Acute sinusitis a new infection that may last up to four weeks and can be subdivided symptomatically into severe and nonsevere. Dec 14, 2015 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. There is variability in the literature of reported maxillary sinus mucosal hyperplasia of odontogenic origin, ranging from 58% to 78% and greater variability regarding the frequency of dentally induced maxillary sinusitis, ranging. Download citation maxillary sinus disease of odontogenic origin odontogenic sinusitis is a wellrecognized condition and accounts for approximately 10% to 12% of cases of maxillary sinusitis. An odontogenic source should be considered in patients with symptoms of maxillary sinusitis who give a history positive for odontogenic infection or dentoalveolar surgery or who are resistant to standard sinusitis therapy. Mehra p, jeong d 2009 maxillary sinusitis of odontogenic origin. Chronic rhinosinusitis and nasal polyposis ppt video.
Although uncommon, direct spread of dental infections into the maxillary sinus is possible due to the close relationship of the maxillary posterior teeth to the maxillary sinus. T 2 paranasal sinuses they are paired, air filled chambers in the skull. Maxillary sinusitis definition of maxillary sinusitis by. Maxillary sinusitis of odontogenic origin, current.
In this case series, the authors evaluated patients who presented with maxillary sinusitis symptoms before and after dental treatment. It also may be a complication of tooth infection, allergy, or certain infectious diseases, such. Identification of odontogenic infections as a cause of maxillary sinusitis is difficult if evaluation is performed by intraoral radiograph and dental evaluation, whereas cbct provides more detailed picture of the association of maxillary posterior teeth. Objective the study evaluated a minimally invasive endoscopic shaver. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin itzhak brook, md, msc objectives. Endoscopic sinus surgery plays an essential role in systematic. Infections associated with teeth may be responsible for approximately 20% of cases of maxillary sinusitis. Metaanalisis of the etiology of odontogenic maxillary sinusitis. Maxillary sinusitis of dental origin has been shown to be associated with marginal periodontitis as frequently as with periapical pathology. Dental examination can help to determine whether a maxillary sinusitis has a dental origin, periodontitis and odontogenic radicular cysts still are the most.
Cbct is a threedimensional computed tomography method in which hard tissues, such as bones and teeth, can be reproduced in high detail, facilitating good imaging of apical pathology of the maxillary molar teeth. Pdf healing of maxillary sinusitis of odontogenic origin following. Maxillary sinusitis of endodontic origin a call to action part 1 of 2 duration. Ct requirement must be considered in patients with persistent maxillary sinus symptoms, in order to identify an odontogenic reason for the sinusitis. The next most common form of odontogenic infection is the periodontal abscess. Maxillary sinusitis of odontogenic origin, current allergy. Microbiology of acute sinusitis of odontogenic origin presenting. Pdf clinical manifestations and symptoms of maxillary. Healing of maxillary sinusitis of odontogenic origin following conservative endodontic retreatment. Maxillary sinusitis of odontogenic origin researchgate. Odontogenic rhinosinusitis induced by dental disease. It is treated with tooth extraction and antibiotics.
There is evidence that maxillary sinusitis of odontogenic origin represents 10% of all maxillary. The unique microbiology of sinusitis of dental origin that is associated with intracranial abscesses ias and the correlation between the organisms at the two sites has not been reporte. Inflammatory responses of the maxillary sinus to dental infection can present with varied symptoms, clinical progression, and radiographic presentations. Aspirates of 20 acutely and 28 chronically infected maxil. In the present case, a trauma induced periapical infection of maxillary central incisor manifested as a nasal sinus tract owing to the anatomic proximity between the tooth root and the nasal floor. There is variability in the literature of reported maxillary sinus mucosal hyperplasia of odontogenic origin, ranging from 58 % to 78 % and greater variability regarding the frequency of dentally induced maxillary sinusitis, ranging from 4. May 16, 2008 odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. The treatment of odontogenic origin sinusitis comprehends the abolition of the dental underlying factors and the. Maxillary sinusitis of odontogenic origin is a wellknown condition in both the dental and otolaryngology communities. Home remedies treating acute sinusitis without antibiotics. Maxillary sinus disease of odontogenic origin pdf free.
