Maxillary sinusitis of odontogenic origin
- First Online:
Odontogenic etiology accounts for 10% to 12% of cases of maxillary sinusitis. Although uncommon, direct spread of dental infections into the maxillary sinus is possible due to the close relationship of the maxillary posterior teeth to the maxillary sinus. If a periapical dental infection or dental/oral surgery procedure violates the schneiderian membrane integrity, infection will likely spread into the sinus, leading to sinusitis. An odontogenic source should be considered in individuals with symptoms of maxillary sinusitis and a history of dental or jaw pain; dental infection; oral, periodontal, or endodontic surgery; and in those people resistant to conventional sinusitis therapy. An odontogenic infection is a polymicrobial aerobic-anaerobic infection, with anaerobes outnumbering the aerobes. Diagnosis requires a thorough dental and clinical evaluation, including radiographs. Management of sinus disease of odontogenic origin often requires medical treatment with appropriate antibiotics, surgical drainage when indicated, and treatment to remove the offending dental etiology.
Unable to display preview. Download preview PDF.
References and Recommended Reading
- 2.Abubaker AO: Applied anatomy of the maxillary sinus. Oral Maxillofac Surg Clin North Am 1999, 11:1–13.Google Scholar
- 3.Sicher H, Dubrul EL: The viscera of head and neck. In Oral Anatomy, edn 3. Edited by Dubrul EL. St Louis, MO: CV Mosby; 1975:418–424.Google Scholar
- 4.Eberhardt JA, Tobrajinead M, Christiansen EL: A computerized tomographic study of the distances between the maxillary sinus floor and apices of the maxillary posterior teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1992, 73:345.Google Scholar
- 5.Mogre A, Mehra P, D’Innocenzo R: Dental CT scan evaluation of the maxilla and its anatomic structures. Abstract submitted for presentation at the Annual Meeting of the American College of Oral and Maxillofacial Surgeons. St. Louis, MO; May 4–7, 2008.Google Scholar
- 7.McGowan DA, Baxter PW, James J: The Maxillary Sinus and its Dental Implications. Oxford: Butterworth-Heinemann; 1993:1–39.Google Scholar
- 16.Mehra P, Noonan V: Diagnosis and management of common odontogenic cysts and tumors of the jaws. In Head and Neck Surgery. Edited by De Souza C. India: Orient Longman; 2008.Google Scholar
- 17.Voorsmit RA: The Incredible Keratocyst [thesis]. Nijmegen, The Netherlands: University of Nijmegen; 1984.Google Scholar
- 19.Diecidue RJ, Streck PD, Spera JF: Diagnosis of benign lesions of the maxillary sinus. Oral Maxillofac Surg Clin North Am 1999, 11:83–115.Google Scholar
- 20.Laine FJ: Diagnostic imaging of the maxillary sinus. Oral Maxillofac Surg Clin North Am 1999, 11:45–67.Google Scholar
- 21.Finegold SM, Dexter HM: Present status of therapy for anaerobic infections. Clin Infect Dis 1996, 23:9–14.Google Scholar