INTRODUCTION:
Odontogenic sinusitis is an inflammatory process that occurs after the Schneiderian membrane is perforated as a result of a natural or iatrogenic cause of dental origin. Odontogenic sinusitis goes by various names in the literature, but the preferred ones are "odontogenic sinusitis" or "maxillary sinusitis of dental origin". This disease has been known to medicine for more than a century. However, recent data indicate that its prevalence is increasing year by year.
Nowadays, otolaryngologists identify odontogenic sinusitis as a prevalent, but frequently misdiagnosed illness, and the association between tooth infections and maxillary sinusitis is well documented.
Therefore, dentists need to be familiar with the etiologies most commonly associated with odontogenic sinusitis in order to provide the correct diagnosis and treatment for their patients.
AIM: The purpose of this article is to summarize the most common etiologic factors associated with the development of odontogenic sinusitis.
DISCUSSION:
Odontogenic sinusitis is an inflammatory process that occurs after the Schneiderian membrane is perforated as a result of a natural or iatrogenic cause of dental origin (1, 2, 3). Odontogenic sinusitis goes by various names in the literature, but the preferred ones are "odontogenic sinusitis" or "maxillary sinusitis of dental origin", as endodontic and periodontal diseases are considered the most common etiological factors associated with the development of odontogenic sinusitis. These are followed by iatrogenic causes related to dentists' surgical interventions (3, 4).
This disease has been known in medicine for more than 100 years and accounts for 10-12% of maxillary sinusitis cases (1, 5, 6, 7). Recent data, however, show that its prevalence rate is increasing every year (8, 9).
Nowadays, dentists and otolaryngologists work together with a common goal - the correct diagnosis and treatment of this disease. Specialists need to be well versed in both the differential diagnosis of odontogenic sinusitis and the most common odontogenic etiologic factors associated with it (10, 11, 12).
CONCLUSION
Odontogenic sinusitis is a widespread disease. Literature sources often refer to it as an "underestimated disease". Today, it is clear that the main etiologic factors associated with the development of odontogenic sinusitis are endodontic infections and periodontal disease affecting distally positioned maxillary teeth, and iatrogenic causes in the area. Therefore, it is of utmost importance that specialists are familiar with the possible " triggers " of the disease in order to be able to make a prompt and accurate diagnosis, and plan the correct treatment accordingly.
Brook I, Mumford J. Sinusitis of odontogenic origin. INFECTIOUS DISEASE AND THERAPY SERIES. 2005; 35, 403.
Kretzschmar DP, Kretzschmar JL. Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Aug;96(2):128-35.
Slivovska G, Milkov M, Georgiev T. Influence of the height of the alveolar bone in the distal parts of the upper jaw on the odontogenic inflammatory processes in the maxillary sinus. International Bulletin of Otorhinolaryngology. 2022; 17(4), 37-42.
Ferguson M. Rhinosinusitis in oral medicine and dentistry. Aust Dent J. 2014 Sep;59(3):289-95.
Mehra P, Murad H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am. 2004 Apr;37(2):347-64.
Vidal F, Coutinho TM, Carvalho Ferreira D, Souza RC, Gonçalves LS. Odontogenic sinusitis: a comprehensive review. Acta Odontol Scand. 2017 Nov;75(8):623-633.
Patel NA, Ferguson BJ. Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis. Curr Opin Otolaryngol Head Neck Surg. 2012 Feb;20(1):24-8.
Hoskison E, Daniel M, Rowson JE, Jones NS. Evidence of an increase in the incidence of odontogenic sinusitis over the last decade in the UK. J Laryngol Otol. 2012 Jan;126(1):43-6.
George M, Noor A, Thorpe ARDS, Sritharan N, Riffat F. Odontogenic sinusitis: a literature review. Oral Surgery. 2024; 17(2), 170-178.
Wu J, Zheng M, Wang X, Wang S. Endo-Periodontal Lesions-An Overlooked Etiology of Odontogenic Sinusitis. J Clin Med. 2023 Oct 31;12(21):6888.