Only three of the 85 sinusitis guidelines studied recommended a dental examination, and none mentioned referral to endodontic specialists. Mar 29, 2019 maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. 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. Despite being a wellknown disease entity, many cases are referred to otorhinolaryngologists by both doctors and dentists. They are generally regarded as maxillaryonly sinusitis arising from dental pathology, featuring unilateral nasal obstruction andor purulent discharge, pain or pressure on the maxillary area and cacosmia. Although sinusitis is a common condition its pathogenesis is not clearly understood and there is lack of consensus concerning its treatment and prevention. Sinusitis or rhinosinusitis is defined as an inflammation of the mucous membrane that lines the paranasal sinuses and is classified chronologically into several categories. May 16, 2008 maxillary sinusitis of odontogenic origin maxillary sinusitis of odontogenic origin mehra, pushkar. Unusual case of bilateral maxillary fungus ball bmj case. Apr 04, 2009 maxillary sinusitis of odontogenic origin maxillary sinusitis of odontogenic origin mehra, pushkar. Odontogenic sinusitis is commonplace in ear, nose and throat ent practice. Introduction maxillary sinusitis is an infection or inflammation of the maxillary sinus.
Clinical manifestations and symptoms of maxillary sinusitis. Odontogenic maxillary sinusitis usually manifests unilaterally and its pathophysiology, microbiology and management are different from those of. Several theories propose that they serve to lighten the skull, protect the brain during head trauma and add resonance to the voice. Rizwan elahi chohan medical officer ent department 2. Odontogenic sinusitis is a wellrecognized condition and accounts for approximately 10% to 12% of cases of maxillary sinusitis. Maxillary sinusitis of odontogenic origin, current infectious. A comprehensive examination of the patients medical and dental history will draw the attention of the clinician to endodontic implications of odontogenic origin. Symptoms produced by acute or subacute maxillary sinusitis can be mistaken with those of pulpal origin 6. Aae position statement maxillary sinusitis of endodontic origin page 3 the terms msdo, odontogenic sinusitis, odontogenic rhinosinusitis, and odontogenic maxillary sinusitis are all used synonymously in the current literature to describe various levels of mucosal inflammation and symptoms. A total of 66 isolates were recovered from the 20 cases of acute sinusitis 3. Citeseerx maxillary sinus pathology of odontogenic origin. The bone window is much larger but the effective ostium is reduced by the uncinate process, an. Late signs and symptoms of maxillary sinusitis after sinus. Feb 06, 2017 maxillary sinusitis of endodontic origin a call to action part 1 of 2 duration.
Odontogenic infection is a possible cause of maxillary sinusitis. The main objectives of this study were to estimate the frequency of chronic maxillary sinusitis of dental origin, and to evaluate the microbiology of odontogenic and nonodontogenic chronic maxillary sinusitis. Sep 11, 20 maxillary sinusitis odontogenic origin 1. No correlation was found between the predisposing odontogenic conditions and the microbiological findings. To study the microbiology of sinusitis associated with odontogenic origin. The ostium of the maxillary sinus is high up on the medial wall and on average is 2. Maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. Iatrogenic causes include complications of tooth extractions, implants, sinus floor augmentation, osteotomies and other orthodontic surgery.
Genetic susceptibility to maxillary sinus pathology. Maxillary sinusitis of odontogenic origin springerlink. Mar 08, 2015 odontogenic sinusitis second name sinusitis is an inflammation of the mucosa of the maxillary sinus, which arises as a result of the focus of infection in the mouth. Maxillary sinus disease of odontogenic origin pdf free download. There is variability in the literature of reported maxillary sinus mucosal hyperplasia of odontogenic origin, ranging from 58 % to 78 % and. Odontogenic rhinosinusitis is defined as sinusitis induced by a dental lesion. Aspirates from 59 patients with chronic maxillary sinusitis 47 nonodontogenic, 12 odontogenic, collected during a 3year period, were microbiologically processed for aerobic and. The main objectives of this study were to estimate the frequency of chronic maxillary sinusitis of dental origin, and to evaluate the microbiology of odontogenic and non odontogenic chronic maxillary sinusitis.
