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Odontogenic sinusitis: a comprehensive review.

Fábio Vidal1, Thais Machado Coutinho1, Dennis de Carvalho Ferreira1,2

  • 1a PostGraduate Program in Dentistry , Estácio de Sá University , Rio de Janeiro , Brazil.

Acta Odontologica Scandinavica
|September 8, 2017
PubMed
Summary
This summary is machine-generated.

Odontogenic sinusitis (OS), often caused by dental issues like apical periodontitis, requires prompt diagnosis and treatment. Recognizing the dental origin of persistent sinusitis is crucial for effective patient recovery.

Keywords:
Odontogenic sinusitismaxillary sinusperiapical periodontitissinusitis

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Area of Science:

  • Otolaryngology
  • Dentistry
  • Medical Imaging

Background:

  • Odontogenic sinusitis (OS) is a common yet frequently overlooked condition linked to dental problems.
  • Key causes include apical periodontitis, periodontal disease, and foreign body extrusion into the sinus.
  • The dental origin of sinus pathology is often underdiagnosed by clinicians.

Purpose of the Study:

  • To review current clinical concepts on the definition, diagnosis, and management of odontogenic sinusitis.
  • To highlight the importance of considering dental origins in recalcitrant sinusitis cases.
  • To emphasize the role of multidisciplinary dental and otolaryngological collaboration.

Main Methods:

  • Review of current literature and clinical perspectives on OS.
  • Discussion of diagnostic modalities, focusing on cone-beam computed tomography (CBCT).
  • Clinical assessment of the relationship between dental conditions and sinus diseases.

Main Results:

  • Cone-beam computed tomography (CBCT) is the gold standard for identifying the link between dental issues and sinus disease.
  • Early detection and treatment of the dental source are vital for resolving OS.
  • Multidisciplinary care involving dentists and otolaryngologists is essential for complete recovery.

Conclusions:

  • Odontogenic sinusitis necessitates a high index of suspicion, particularly in chronic or recurrent cases.
  • Integrated dental and ENT evaluation, guided by advanced imaging like CBCT, improves patient outcomes.
  • Timely intervention addressing the odontogenic source is key to managing this condition effectively.