Maxillary Sinusitis Of Odontogenic Origin Research Articles

Computed tomography-based assessment of odontogenic sinusitis diagnosis: a cross-sectional study

Odontogenic sinusitis remains still underdiagnosed by dental and medical radiologists, and to date, there are no guidelines to make the correct diagnosis. This study aimed to evaluate the prevalence of odontogenic sinusitis on computed tomography in patients indicated to the assessment of maxillary sinusitis in the medical setting. A cross-sectional study was outlined between 2017 to 2019. The DICOM files of patients that performed computed tomography to assess the hypothesis of maxillary sinusitis were evaluated. The maxillary sinusitis was classified following the absence of sinusitis, non-odontogenic sinusitis, odontogenic sinusitis, and indeterminate sinusitis. Odontogenic sinusitis was classified concerning the origin as an endodontic factor, periodontal disease, and dental foreign body. Forty-three patients with a mean age of 47.46±17,77 (ranging from18 to 98) years old that tomographic presented evidence of maxillary sinusitis was included in this study. Considering the sample (n=43), 23.25% (n=10) of patients had maxillary sinusitis of odontogenic origin and 90% of odontogenic cases were associated with endodontic lesions. We observed a high prevalence in computed tomography for odontogenic sinusitis. The presence of periapical alteration associated with endodontic factors was the most prevalent dental origin.

Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study

IntroductionOdontogenic infections affects the maxillary sinus mucosa. Cone Beam Computed Tomography (CBCT) is helpful in diagnosis of maxillary sinusitis of odontogenic origin. This cross-sectional study was planned with the aim to assess maxillary sinus changes associated with odontogenic infection by evaluating CBCT images. Material and methodsIn cross-sectional analytical study, total 213 patients (404 sinuses) were evaluated on CBCT after thorough clinical examination of the individuals and taking into consideration the history of rhino or allergic rhinitis. Based upon CBCT images and clinical examination, patients were divided into, study group (odontogenic infection) and control group (no associated odontogenic infection). Effect of the size of periapical lesion, spatial relationship of lesion to the sinus floor and periodontal bone loss on maxillary sinus changes were evaluated. ResultsMucosal changes found in 200 sinuses (49.5%), mucosal thickening being the most prevalent and more commonly associated with odontogenic infections (p = 0.004). A significantly increased risk of mucosal thickening was observed with severe periodontal bone loss (p = 0.008). Size and spatial relationship of lesion to the maxillary sinus had no impact on the prevalence of mucosal thickening (p = 0.6, p = 0.4 respectively). Periodontal bone loss was 2.2 more likely to be associated with mucosal thickening than periapical or combined lesion. ConclusionsMost prevalent sinus change was mucosal thickening. Periodontal bone loss was significantly associated with mucosal thickening. CBCT is an appropriate method for sinus evaluation.

Maxillary Sinusitis of Odontogenic Origin: Prevalence among 3D Imaging—A Retrospective Study

The aim of this study was to investigate the prevalence of maxillary sinus mucosal thickening and compare it to the presence of odontogenic pathology of adjacent teeth. Three hundred and twenty-one full maxilla cone-beam computed tomography scans were examined. The parameters investigated included signs of maxillary sinus mucosal thickening and the diagnosis and proximity of the adjacent teeth. Statistical analysis was conducted using IBM SPSS version-16.0 (SPSS Inc., Chicago, IL, USA). Out of the 2001 teeth examined, 888 (44.4%) were associated with mucosal thickening with a significant difference between the different tooth types (p = 0.04). Mucosal thickening in a maxillary sinus was more likely if the neighboring teeth had apical disease. Interruption of the maxillary sinus floor was noticed more in specific teeth, particularly the first and second molars (p < 0.001). Sinusitis of odontogenic origin can be more prevalent than clinicians expect. The treatment of odontogenic sinusitis should be straightforward, whereby the diseased tooth is root treated or extracted. The sinusitis will then resolve if there are no other etiological factors.

