Comparative analysis of clinical characteristics of odontogenic maxillary sinus diseases associated with or without...

Unilateral maxillary sinusitis and maxillary fungal ball (FB) have diverse etiologies. Maxillary sinus diseases are predominantly associated with odontogenic origins. This study aimed to investigate and compare the clinical characteristics of odontogenic maxillary sinus diseases between implant-related and implant-non-related etiologies. This retrospective study enrolled 195 patients with odontogenic maxillary sinus diseases undergoing endoscopic sinus surgery. The patients were categorized into four groups: implant-related and -non-related odontogenic sinusitis and implant-related and -non-related odontogenic FB. The study analyzed sinonasal symptoms, SNOT-22 scores, comorbidities, social history, allergic status, and olfactory function. Computed tomography scans were performed to assess dental disease, implant numbers, implant protrusion depth, and sinus inflammation degree. Smoking and alcohol consumption were significant risk factors for odontogenic maxillary sinusitis development, whereas hypertension and older age were associated with an increased odontogenic FB risk. However, the four groups demonstrated no statistically significant differences in terms of Lund-Mackay scores, SNOT-22 scores, olfactory function tests, allergic status, or comorbidities. Periodontitis and the length of the intramaxillary implant protrusion were important contributing factors in odontogenic maxillary sinus diseases. Odontogenic maxillary sinusitis and odontogenic FB exhibit distinct pathophysiological and clinical characteristics; therefore, these conditions need to be thoroughly understood for effective patient management.