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Related Experiment Videos

Rhinosinusitis: review from a dental perspective.

David P Kretzschmar1, James L Kretzschmar

  • 1Wake Forest University Baptist Medical Center, Winston Salem, NC 27157, USA. kretz@wfubmc.edu

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|August 22, 2003
PubMed
Summary

Dental providers should consider rhinosinusitis when patients report posterior maxillary pain. Understanding sinus anatomy and guidelines aids in accurate diagnosis and treatment of this common condition.

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Dental Medicine

Background:

  • Posterior maxillary pain in patients often prompts dental evaluation, with a primary focus on ruling out dental pathosis.
  • Rhinosinusitis is a frequent, yet sometimes overlooked, differential diagnosis for such symptoms.
  • Standardized terminology and guidelines for rhinosinusitis were established by the American Academy of Otolaryngology in 1996.

Purpose of the Study:

  • To highlight American Academy of Otolaryngology guidelines for diagnosing and treating rhinosinusitis.
  • To review relevant sinus anatomy and considerations for iatrogenic sinus exposure.
  • To emphasize the importance of recognizing rhinosinusitis in dental patients with maxillary pain.

Main Methods:

  • Review of American Academy of Otolaryngology guidelines for sinusitis evaluation and treatment.

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  • Discussion of sinus anatomy, particularly the maxillary sinus.
  • Consideration of iatrogenic sinus exposure in the context of dental procedures.

    • Main Results:

    • Rhinosinusitis requires consideration in the differential diagnosis of posterior maxillary pain.
    • Understanding the relationship between the maxillary sinus and oral structures is crucial for accurate diagnosis.
    • Adherence to established guidelines can lead to improved patient outcomes.

    Conclusions:

    • Dental providers must include rhinosinusitis in their differential diagnosis for posterior maxillary pain.
    • Knowledge of sinus anatomy and iatrogenic risks enhances diagnostic accuracy.
    • Implementing standardized guidelines ensures effective management and positive outcomes for patients with rhinosinusitis.