INTRODUCTION:
Odontogenic sinusitis is an inflammatory process of the maxillary sinus mucosa etiologically associated with an odontogenic causative agent. The localization of the maxillary sinus predisposes to invasion by pathogenic microorganisms from the nasal and oral cavities. The odontogenic sinusitis differs from the neodontogenic sinusitis in its etiology, microbiology, pathophysiology and therapeutic approach. Accurate determination of the diagnosis and the origin of the lesion is key to developing the correct treatment plan. Nowadays, the combination of a well-done history, an exact clinical examination and a CBCT are used to diagnose odontogenic sinusitis. In terms of treatment approach, specialists rely on a multidisciplinary approach.
AIM: The purpose of this article is to summarize current trends in the diagnosis and treatment of odontogenic sinusitis.
DISCUSSION:
The odontogenic sinusitis is an inflammatory process of dental origin whose localization is the maxillary sinus (1). The maxillary sinus is the most vulnerable of all the sinuses to bacterial invasion via the nasal ostium or the mouth cavity because it is located between the oral and nasal cavities (2).
Odontogenic sinusitis is referred to in different literature sources by different names - "odontogenic sinusitis", "odontogenic maxillary sinusitis", "sinonasal complications of dental disease and treatment". (3).
The odontogenic sinusitis differs from neodontogenic sinusitis in its etiology, microbiology, pathophysiology and treatment approach (2, 4).
Accurately determining the diagnosis and the origin of the lesion are key to developing the correct treatment plan (5). Today, the diagnosis of odontogenic sinusitis is made using a combination of a well-documented history, an exact clinical examination, and an CBCT examination (6).
Treatment won't work if the link between maxillary sinusitis and odontogenic change isn't identified since antibiotics can't get rid of the illness's underlying cause (6). Most of the recent literature on otorhinolaryngologic infections suggests that we should start with treating the source of the odontogenic infection when determining the most effective order in which to perform surgical treatments (5). Some individuals may be able to avoid endoscopic sinus surgery if a timely oral treatment approach is implemented to restore the microecological environment of the sinus (5).
CONCLUSION:
It emerges that odontogenic sinusitis is not at all a rare disease today. This type of sinus infection is most commonly associated with the first and second molars of the maxilla and the tissues surrounding them. The most common oral lesions that cause the development of odontogenic sinusitis are of endodontic and periodontal origin, but cases resulting from iatrogenic sources or surgical interventions do occur. Accurate determination of the diagnosis and the origin of the lesion are key to developing the correct treatment plan. Today, a multidisciplinary treatment approach involving the joint efforts of dentists and otorhinolaryngologist is recommended.
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