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The maxillary sinus and its endodontic implications: clinical study and review
V R Nimigean1, V Nimigean, N Maru
1Oral Rehabilitation Department, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 5 Calea Plevnei, Sector 5, Bucharest, Romania.
B-ENT
|January 30, 2007
Summary
Endodontic infections from posterior maxillary teeth can lead to maxillary sinus complications. Understanding dento-antral anatomy is crucial for preventing these issues during endodontic treatment.
Area of Science:
- Dentistry
- Oral Surgery
- Endodontics
Background:
- Odontogenic infections of posterior maxillary teeth can extend into the maxillary sinus.
- These infections may result in severe complications, impacting patient health.
- Maxillary sinusitis of endodontic origin requires careful management.
Purpose of the Study:
- To detail the challenges and complications arising from endodontic treatment of posterior maxillary teeth.
- To analyze the relationship between endodontic procedures and maxillary sinus involvement.
- To highlight the importance of anatomical knowledge in preventing iatrogenic issues.
Main Methods:
- Retrospective review of 125 patient cases with odontogenic chronic maxillary sinusitis.
- Analysis of etiological factors and treatment outcomes.
- Documentation of foreign body presence within the sinus.
Main Results:
- Chronic apical periodontitis was identified as the primary cause in 99 cases.
- Traumatic endodontic treatment contributed to sinusitis in 26 cases.
- Endodontic procedures occasionally resulted in foreign intra-sinusal bodies.
Conclusions:
- Thorough understanding of dento-antral relationships is essential for preventing sinus complications.
- Therapeutic maneuvers in the posterior maxilla must respect regional anatomy.
- Adherence to anatomical guidelines minimizes the risk of sinusal accidents during endodontic therapy.