Wang KL, Nichols BG, Poetker DM, Loehrl TA. Odontogenic sinusitis: a case series studying diagnosis and management. Int Forum Allergy Rhinol. 2015 Jul;5(7):597-601.
Alghofaily M, Alsufyani N, Althumairy RI, AlSuhaibani A, Alfawzan F, AlSadhan L. Odontogenic Factors Associated with Maxillary Sinus Schneiderian Membrane Thickness and their Relationship to Chronic Sinonasal Symptoms: An Ambispective Cohort Study. Diagnostics (Basel). 2023 Aug 20;13(16):2710.
Troeltzsch M, Pache C, Troeltzsch M, Kaeppler G, Ehrenfeld M, Otto S, Probst F. Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases. J Craniomaxillofac Surg. 2015 Oct;43(8):1522-9.
Akhlaghi F, Esmaeelinejad M, Safai P. Etiologies and Treatments of Odontogenic Maxillary Sinusitis: A Systematic Review. Iran Red Crescent Med J. 2015 Dec 27;17(12):e25536.
Arias-Irimia O, Barona-Dorado C, Santos-Marino JA, Martínez-Rodriguez N, Martínez-González JM. Meta-analysis of the etiology of odontogenic maxillary sinusitis. Med Oral Patol Oral Cir Bucal. 2010 Jan 1;15(1):e70-3.
Puglisi S, Privitera S, Maiolino L, Serra A, Garotta M, Blandino G, Speciale A. Bacteriological findings and antimicrobial resistance in odontogenic and non-odontogenic chronic maxillary sinusitis. J Med Microbiol. 2011 Sep;60(Pt 9):1353-1359.
Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod. 2011 Jun;37(6):753-7.
Craig JR, Tataryn RW, Aghaloo TL, Pokorny AT, Gray ST, Mattos JL, Poetker DM. Management of odontogenic sinusitis: multidisciplinary consensus statement. Int Forum Allergy Rhinol. 2020 Jul;10(7):901-912.
Yassin-Kassab A, Peterson EL, Craig JR. Total times to treatment completion and clinical outcomes in odontogenic sinusitis. Am J Otolaryngol. 2023 Jul-Aug;44(4):103921.
Craig JR, Poetker DM, Aksoy U, Allevi F, Biglioli F, Cha BY, Chiapasco M, Lechien JR, Safadi A, Simuntis R, Tataryn R, Testori T, Troeltzsch M, Vaitkus S, Yokoi H, Felisati G, Saibene AM. Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement. Int Forum Allergy Rhinol. 2021 Aug;11(8):1235-1248.
Bozov K, Hristov I, Strashimirova R, Milkov M. Case report of Odontogenic Sinusitis with multiple complications-case study. International Bulletin of Otorhinolaryngology. 2020;16(1), 13-15.
Longhini AB, Branstetter BF, Ferguson BJ. Otolaryngologists' perceptions of odontogenic maxillary sinusitis. Laryngoscope. 2012 Sep;122(9):1910-4.
Златанов Хр., Милев С. „Балонната синусопластика - съвременен метод за лечение на хроничния риносинуит. Предимства и недостатъци”. Инструментален курс по Функционална Eндоназална Синус Хирургия с кадаври (ФЕСС), гр. Пловдив, 04- 06 ноември 2011г., Сборник резюмета
Златанов Хр. и съавтори.”Съвременни концепции за консервативното лечение на хроничния риносинуит” – Българско ринологично сдружение, изд.“Алекс Делта Адвъртайзинг“, Пловдив 2012 г.
