Pdf odontogenic sinusitis os is a highly prevalent, underappreciated and underdiagnosed disease that has been known for over. 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. Odontogenic sinusitis ods is underrepresented in the literature compared to other forms of rhinosinusitis, specifically in sinusitis guidelines and position statements. To present current literature on the topic of odontogenic sinusitis. Optimal timing of endoscopic sinus surgery for odontogenic. Establishing shared diagnostic criteria aimed at defining both sinusitis and related odontogenic foci would spur collaboration between investigators and support more comprehensive outcomes evaluations together with a better understanding of treatment options.
Pdf clinical aspects of odontogenic maxillary sinusitis. Odontogenic cutaneous sinus tract associated with a. Nov 01, 2020 the purpose of this question was to assess where chief residents considered ods in the ddx of a unilateral heterogeneously opacified maxillary sinus with overt odontogenic pathology. Despite being a wellknown disease entity, many cases are referred to otorhinolaryngologists by both doctors and dentists. It occurs due to an interruption of the mucoperiosteum in response to a series of conditions, most frequently the extraction of a superior tooth.
Jan 06, 2018 hi guys, i am sharing bds lecture notes on odontogenic disease of the maxillary sinus in pdf format. Subdural empyema as a complication of odontogenic maxillary. Nov 15, 2020 to the age distribution of patients with odontogenic sinusitis, an increased frequency was found for the age between 26 and 40 years 53. 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. Purpose odontogenic sinusitis and sinonasal complications of dental disease or treatment scddt represent a. Maxillary sinusitis acute or chronic is defined as a symptomatic inflammation of the. However, almost all of the patients with odontogenic sinusitis had unilateral symptoms. Apical periodontitis, periodontal disease and iatrogenic extrusion of foreign bodies into the sinus are the main causes of os. Pdf treatment options for odontogenic maxillary sinusitis. Predicting odontogenic sinusitis in unilateral sinus. Odontogenic sinusitis free download as powerpoint presentation. Predicting odontogenic sinusitis in unilateral sinus disease.
Sinusitis is inflammation of the paranasal air sinuses. Odontogenic sinusitis accounts for approximately 10% to 12% of maxillary sinusitis cases 1. Odontogenic sinusitis, oroantral fistula and surgical. The incidence of odontogenic sinusitis is rising, extension outside the maxillary sinus is common, and the diagnosis is often delayed, resulting in inappropriate and failed treatment. However, root canal treatment of mandibular molars with aberrant canal anatomy can be diagnostically and technically challenging. Odontogenic chronic rhinosinusitis patients undergoing tooth. Jul 01, 2019 the incidence of odontogenic sinusitis is rising, extension outside the maxillary sinus is common, and the diagnosis is often delayed, resulting in inappropriate and failed treatment. It has been reported that of all cases of maxillary sinusitis the incidence of odontogenic original could range between 10% and 40%. Pdf clinical features and treatments of odontogenic sinusitis. Infections associated with teeth may be responsible for approximately 20% of cases of maxillary sinusitis.
Incidence of odontogenic sinusitis experience in a tertiary. The odontogenic conditions associated with chronic sinusitis were oroantral fistula 8 cases, foreign body 5, including dental obturating material, embedded tooth, and radicular debris that persisted after dental extraction, dental implant brook. Objective the purpose of this study was to evaluate whether os caused by dental caries and periapical abscess can be cured by dental treatment alone and which. Odontogenic chronic rhinosinusitis patients undergoing. Questioning the justification of frontal sinusotomy for.
Incidence of odontogenic sinusitis experience in a. First molar and second molar teeth were associated with odontogenic sinusitis. Sinusitis associated with odontogenic origin 4, iatrogenic displacement of maxillary tooth. Odontogenic sinusitis os is a highly prevalent, underappreciated and underdiagnosed disease that has been known for over 100 years. Purpose odontogenic sinusitis ods is underrepresented in the literature compared to other forms of rhinosinusitis, specifically in sinusitis guidelines and position statements. Aspirates of 20 acutely and 28 chronically infected maxillary sinuses that were associated with odontogenic infection were processed for aerobic and anaerobic bacteria. Management of upper odontogenic infections and the role of. Apr 23, 2019 odontogenic sinusitis ods is more common than historically reported, and management recommendations are limited in the literature.
Odontogenic sinusitis caused by an inflammation of a dentigerous. Odontogenic rhinosinusitis and sinonasal complications of dental. Clinical aspects of odontogenic maxillary sinusitis. Treatment strategy for odontogenic sinusitis byung joon. In this study all odontogenic sinus tracts had intraoral openings. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Definition and management of odontogenic maxillary sinusitis. Treatment optimization of chronic odontogenic maxillary sinusitis show article download cite statistics share. The diagnosis was initially missed by the radiologist on ct scan in 66% of our patients. Odontogenic maxillary sinusitis need for multidisciplinary approach a.