Maxillary sinusitis of odontogenic origin

Maxillary sinusitis of odontogenic origin

The Maxillary Artery Definition According to CBCT Data in Patients with Chronic Maxillary Sinusitis

The number of maxillary sinusitis is significant in the structure of inflammatory diseases in an outpatient maxilla-facial surgery and they are one of the chief reasons for the patients’ hospitalization. The anatomy of maxillary sinus with 3D Computer tomography scan should be included in appropriate presurgical treatment planning. The purpose of the study was to determine the visualization and diameter of the maxillary artery in according analyzing of Cone bean computer tomography data of patients, to identify the relationship between the presence of chronic maxillary sinusitis and the visualization of the maxillary artery and its diameter. Material and methods. The data of 44 Cone bean computer tomography results was analyzed for 24 patients with chronic maxillary sinusitis of odontogenic origin (it was observation group 1, included 48 sinuses), 20 patients were without pathological changes in the maxillary sinus (it was comparison group 2, included 40 sinuses). All the Cone bean computer tomographies randomly selected by patients who visited dental outpatient clinics of Minsk city, the Republic of Belarus during the period from 2018 to 2020 and were analyzed by GALILEOS program. Results and discussion. The analysis revealed that maxillary artery was not detected in 25.0% (12) patients of group 1, while in group 2 it was not detected in 5.0% (2) patients. When determining the diameter of the maxillary artery, we found that in group 1 patients, the artery diameter 0.1-0.99 mm was determined in 91.7% (33) cases, and in 92.2% (35) of group 2 patients; the diameter of the maxillary artery 1.0 mm or more in group 1 patients was determined in 8.3% (3) of observations, and in 7.8% (3) of group 2 patients Different types of the maxillary arteries localization were revealed. Conclusion. The study results showed that in patients of group 1 with the presence of chronic maxillary sinusitis, the maxillary artery was not visualized 5 times more often than in patients of group 2 (comparison group), which may indicate to deeper ischemic changes in the maxillary tissues of patients with chronic maxillary sinusitis. There was no significant difference in the diameter of the maxillary arteries in groups 1 and 2. The study will be continued

Maxillary Sinusitis of Odontogenic Origin in Relation to Ectopic 2.8 Associated with Follicular Dentigerous Cyst – Combined Transnasal and Oral Endoscopic Approach: A Case Report

Purpose: To describe the management of orosinusal pathology by combined transnasal and oral endoscopy. Methods: The 54-year-old patient underwent a dental and otolaryngological evaluation for left odontogenic maxillary sinusitis in relation to plausible dental follicular cyst of ectopic element 2.8. The symptoms reported at the time of access to the hospital were nasal obstruction and nocturnal rhonchopathy. In the ENT evaluation by videorhinoscopy with rigid optics, complex deviation of the nasal septum was revealed, without any evident formation or pathological secretion. On inspection of the oral cavity, the mucous membranes appeared unscathed. The previously extracted aleveolus of 1.6 was evident. The radiological examination, facial CT, revealed the left maxillary sinus almost completely occupied by a cystic appearance, with thin calcified walls and homogeneous content that had a dental element, probably the 2.8, which fenestrates the vestibular cortex of the lateral wall of the maxillary sinus. This lesion erodes the medial wall of the sinus, obliterating the ostiomeatal complex and imprinting the ipsilateral ethmoidal cells. Biohumoral tests showed normal coagulation parameters, indices of renal function, liver and ionemia. The patient under general anesthesia and oral intubation with a combined intervention of the left anterior FESS, intrasulcular flap from dental elements 2.7 to 2.3 with mesial releasing incision, moderate osteotomy, ectopic 2.8 extraction and enucleation of the cystic lesion with simultaneous closure of the orosinusal communication with advancement of the Bichat fat pad and closure by first intention. In the same session, the ENT moment is carried out transnasally for total left uncinectomy, medium antrostomy with the union of the natural ostium and the accessory ostium. Bilateral lower turbinoplasty with bipolar forceps. The patient was then controlled after 15 days and then six months, showing good healing and no signs of recurrence at the rhinoscopic check on the physical examination of the oral cavity. Results: Based on the clinical and radiological aspect, the diagnosis of a follicular dentigerous cyst (WHO 2017) covered by a multi-layered non-keratinized paving epithelium, with moderate chronic inflammation, including gigantocellular and cholesteric crystals, is reached from the microbiological and histological examination. Necrotic amorphous material coexists including rare hyphae and fungal spores, with mycotic and actinomycotic superinfection. Conclusions: The combined oral and nasal intervention, allowed by the collaboration between the oral surgeon and ENT, has made it possible to shorten the healing time and resolve the pathology without recurrence.

