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Published on: February 28, 2019
Epidemiology of Odontogenic Sinusitis
1Center for Oral, Maxillofacial and Facial Reconstructive Surgery, Maximilianstraße 5, Ansbach 91522, Germany; Department of Oral, Maxillofacial and Facial Plastic Surgery, University Hospital LMU, Lindwurmstraße 2a, Munich 80336, Germany.
Odontogenic sinusitis (ODS), often overlooked, accounts for up to 40% of maxillary sinusitis cases. Dental issues like apical periodontitis and post-extraction complications are common causes.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Infectious Diseases
Background:
- Odontogenic sinusitis (ODS) is increasingly recognized as a significant cause of maxillary sinusitis, potentially accounting for 25%–40% of cases.
- Current diagnostic criteria and international coding are lacking, hindering accurate prevalence assessment.
- ODS stems from various dental infections or complications arising from dental procedures.
Purpose of the Study:
- To highlight the prevalence and common etiologies of odontogenic sinusitis.
- To underscore the importance of considering dental origins in maxillary sinusitis diagnosis.
Main Methods:
- Review of existing literature on odontogenic sinusitis.
- Analysis of reported cases and etiological factors.
Main Results:
- Odontogenic sinusitis represents a substantial proportion of maxillary sinusitis cases.
- Common causes include apical periodontitis and oroantral communication post-extraction.
- Less frequent causes involve dental implants, bone grafting, odontogenic cysts, and advanced periodontitis.
Conclusions:
- Odontogenic sinusitis is more prevalent than previously assumed.
- Dental pathologies are critical, often overlooked, causes of maxillary sinusitis.
- Improved diagnostic awareness and criteria are needed for ODS.
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