Златанов Хр., Милев С. „FESS в лечението на максиларния синуит от дентален произход“. Първа Българо – Италианска приятелска среща по ринология. Пловдив, 17-19.05.2012 г., Сборник резюмета, стр. 52-53
Златанов Хр., УСПЕШНО ЛЕЧЕНИЕ НА ХРОНИЧНИЯ РИНОСИНУИТ? МИНИМУМ ХИРУРГИЯ, МАКСИМУМ ХИРУРГИЯ ИЛИ КОНСЕРВАТИВНО ЛЕЧЕНИЕ?// Сп. Военна медицина, София, 2018, бр. 3, стр 29-31
Сливовска, Г. Д. (2022). Влияние на хроничните възпалителни процеси на зъбите върху мукоцилиарния транспорт на лигавицата на максиларния синус (Doctoral dissertation, Medical University of Varna (Bulgaria)).
de Lima CO, Devito KL, Baraky Vasconcelos LR, Prado MD, Campos CN. Correlation between Endodontic Infection and Periodontal Disease and Their Association with Chronic Sinusitis: A Clinical-tomographic Study. J Endod. 2017 Dec;43(12):1978-1983.
Mehra P, Murad H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am. 2004 Apr;37(2):347-64.
Akhaddar A, Elasri F, Elouennass M, Mahi M, Elomari N, Elmostarchid B, Oubaaz A, Boucetta M. Orbital abscess associated with sinusitis from odontogenic origin. Intern Med. 2010;49(5):523-4.
Lazow SK, Izzo SR, Vazquez D. Do dental infections really cause central nervous system infections? Oral Maxillofac Surg Clin North Am. 2011 Nov;23(4):569-78
Martines F, Salvago P, Ferrara S, Mucia M, Gambino A, Sireci F. Parietal subdural empyema as complication of acute odontogenic sinusitis: a case report. J Med Case Rep. 2014 Aug 21;8:282.
Sun P, Guo Z, Guo D, Wang J, Wu T, Li T, Liu J, Liu X. The Microbiota Profile Analysis of Combined Periodontal-Endodontic Lesions Using 16S rRNA Next-Generation Sequencing. J Immunol Res. 2021 Nov 16;2021:2490064.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S173-S182.
Yue L. [Problem solving in endodontic diseases: V. Correlation of clinical diagnosis, prognosis and histopathologic signs of apical periodontitis (I)]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2010 Mar;45(3):177-81.
Bilginaylar K. The Use of Platelet-Rich Fibrin for Immediate Closure of Acute Oroantral Communications: An Alternative Approach. J Oral Maxillofac Surg. 2018 Feb;76(2):278-286.
Sakkas A, Weiß C, Ebeling M, Pietzka S, Wilde F, Evers T, Thiele OC, Mischkowski RA, Scheurer M. Factors Influencing Recurrence after Surgical Treatment of Odontogenic Maxillary Sinusitis: An Analysis from the Oral and Maxillofacial Surgery Point of View. J Clin Med. 2023 May 25;12(11):3670.
Herrera D, Retamal-Valdes B, Alonso B, Feres M. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo-periodontal lesions. J Periodontol. 2018 Jun;89 Suppl 1:S85-S102.
Molteni M, Bulfamante AM, Pipolo C, Lozza P, Allevi F, Pisani A, Chiapasco M, Portaleone SM, Scotti A, Maccari A, Borloni R, Felisati G, Saibene AM. Odontogenic sinusitis and sinonasal complications of dental treatments: a retrospective case series of 480 patients with critical assessment of the current classification. Acta Otorhinolaryngol Ital. 2020 Aug;40(4):282-289.
Savolainen S, Eskelin M, Jousimies-Somer H, Ylikoski J. Radiological findings in the maxillary sinuses of symptomless young men. Acta Otolaryngol Suppl. 1997;529:153-7.
Capelli M, Gatti P. Radiological Study of Maxillary Sinus using CBCT: Relationship between Mucosal Thickening and Common Anatomic Variants in Chronic Rhinosinusitis. J Clin Diagn Res. 2016 Nov;10(11):MC07-MC10.
Shanbhag S, Karnik P, Shirke P, Shanbhag V. Association between periapical lesions and maxillary sinus mucosal thickening: a retrospective cone-beam computed tomographic study. J Endod. 2013 Jul;39(7):853-7.
Gutmann JL, Baumgartner JC, Gluskin AH, Hartwell GR, Walton RE. Identify and define all diagnostic terms for periapical/periradicular health and disease states. J Endod. 2009 Dec;35(12):1658-74.