Case report rode matjaz1 podboj jernej2 kogojrode mirela 3. Odontogenic sinusitis accounts for 10%12% of maxillary sinusitis. Further endodontic management with root canal, dental extraction. Functional endoscopic sinus surgery was performed when sinusitis did not improve after extraction. Mar 25, 2018 odontogenic sinusitis is most common among 4060 year olds with a slight female predominance. A computerized tomography ct scan showed opacification of the right ethmoid and maxillary sinuses and periapical radiolucency in the first and second right maxillary molars figure 1. Unusual case of odontogenic maxillary sinusitis bmj case. Dentigerous cyst, fibrous dysplasia, odontogenic maxillary sinusitis, third molar. The actual importance of odontogenic sinusitis as a cause of crs is probably underappreciated. 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 of odontogenic origin itzhak brook, 2006. The treatment options for odontogenic sinusitis os include medical management including antibiotics and saline nasal irrigation, endoscopic sinus surgery ess, and dental treatment.
Odontogenic maxillary sinusitis usually manifests unilaterally and its pathophysiology, microbiology and manageme. Case report rode matjaz1 podboj jernej2 kogojrode mirela 3 1department of clinical oral pathology, medical centre, ljubljana, slovenia 2department of otorhinolaryngology, faculty of medicine, ljubljana, slovenia 3department of dentistry, faculty of medicine, ljubljana. Apr 17, 2015 introduction odontogenic cutaneous sinus tracts are often misdiagnosed as lesions of non odontogenic origin, leading to the treatment of patients with unnecessary and ineffective therapies. Pdf odontogenic infections widhariyani purnomoputri. Odontogenic sinusitis is a wellrecognized condition and accounts for approximately 10% to 12% of cases of maxillary sinusitis. Maxillary sinusitis of odontogenic origin is a wellknown condition in both the dental and otolaryngology communities. Mar 09, 2020 thirtyone adult patients with odontogenic chronic rhinosinusitis undergoing maxillary extraction were retrospectively analysed. Incidence of odontogenic sinusitis international journal. In this study, odontogenic sinusitis was seen most commonly in the fourth and fifth decade. 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. Odontogenic sinusitis is frequently recalcitrant to medical therapy and usually requires treatment of the dental. Odontogenic maxillary sinusitis oms is frequently encountered in otorhinolaryngologists clinical practice. Odontogenic maxillary sinusitis usually manifests unilaterally and its pathophysiology, microbiology and management are different from those of non odontogenic sinusitis. Patients with n 21 and without n 10 oroantral fistula on computed tomography were classified.
Intraoral periapical radiographs and conebeam computed tomography cbct scans were performed on t. An odontogenic cutaneous sinus tract ocst of dental origin is an uncommon occurrence and is most commonly caused by chronic periodontitis, specifically a periapical abscess due to chronic dental infection. An odontogenic source should be considered in individuals with symptoms of maxillary sinusitis with a history of odontogenic infection, dentoalveolar surgery, periodontal s. Odontogenic sinusitis is a wellrecognized, but understudied form of sinusitis. Introduction maxillary sinusitis is an infection or inflammation of the maxillary sinus. The purpose of this article is to present a case series of patients with odontogenic sinusitis in order to clarify key disease. Odontogenic sinusitis publication trends from 1990 to 2019. The purpose of this study was to explore trends in the quantity and quality of ods. In this case series, the authors evaluated patients who presented with maxillary sinusitis symptoms before and after dental treatment. Search on pubmed, cochrane library, pmc, science direct data bases.
Pdf prevalence of odontogenic sinus tracts in patients. Pathophysiology of sinusitis of odontogenic origin. The purpose of this study was to explore trends in the quantity and quality of. Clinical features and treatments of odontogenic sinusitis. Mar 29, 2019 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, otorhinolaryngologic, allergic, general, and maxillofacial contexts. Treatment of maxillary sinusitis of odontogenic origin.
Unusual case of odontogenic maxillary sinusitis bmj case reports. Sinus computed tomography ct scan used for the third ctbased question. Odontogenic sinusitis is a common yet underrecognized type of sinusitis that is very different from other forms of sinusitis. To study the microbiology of sinusitis associated with odontogenic origin.
