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[Odontogenic maxillary sinusitis caused by dental restoration]
Nihon Jibiinkoka Gakkai Kaiho
|August 9, 2014
Summary
Odontogenic maxillary sinusitis can occur after dental restoration, even with intact pulp. Dentinal tubule infection may cause this condition, requiring endoscopic sinus surgery in severe cases.
Area of Science:
- Dentistry
- Otolaryngology
- Infectious Diseases
Background:
- Odontogenic maxillary sinusitis (OMS) is a common condition often linked to dental procedures.
- This study investigates OMS specifically caused by dental restorations, even when the tooth's pulp remains intact.
Observation:
- Five patients presented with OMS following dental restoration procedures like cavity preparation or inlay restoration.
- Apical lesions were identified as the likely cause, suggesting infection spread through dentinal tubules.
Findings:
- Infection via dentinal tubules is proposed as the primary pathophysiological mechanism for OMS post-restoration.
- Cone-beam computed tomography (CBCT) proved effective for diagnosing OMS related to dental work.
Implications:
- Physicians and dentists should consider dental restorations as a potential cause of OMS.
- Endoscopic sinus surgery may be necessary for managing intractable cases of OMS linked to dental restorations.
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