Abstract
Background: The diagnosis of odontogenic sinusitis is important because the pathology, microbiology and the treatment of the odontogenic sinusitis are different from the other forms of the sinusitis. In this study, the relationship between dental pathologies and maxillary sinus diseases were examined comprehensively. Methods: In this study, the 500 images taken by dental volumetric tomography were examined retrospectively. The vertical distances between the maxillary sinus floor and the teeth apexes were examined. The dental pathologies and the maxillary sinus diseases were reported. Chi-square and Fisher’s exact tests were used for analysis. Results: Focal mucosal thickening was the most common sinus pathology (60.2%). A relationship was found between the mucosal thickening of apical lesions, remained roots and healthy implants (p <0.05). Mucus retention cysts were associated with apical lesions and periodontal defects (p <0.05). Polyp was found to be related with the deep caries, healthy implants, horizontal bone loss and fixed orthodontic treatment (p<0.05). Periostitis was found to be associated with apical lesions and periodontal defects. A relationship was detected between sinusitis with root fragments and apical lesions (p<0.05). Conclusion: Odontogenic infections and odontogenic sources may play a role in the formation of maxillary sinus pathologies. Dental volumetric tomography is very useful in showing the relationship between maxillary sinus with maxillary teeth and the diagnosis of odontogenic sinus pathologies.
Highlights
The diagnosis of odontogenic sinusitis is important because the pathology, microbiology and the treatment of the odontogenic sinusitis are different from those of the other forms of the sinusitis [1]
Prevalence of Maxillary Sinus Pathologies Focal mucosal thickening (FMT) and Mucus retention cysts (MRCs) were found to have a significantly high incidence in the age group of 50-59 years; polyps and sinusitis were high in the age group of 18-29 years (P < 0.05)
This study showed that odontogenic infections can affect the maxillary sinus and may cause various inflammatory sinus diseases as reported in previous reports [11,12]
Summary
The diagnosis of odontogenic sinusitis is important because the pathology, microbiology and the treatment of the odontogenic sinusitis are different from other forms of the sinusitis. The relationship between dental pathologies and maxillary sinus diseases was examined comprehensively. A relationship was found between the mucosal thickening of apical lesions, remaining roots and healthy implants (P < 0.05). It is well known that the maxillary posterior teeth root is in close anatomical relationship with maxillary sinus floor. As a result of this close anatomical relationship, dental pathogens may contaminate the sinus mucosa and mucosal pathological changes may be initiated. This condition is named as odontogenic sinusitis. Dental pathogen sources may include maxillary posterior teeth infections, pathological lesions of jaws and teeth, trauma or iatrogenic causes of maxillary sinus membrane.
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