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Odontogenic infection as a predisposing factor for pathologic disorder development in maxillary sinus
Fernanda Ramia Curi1, Rina Andréa Pelegrine1, Monikelly do Carmo Chagas Nascimento1
1Division of Oral Radiology, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, Brazil.
Oral Diseases
|June 13, 2020
Summary
Odontogenic infections (OI) are linked to maxillary sinus pathologic disorder (MSPD). Proximity of upper tooth roots to the sinus floor increases the risk of developing MSPD, highlighting a significant association.
Area of Science:
- Dentistry
- Oral Pathology
- Radiology
Background:
- Odontogenic infections (OI) can potentially affect adjacent anatomical structures.
- Maxillary sinus pathologic disorder (MSPD) encompasses conditions like mucosal thickening and opacification.
Purpose of the Study:
- To determine the association between odontogenic infections (OI) and maxillary sinus pathologic disorder (MSPD).
- To assess the relationship between the distance from the sinus floor to the root apex of posterior teeth and MSPD.
Main Methods:
- Cone beam computed tomography (CBCT) scans of 4,402 patients were reviewed, with 230 selected for analysis.
- Evaluated 431 teeth for OI (bone loss, periapical, endodontic-periodontal lesions) and assessed maxillary sinuses for MSPD (mucosal thickening, opacification, cysts).
Main Results:
- A significant association was found between OI and MSPD (p < .001).
- Periodontal bone loss, periapical, and endodontic-periodontal lesions significantly increased the risk of sinus opacification.
- Shorter distance between palatine root apex and sinus floor was associated with MSP presence (p < .001).
Conclusions:
- A clear relationship exists between dental infections and maxillary sinus pathologic disorder.
- The close proximity of palatine root apices to the maxillary sinus floor is a predisposing factor for MSPD.
Keywords:
Alveolar bone lossaxillary sinus floorcone-beam computed tomographydental pulp necrosismaxillary sinus diseaseodontogenic infectionMore Related Videos
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