Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol

Abstract

Purpose Odontogenic sinusitis and sinonasal complications of dental disease or treatment (SCDDT) represent a heterogeneous group of conditions that often require multidisciplinary care. The present study aims to prospectively validate a classification and treatment protocol for SCDDT patients. Methods One hundred twenty-eight consecutive patients (73 females and 45 males, mean age 52.4 years) affected by SCDDT not responding to dental and medical therapy were classified and surgically treated according to the proposed protocol. The protocol classified patients into three aetiology-based groups (preimplantologic, implantologic, and related to traditional dental diseases and procedures, respectively). The groups were further divided into classes according to the presence of oro-antral communications and/or dislocated dental hardware. Each condition was treated according to the class-related, protocol-defined treatment, by either a transnasal or combined transnasal/transoral approach. All patients were successfully classified according to our protocol. None of the proposed classes were redundant, and no condition fell outside the definitions. Results The surgical treatment protocol proved to be adequate and effective, in that 125 of the 128 patients completely recovered after surgical treatment. Conclusions The term SCDDT and the consequent classification proposed by the authors appear, therefore, to be nosologically correct. Furthermore, the protocol-related proposed treatment appears to be clinically sound, with a success rate nearing 98%.

Unilateral chronic maxillary rhinosinusitis after bone maxillary graft for dental implant placement: A case report

“…In the present case, the placement of the implants only 2 days after the bone graft procedure had undoubtedly impaired the graft consolidation that has been propelled into the maxillary sinus. To date, only a few cases of CMR caused by maxillary sinus floor lift, surgical graft procedure, or migration of dental implant(s) into the maxillary sinus have been reported.…”

“…Chronic rhinosinusitis is one of the most common diseases around the world, accounting for 33.7 million of Americans each year, which represents 14% of the American population . In 5%‐40% of cases of chronic maxillary rhinosinusitis (CMR), a dental etiology is found, with iatrogenic procedures (root canal treatment; 65.7%) and apical periodontal pathologies (periodontitis; 25.1%) as the main odontogenic causes . CMR due to surgical procedures performed for dental implant is a rare cause of odontogenic CMR accounting for 2%‐11% of cases .…”

“…In 5%‐40% of cases of chronic maxillary rhinosinusitis (CMR), a dental etiology is found, with iatrogenic procedures (root canal treatment; 65.7%) and apical periodontal pathologies (periodontitis; 25.1%) as the main odontogenic causes . CMR due to surgical procedures performed for dental implant is a rare cause of odontogenic CMR accounting for 2%‐11% of cases . In this paper, we reported the history of a patient with CMR due to the migration of a bone graft of the maxillary alveolar ridge, which was performed for the purpose of the placement of dental implants.…”

Imaging in Sinonasal Disorders

“…FESS in odontogenic cases may induce more inflammation and osteitis [1]. Odontogenic sinusitis and sinonasal complications of dental disease or treatment represent a heterogeneous group of conditions that often require multidisciplinary care [17].…”

Spiral and Cone Beam Computed Tomography in the Differential Diagnosis of Odontogenic Maxillary Sinusitis: A Comparative Study

“…57). Эта особенность подчеркивает взаимодополняющее значение изучаемых методов КТ в достижении точной идентификации вида, этиологии, распространенности воспалительного процесса, то есть в постановке корректного, полноценного диагноза, непосредственным образом влияющего на результаты лечения ОВЧС и его осложнений[9,10,13].Рис. 2.…”