially with the removal of the inferior turbinate and nasolacrimal duct mobilisation. The prelacrimal window approach (PLWA) is a favourable modification that provides excellent visualisation of the maxillary sinus with minimal tissue resection and displacement. We describe the case of an extruded distobuccal 27 tooth root into the anterior maxillary sinus, presenting with acute sinusitis. The patient was successfully managed via a PLWA. This case represents the importance of recognition of ODMS with early referral to otorhinolaryngologists.

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Odontogenic Maxillary Sinusitis: The Interface and Collaboration between Rhinologists and Dentists

Cited by 6 publications

References 52 publications

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

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

“THE BROKEN TOOTH” - Case Series on Unilateral Maxillary Sinusitis

Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body

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