Endoscopic sinus surgery plays an essential role in. Management of odontogenic maxillary sinusitis includes treatment of both the. A dental infection was the cause of a patients persistent sinus infection. Ods publication characteristics could help explain why ods has received less attention in sinusitis guidelines and position statements. Oms literature searchwe found 58 articles in our search on odontogenic sinusitis with full text available in english published between november 1988 and june 2010. In order to approve the suspected clinical odontogenic sinusitis, separate dental intraoral examination and the examinations of the nasal sinuses, or ct of the nasal sinuses without the dental programme would not be necessary. Odontogenic disease of the maxillary sinus bds lecture. Odontogenic sinusitis should be suspected in cases of refractory sinusitis. Predictive factors in patients undergoing endoscopic sinus. Infections associated with teeth may be responsible for approximately 20% of. Aim odontogenic sinusitis is a group of infections related to dental conditions. Odontogenic sinusitis and sinonasal complications of dental. It occurs when the schneiderian membrane is violated by conditions arising from dentoalveolar unit.
Treatment strategy for odontogenic sinusitis byung joon yoo. Odontogenic infection is a possible cause of maxillary sinusitis. Odontogenic sinusitis os is a highly prevalent, underappreciated and. It has been shown that the presence of a sinus tract will not influence the longterm outcome of endodontic treatment,14. Odontogenic cmrs occurs when the schneiderian membrane is irritated or perforated, as a result of a dental infection, maxillary trauma, foreign body into the sinus, maxillary bone pathology, the placing of dental implants in the maxillary bone, supernumerary teeth, periapical granuloma, inflammatory keratocyst, or dental surgery like dental. Jul 09, 2020 odontogenic sinusitis ods is a common cause of unilateral sinus disease usd, but can be challenging to diagnose due to nonspecific clinical presentations, potentially subtle to absent dental pathology on sinus computed tomography ct, and underrepresentation in the sinusitis literature. Odontogenic sinusitis requires unique diagnostic criteria and a treatment regimen that differs from non. Although ods case series have shown successful outcomes with dental treatment and endoscopic sinus surgery ess, no studies have considered the optimal timing of these treatments. Pdf sinusitis of odontogenic origin microbiology laura. Invasion of right maxillary sinus including cystic lesion suggestive of periapical cyst arrow. Sinus tracts of endodontic origin usually respond well to endodontic therapy. Odontogenic sinusitis is a unique cause of sinus disease that deserves special consideration.
Nov 25, 2020 current diagnostic criteria for odontogenic sinusitis are extremely heterogeneous. Pubmed literature search for odontogenic sinusitis. Backgroundthe treatment options for odontogenic sinusitis os include. The remaining five teeth had vertical fractures and were extracted. Parietal subdural empyema as complication of acute. Odontogenic maxillary sinusitis oms is a wellrecognized condition in both the. A ct scan identified 1 opacification of the sinus, 2 a calcified 7 mm mass of tooth density in the inferior third of the sinus and 3 an oroantral fistula with an expanded area around ur2 consistent with an abscess cavity, confirming the diagnosis of odontogenic maxillary sinusitis. Iatrogenic causes, which include dental implants and. Differentiation of rhinological and odontogenic causes of sinusitis is usually difficult on clinical grounds and imaging plays a key role in the distinction. Odontogenic sinusitis is an inflammatory condition of the paranasal sinuses that is the result of dental pathology, most often resulting from prior dentoalveolar procedures, infections of maxillary dentition, or maxillary dental trauma. Odontogenic sinusitis requires unique diagnostic criteria and a treatment regimen that differs from non odontogenic. Odontogenic sinusitis, oroantral fistula and surgical repair.
Odontogenic sinusitis and sinonasal complications of dental disease or treatment scddt represent a heterogeneous group of conditions that. Ibacteriology of 48 patients with maxillary sinusitis with an odontogenic origin. Sinusitis associated with an odontogenic origin itzhak brook, md, msc objectives. Cutaneous odontogenic sinus tracts are occasionally seen 15. Odontogenic sinus disease require optimal management that involves definitive treatment of the underlying dental pathology. Maxillary sinusitis acute or chronic is defined as a symptomatic inflammation of the maxillary sinus, usually caused by viral, bacterial, allergic or fungal rhinitis. Microbiology of acute and chronic maxillary sinusitis associated. Iosr journal of dental and medical sciences iosrjdms eissn. This type of sinusitis differs in its pathophysiology, microbiology, diagnostics. An astute clinician can elicit historical findings such as recent dental work, and symptoms such as unilateral facial pain and foul drainage, despite a relatively benign oral cavity examination. Craniofacial ct scan coronal slice 2a and axial slice 2b. Pdf download for treatment strategy for odontogenic sinusitis. Just click on the link below to download bds lecture notes on. Treatment options for odontogenic maxillary sinusitis.
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