Dzhambazov K, Kraeva М, Topalova-Shishmanova А, Pechalova P. Modern approach for complex treatment of odontogenic maxillary sinusitis. International Bulletin of Otorhinolaryngolog. 2022; 18(1), 20-26.
Gerasimova A, Milkov M, Makedonski L. Diagnosis and treatment of patients with acute and chronic sinusitis using data from studies of physicochemical parameters of nasal secretions. Scripta Scientifica Medica. 2022; 54, 29-34.
Fokkens WJ, Lund VJ, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps. Rhinology Suppl. 2012; 23:1–298.
Ugincius P, Kubilius R, Gervickas A, Vaitkus S. Chronic odontogenic maxillary sinusitis. Stomatologija. 2006;8(2):44-8.
Arias-Irimia O, Barona-Dorado C, Santos-Marino JA, Martínez-Rodriguez N, Martínez-González JM. Meta-analysis of the etiology of odontogenic maxillary sinusitis. Med Oral Patol Oral Cir Bucal. 2010 Jan 1;15(1):e70-3.
Chemli H, Mnejja M, Dhouib M, Karray F, Ghorbel A, Abdelmoula M. Sinusites maxillaires d'origine dentaire : traitement chirurgical [Maxillary sinusitis of odontogenic origin: surgical treatment]. Rev Stomatol Chir Maxillofac. 2012 Apr;113(2):87-90.
Lechien JR, Filleul O, Costa de Araujo P, Hsieh JW, Chantrain G, Saussez S. Chronic maxillary rhinosinusitis of dental origin: a systematic review of 674 patient cases. Int J Otolaryngol. 2014;2014:465173.
Obayashi N, Ariji Y, Goto M, Izumi M, Naitoh M, Kurita K, Shimozato K, Ariji E. Spread of odontogenic infection originating in the maxillary teeth: computerized tomographic assessment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Aug;98(2):223-31.
Phothikhun S, Suphanantachat S, Chuenchompoonut V, Nisapakultorn K. Cone-beam computed tomographic evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus. J Periodontol. 2012 May;83(5):557-64.
Abrahams JJ, Glassberg RM. Dental disease: a frequently unrecognized cause of maxillary sinus abnormalities? AJR Am J Roentgenol. 1996 May;166(5):1219-23.
Costa F, Emanuelli E, Robiony M, Zerman N, Polini F, Politi M. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg. 2007 Feb;65(2):223-8.
Jensen OT, Adams M, Cottam JR, Ringeman J. Occult peri-implant oroantral fistulae: posterior maxillary peri-implantitis/sinusitis of zygomatic or dental implant origin. Treatment and prevention with bone morphogenetic protein-2/absorbable collagen sponge sinus grafting. Int J Oral Maxillofac Implants. 2013 Nov-Dec;28(6):e512-20.
Vishniakov VV, Makarova NV, Pashovkina OV. [Changes in the mucous membrane of the patients with chronic maxillary sinusitis caused by foreign bodies]. Vestn Otorinolaringol. 2014;(1):12-4.
Nimigean VR, Nimigean V, Maru N, Andressakis D, Balatsouras DG, Danielidis V. The maxillary sinus and its endodontic implications: clinical study and review. B-ENT. 2006;2(4):167-75.
Lee KC, Lee SJ. Clinical features and treatments of odontogenic sinusitis. Yonsei Med J. 2010 Nov;51(6):932-7.
Abi Najm S, Malis D, El Hage M, Rahban S, Carrel JP, Bernard JP. Potential adverse events of endosseous dental implants penetrating the maxillary sinus: long-term clinical evaluation. Laryngoscope. 2013 Dec;123(12):2958-61.
Ragucci GM, Elnayef B, Suárez-López Del Amo F, Wang HL, Hernández-Alfaro F, Gargallo-Albiol J. Influence of exposing dental implants into the sinus cavity on survival and complications rate: a systematic review. Int J Implant Dent. 2019 Feb 5;5(1):6.