Sinusitis is regarded as being primarily rhinogenous in origin, and oraldental infections are considered to be predisposing factors. Definition and management of odontogenic maxillary sinusitis. These data illustrate the similar microbiology of acute and chronic maxillary sinusitis associated with odontogenic infection where anaerobic bacteria predominate in both types of infections. The gutta percha tracing of the tract confirmed its odontogenic origin. Microbiology of acute and chronic maxillary sinusitis. Maxillary sinussurgery sinusitisetiology sinusitissurgery. Odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. Etiology of odontogenic maxillary sinusitis the extrusion of endodontic obturation materials into the maxillary sinus represented the 22,27%, the amalgam remains after apicoectomies the 5,33%, the maxillary sinus lift preimplantology surgery the 4,17%, and. Bacteriological findings and antimicrobial resistance in. It is estimated that 10% of cases of chronic maxillary sinusitis are odontogenic in origin, though this has been reported to be as high as 75%.
Sinusitis of odontogenic source accounts for about one tenth of cases of all maxillary sinusitis. Tooth caries and periapical abscess may lead to maxillary sinusitis through direct extension of infection through maxillary alveolus. Odontogenic sinusitis is diagnosed on ct when there is mucosal thickening in a sinus adjacent to an inflamed tooth, whether there is a dental carie, or in this case, a periapical lucency suggestive of a periapical abscess. The high incidence of this pathology reveals the need to recognize it as an important disease we have to be able to deal with in order to prevent it or even treat it. Odontogenic sinusitis accounts for approximately 10% to 12% of maxillary sinusitis cases 1. Odontogenic maxillary sinusitis usually manifests unilaterally and its pathophysiology, microbiology and manageme. If a periapical dental infection or dentaloral surgery procedure violates the schneiderian membrane integrity, infection will likely spread. Background maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental. Sinus disease of odontogenic origin deserves special consideration because of some di. Download citation maxillary sinusitis of odontogenic origin odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. Odontogenic maxillary sinusitis accounts for 10 12% of the total cases. Pathophysiology of sinusitis of odontogenic origin.
Maxillary sinusitis of odontogenic or dental origin, also known as chronic. Citeseerx document details isaac councill, lee giles, pradeep teregowda. Current concepts in adult acute rhinosinusitis american. Aspirates from 59 patients with chronic maxillary sinusitis 47 non odontogenic, 12 odontogenic, collected during a 3year period. Microbiology of intracranial abscesses associated with. The unique microbiology of sinusitis of dental origin that is associated with intracranial abscesses ias and the correlation between the. An odontogenic source should be considered in individuals with symptoms of maxillary sinusitis with a history of odontogenic infection, dentoalveolar surgery, periodontal surgery, or in those resistant to conventional sinusitis therapy.
Sinusitis of odontogenic origin itzhak brook, 2006. The maxillary antrum and dental region share a close anatomical relationship, which means that dental infections and other odontogenic diseases can affect the maxillary sinus. Sinusitis can be divided into acute, subacute and chronic types. Management of maxillary sinusitis of endodontic origin. Airfluid level or air bubble within the fluid suggests an acute episode. Sinusitis is inflammation of the paranasal air sinuses. Odontogenic sinusitis second name sinusitis is an inflammation of the mucosa of the maxillary sinus, which arises as a result of the focus of infection in the mouth. Treatment of maxillary sinusitis of odontogenic origin. An odontogenic source should be considered in individuals with symptoms of maxillary sinusitis with a history of odontogenic infection, dentoalveolar surgery, periodontal surgery, or in those resistant to conventional. Aspirates of 20 acutely and 28 chronically infected maxillary sinuses that were associated with odontogenic infection were processed for aerobic and anaerobic bacteria. Although uncommon, direct spread of dental infections into the maxillary sinus is possible due to the close relationship of the. The common etiologies include periapical and periodontal disease, odontogenic lesions and iatrogenic and traumatic causes. Maxillary sinusitis of odontogenic origin maxillary sinusitis of odontogenic origin mehra, pushkar. Odontogenic sinusitis caused by an inflammation of a dentigerous.
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