Maxillary sinusitis of odontogenic origin in relation to ectopic 2.8 associated with follicular dentigerous cyst: Combined transnasal and oral endoscopic approach, a case report

Purpose of the study: To describe the management of orosinusal pathology by combined transnasal endoscopy and oral combined. Methods: The 54-year-old patient underwent a dental and otolaryngological evaluation for left odontogenic maxillary sinusitis in relation to plausible dental follicular cyst of ectopic element 2.8. The symptoms reported at the time of access to the hospital were nasal obstruction and nocturnal rhonchopathy. To the ENT evaluation in videorinoscopy with rigid optics, complex deviation of the nasal septum was relevated with not any evident formations or pathological secretions. While on inspection of the oral cavity the mucous membranes appeared unscathed. Alveolus of 1.6 previosuly extracted was evident. The radiological examination, facial CT, revealed the left maxillary sinus almost completely occupied by a cystic appearance, with thin calcified walls and homogeneous content that has a dental element, probably the 2.8, which fenestrates the vestibular cortex of the lateral wall of the maxillary sinus. This lesion erodes the medial wall of the sinus, obliterating the ostio-meatal complex and imprinting the ipsilateral ethmoidal cells. Biohumoral tests showed normal coagulation parameters, indices of renal function, liver and ionemia. The patient under general anesthesia and oral intubation with a combined intervention of the left anterior FESS, intrasulcular flap from dental elements 2.7 to 2.3 with mesial releasing incision, moderate osteotomy, ectopic 2.8 extraction and enucleation of the cystic lesion with simultaneous closure of the orosinusal communication with advancement of the Bichat adipose bolla and closure by first intention. In the same session, the ENT moment is carried out trans nasally for total left uncinectomy, medium antrostomy with the union of the natural ostium and the accessory ostium. Bilateral lower turbinoplasty with bipolar forceps. The patient was then controlled after 15 days and six months, showing good healing and no signs of recurrence at the rhinoscopic check on the physical examination of the oral cavity. Results: based on the clinical and radiological aspect, the diagnosis of a follicular dentigerous cyst (WHO 2017) covered by a multi-layered non-keratinized paving epithelium, with moderate chronic inflammation, including gigantocellular and cholesteric crystals, is reached from the microbiological and histological examination. Necrotic amorphous material coexists including rare hyphae and fungal spores, with therefore mycotic and actinomycotic super infection. Conclusions: The combined oral and nasal intervention, allowed by the collaboration between the oral surgeon and ENT, has made it possible to shorten the healing time and to resolve the pathology without any sign of recurrence.

Clinical Manifestations and Symptoms of Maxillary Sinusitis of Odontogenic Origin Demonstrated by Cone Beam Computed Tomography

Objectives: To compare the symptomatology of patients with maxillary sinusitis of dental origin (MSDO) with sinusitis due to upper respiratory tract infection (URTI) with a special focus on time to ...

