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[Sinusitis of dental origin].

Jürgen Abrams¹

¹ENT, St. Barbara-Klinik Hamm-Heessen, Hamm, Germany.

Laryngo- Rhino- Otologie

|January 20, 2021

Summary

This summary is machine-generated.

Dental infections increasingly affect the maxillary sinus, often caused by molar issues. Diagnosis requires advanced imaging like cone beam CT (CBCT), not just dental X-rays, for effective treatment.

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Area of Science:

Otorhinolaryngology
Dentistry
Radiology

Background:

Increasing incidence of dental infections affecting the maxillary sinus.
Perforation of Schneider's membrane is a prerequisite for maxillary sinus bacterial infection.
Ostiomeatal unit involvement is secondary to infections ascending from the maxillary sinus floor.

Purpose of the Study:

To highlight the diagnostic challenges and imaging modalities for dentogenic sinusitis.
To emphasize the role of molars as a common cause of sinusitis.
To discuss current therapeutic approaches, including one-stage surgery and functional sinus surgery.

Main Methods:

Review of diagnostic imaging techniques, emphasizing high-resolution CT and CBCT (cone beam CT) for 3D resolution.
Clinical anamnesis as a supplementary diagnostic tool.
Microbiological analysis of germ spectrum, noting polymicrobial dominance with anaerobes.

Main Results:

Standard dental X-rays and examinations are often insufficient for diagnosing maxillary sinus infections.
Maxillary molars are frequently implicated as the source of dentogenic sinusitis due to anatomical proximity.
A polymicrobial germ spectrum, predominantly anaerobes, characterizes these infections.

Conclusions:

Accurate diagnosis of dentogenic sinusitis relies on advanced imaging like CBCT.
One-stage surgery combined with functional sinus surgery is the preferred therapeutic strategy.
Functional sinus surgery aids in managing inflammatory complications, including those related to implantology.