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Maxillary Sinusitis of Endodontic Origin – Decision Analysis
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| Author:
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KALYANI A, IFFAT NASIM
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| Abstract:
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Endodontic infections which develop in maxillary posterior region can easily spread into the maxillary sinuses because of its proximity to the antral floor. As there is only a few millimeters of bone which separates their root apices from the antrum and as there is no bony partition exists, the root apices will be in direct contact with the sinus mucosal tissue. This sinus disease of odontogenic origin differs from sinus disease of other origins because of some differences in pathophysiology, microbiology and its management. Some of the infections which arises from the maxillary teeth are traumatic exposure in maxilla, traumatic dental extractions and surgical procedures performing orthognathic surgery & maxillary osteotomies. Recognition of MESO (Maxillary sinusitis of endodontic origin) is important as failure to identify and properly manage the endodontic pathosis will result in the persistence of sinus disease and the failure of medical sinus therapies. If left undiagnosed, patients often suffer with chronic sinus infections, infected antibiotic regimens, and may even undergo multiple sinus surgeries, never realizing that an endodontic infection is the source. MESO also has the potential to advance to more serious or even life- threatening cranio-facial infections. In these severe and rare cases, endodontic infection can spread via the maxillary sinus causing orbital cellulitis, blindness, meningitis, subdural emphysema, brain abscess and life-threatening cavernous sinus thrombosis. CBCT imaging can help in diagnosing and determining the course of treatment for patients with maxillary odontogenic sinusitis.
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| Keyword:
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CBCT, Endodontic Pathology, Odontogenic, Resorption, Sinusitis
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.03.442
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| Download:
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Request For Article
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