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Is tooth conservation possible in odontogenic sinusitis? Prospective evaluation of affected teeth condition-based
Akiko Ito1, Muneo Nakaya1, Kazuhiro Tada2
1Department of Otolaryngology-Head and Neck Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Acta Oto-Laryngologica
|January 18, 2023
Summary
This study validates a new protocol for odontogenic sinusitis (ODS) that prioritizes tooth preservation. Most immobile affected teeth were saved with endoscopic sinus surgery (ESS), improving patient outcomes.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
- Dental Health
Background:
- Tooth conservation is often neglected in odontogenic sinusitis (ODS) treatment.
- Current ODS management frequently involves unnecessary extractions, burdening patients.
- There's a lack of practical clinical protocols for ODS patient management.
Purpose of the Study:
- To prospectively validate a novel ODS treatment protocol.
- The protocol utilizes dental mobility as an indicator of tooth prognosis.
- To improve ODS cure rates and affected tooth preservation.
Main Methods:
- Prospective validation of a treatment protocol for ODS.
- Protocol involves endoscopic sinus surgery (ESS) and dental treatment based on tooth mobility.
- Immobile teeth receive ESS first; mobile teeth receive ESS and extraction.
Main Results:
- Ninety-seven percent of immobile affected teeth were preserved.
- Only one of 35 patients with immobile teeth required extraction for ODS cure.
- Five cases with mobile teeth and one post-extraction case had marginal periodontitis.
Conclusions:
- The validated ODS protocol successfully preserves most affected teeth.
- Endoscopic sinus surgery (ESS) should be prioritized over routine extractions.
- Marginal periodontitis may necessitate extraction, but tooth preservation is key for quality of life.
Keywords:
ESSOdontogenic sinusitismarginal periodontitisroot canal treatmenttooth extractiontooth preservationMore Related Videos
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