Anatomical relationship between roots of maxillary posterior teeth and maxillary sinus using cone-beam computed tomography

Aim: Maxillary sinusitis of odontogenic origin accounts for approximately 10%–12% of maxillary sinusitis cases. The primary objective of the present study was to analyze the vertical relationship between the maxillary posterior roots and the adjacent maxillary sinus floor (MSF) in the Indian population using cone-beam computed tomography. The secondary objective was to correlate the data with age and gender.Materials and Methods: The shortest distance between 452 maxillary posterior teeth and the adjacent border of MSF was measured. The data were divided into three groups. Group IS included maxillary posterior teeth roots protruding into the sinus, Group CO included root apices contacting the MSF, and Group OS included root apices not contacting the MSF. The data obtained were correlated with age and gender.Results: The vertical distance of the root apices of second premolars from the MSF was significantly lesser compared to the root apices of first premolars (P < 0.05). The difference between the vertical distance of buccal roots and palatal roots (PRs) of first molar from the MSF was significantly more (P < 0.05). Majority of the roots of posterior teeth were located below the MSF border (Type OS). Type IS was most frequently seen for PRs of maxillary first molars (29.12%). The frequency of Type IS decreased with increasing age. The distance between the posterior root apices and the adjacent border of the MSF was found to be more in males compared to females.Conclusion: The PRs of maxillary first molars were found to be closest to the MSF. Variation in the vertical relationship was found by age and gender.

Evaluation of Odontogenic Maxillary Sinusitis with Cone Beam Computed Tomography: A Retrospective Study with Review of Literature.

Aim and Objectives:The purpose of this study was to describe the radiographic characteristics of odontogenic maxillary sinusitis as seen on cone beam computed tomography (CBCT) scans and determine whether any tooth or any tooth root, was more frequently associated with this disease.Materials and Methods:The present study included 500 CBCT images that included the entire maxillary sinus of both the sides in all the three planes. The modified classification of Abrahams and Glassberg was used to assess maxillary sinusitis of odontogenic origin. Furthermore, the proximity of the tooth root to the sinus floor, periapical pathology, and the septae within the maxillary sinus were also assessed.Results:In the present study, 1000 hemimaxillas were analyzed. Majority of the cases (74.9%) the apex of either tooth was touching the floor of the sinus. While 16.9% were in close relationship to the sinus while 8.2% of the cases, the apices were present within the sinus. Furthermore, in the present study, 38 of the total cases had an odontogenic cause of maxillary sinusitis, whereas 273 of them had a nonodontogenic cause, 96 have an undetermined cause, and the rest 593 cases had healthy sinus.Conclusion:The incidence of odontogenic sinusitis is likely under-reported in the available literature. The introduction of low-dose CBCT is particularly useful to establish a definitive diagnosis to augment in the treatment of chronic maxillary sinusitis of odontogenic origin.

A Case of Coinfection in a Chronic Maxillary Sinusitis of Odontogenic Origin: Identification of Dialister pneumosintes

IntroductionIn this report, we discuss the case of a 39-year-old woman presenting with a case of chronic maxillary sinusitis. MethodsDialister pneumosintes, Staphylococcus epidermidis, and Peptostreptococcus spp. were isolated from endosinusal samples obtained during surgery. The patient showed extensive periodontopathy and had undergone prior endodontic treatment for endodontic infection of teeth #13, #14, and #15, which failed and presumably acted as a bridge for the sinusal infection. After nasosinusal surgery, consisting of opening and toilet of the maxillary sinus, combined with extraction of the 3 previously mentioned teeth and antibiotic treatment, the patient showed complete healing. ResultsS. epidermidis and Peptostreptococcus spp. were identified with a traditional biochemical test and confirmed by pyrosequencing. Conversely, D. pneumosintes could not be identified with the conventional method, but it was identified using DNA pyrosequencing. In addition, to better understand the role and the virulence of this bacterium in odontogenic sinusitis, we have evaluated the ability of D. pneumosintes to produce biofilms onto inert surfaces. D. pneumosintes is a known endodontic and periodontal pathogen found in necrotic pulp, subgingival plaque, and deep periodontal pockets. ConclusionsTo our knowledge, the pathogenic role of D. pneumosintes in odontogenic sinusitis has never been evidenced. Thus, its detection in endosinusal specimens may provide a significant insight into the pathogenesis of this relevant medical condition.

