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Influence of Caldwell-Luc operation on developing permanent teeth
Insights
The Caldwell-Luc operation, a sinus surgery, rarely causes serious dental issues in children. Properly performed, it poses minimal risk to permanent teeth, even with chronic sinobronchitis.
Area of Science:
- Otolaryngology
- Pediatric Dentistry
Background:
- The Caldwell-Luc operation is a surgical approach to the maxillary sinus.
- Potential dental complications in pediatric patients undergoing this procedure require investigation.
Purpose of the Study:
- To evaluate the influence of the Caldwell-Luc operation on the permanent teeth of school children.
- To assess the incidence of dental complications following this surgical intervention.
Main Methods:
- A study involving 21 children (ages 6-14) who underwent 30 Caldwell-Luc operations.
- Comparison with a control group of 27 healthy school children.
- Assessment of dental anesthesia, hypesthesia, and caries post-operation.
Main Results:
- Five teeth on the operated side and one on the non-operated side experienced anesthesia.
- Slight hypesthesia was noted in some teeth, primarily first incisors, due to nerve lesions.
- No tooth death or increased caries incidence was observed.
Conclusions:
- Correctly performed Caldwell-Luc operations do not typically cause serious dental injuries in school children.
- The procedure is indicated for chronic sinobronchitis when conservative treatments fail, with minimal dental risk.
Abstract:
The influence of Caldwell-Luc operation on the permanent teeth of school children was studied in a material of 21 six to 14-year-old children, who had undergone, altogether, 30 Caldwell-Luc operations. Ten of the children had also undergone 23 endonasal antrostomies. The control material consisted of a class of 27 healthy school children, their mean age being 10.2 years. Total anesthesia was found in five teeth on the operated side and in one tooth on the non-operated side. Additionally, the operation had caused slight hypesthesia in part of the teeth, mostly in the first incisors. All sensory disturbances were caused by nerve lesion only, and no tooth had died as a result of the operation. The operation could not be shown to be conducive to caries. Correctly performed, Caldwell-Luc operation does not cause serious dental injuries in school children, and is indicated especially in chronic sinobronchitis when conservative methods of treatment fail.