Pansinusitis y afectación intracraneal por implante dental

Odontogenic sinusitis is a relatively common disease caused by dental infections, periapical cysts and oral procedures such as root canal, sinus lift or implant placement. We report an extreme case of a right pansinusitis with an epidural space fistula caused by osseointegrated implants. When maxillary sinusitis of odontogenic origin is suspected, we should quickly start effective antibiotic treatment and monitor the patient closely because odontogenic sinusitis can have serious consequences, such as the loss of an eye, brain abscess or death.

Evaluation of Odontogenic Maxillary Sinusitis Using Cone-Beam Computed Tomography: Three Case Reports

Introduction Ten to twelve percent of all cases of maxillary sinusitis derive from odontogenic origin. The purpose of this study was to report the use of cone-beam computed tomography (CBCT) scanning in elucidating dental pathology as an etiology of maxillary sinusitis. Methods Intraoral periapical radiographs and CBCT scanning were performed in the evaluation of three patients presenting with pain, sinus congestion, or respiratory complaints. In the first case, extractions of impacted third molar and adjacent nonrestorable tooth were performed. In the second two cases, endodontic therapy was done. Radiologic follow-up with CBCT scanning or medical computed tomography scanning was performed 6 to 12 months after dental procedures were performed. Results All three patients presented with severe sinusitis that resolved after appropriate dental treatment. The first patient also showed marked improvement of chronic bronchitis after completion of dental treatment. In all patients, complete or near total resolution of sinusitis, including eradication of mucous retention cyst, was confirmed by post-treatment CBCT or computed tomography scanning. Conclusions These cases show the utility of CBCT scanning in evaluating patients presenting with concurrent sinus and dental complaints. In these three patients, maxillary sinusitis of odontogenic origin responded well to the eradication of dental etiology.

Maxillary sinusitis of odontogenic origin: cone-beam volumetric computerized tomography–aided diagnosis

Study of radiographic features of maxillary sinusitis of odontogenic origin as visualized on 3-dimensional advanced imaging is essential for prompt diagnosis and appropriate management. This study attempted to describe and delineate radiographic characteristics of this condition. Three cases of failed endodontic therapy presenting with confounding clinical signs and symptoms were subjected to 3-dimensional imaging with cone-beam volumetric computerized tomography (CBVCT) to evaluate changes in the maxillary sinuses. CBVCT showed varying involvement of the ipsilateral maxillary sinus in all 3 cases. The presentation varied from presence of intrasinus fluid to reactionary osseous response within the sinus. CBVCT as a diagnostic aid to evaluate the involvement of the maxillary sinuses in cases of endodontic treatment failure seems to assist with formulation of a definitive diagnosis. Appropriate interventions may be instituted, including an otolaryngology consultation.

Maxillary sinusitis of odontogenic origin

Odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. 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. If a periapical dental infection or dental/oral surgery procedure violates the schneiderian membrane integrity, infection will likely spread into the sinus, leading to sinusitis. An odontogenic source should be considered in individuals with symptoms of maxillary sinusitis and a history of dental or jaw pain; dental infection; oral, periodontal, or endodontic surgery; and in those people resistant to conventional sinusitis therapy. An odontogenic infection is a polymicrobial aerobic-anaerobic infection, with anaerobes outnumbering the aerobes. Diagnosis requires a thorough dental and clinical evaluation, including radiographs. Management of sinus disease of odontogenic origin often requires medical treatment with appropriate antibiotics, surgical drainage when indicated, and treatment to remove the offending dental etiology.

Maxillary sinusitis of odontogenic origin

Odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. 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. If a periapical dental infection or dental/oral surgery procedure violates the schneiderian membrane integrity, infection will likely spread into the sinus, leading to sinusitis. An odontogenic source should be considered in individuals with symptoms of maxillary sinusitis and a history of dental or jaw pain; dental infection; oral, periodontal, or endodontic surgery; and in those people resistant to conventional sinusitis therapy. An odontogenic infection is a polymicrobial aerobic-anaerobic infection, with anaerobes outnumbering the aerobes. Diagnosis requires a thorough dental and clinical evaluation including radiographs. Management of sinus disease of odontogenic origin often requires medical treatment with appropriate antibiotics, surgical drainage when indicated, and treatment to remove the offending dental etiology.