Chronic Maxillary Rhinosinusitis of Dental Origin: A Systematic Review of 674 Patient Cases

Abstract

Objectives. The aim of this systematic review is to study the causes of odontogenic chronic maxillary rhinosinusitis (CMRS), the average age of the patients, the distribution by sex, and the teeth involved. Materials and Methods. We performed an EMBASE-, Cochrane-, and PubMed-based review of all of the described cases of odontogenic CMRS from January 1980 to January 2013. Issues of clinical relevance, such as the primary aetiology and the teeth involved, were evaluated for each case. Results. From the 190 identified publications, 23 were selected for a total of 674 patients following inclusion criteria. According to these data, the main cause of odontogenic CMRS is iatrogenic, accounting for 65.7% of the cases. Apical periodontal pathologies (apical granulomas, odontogenic cysts, and apical periodontitis) follow them and account for 25.1% of the cases. The most commonly involved teeth are the first and second molars. Conclusion. Odontogenic CMRS is a common disease that must be suspected whenever a patient undergoing dental treatment presents unilateral maxillary chronic rhinosinusitis.

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

“…Various odontogenic pathologies can cause ODS, including pulpitis, periapical lesions (cysts, abscesses, granulomas), periodontitis, oroantral fistula (OAF), or dental treatment‐related sinus foreign bodies . Large series and meta‐analyses have shown that the main dental etiologies of ODS are extraction‐related OAFs, periapical, and periodontal disease …”

Chronic odontogenic paranasal sinusitis in the material provided by the Otorhinolaryngology Unit of the 4th Military Teaching Hospital in Wroclaw

“…19 Etiological meta-analysis developed by Arias-Irimia et al, performed on 770 patients with odontogenic paranasal sinusitis, described in 41 articles written between 1986 and 2007, showed that women constitute 57.7% of all patients suffering from odontogenic paranasal sinusitis. 20 55.97% of patients presented odontogenic changes of an iatrogenic profile.…”

Sinusite odontogênica: uma revisão de literatura

“…Lechien et al 8 realizaram uma revisão sistemática sobre as causas da sinusite maxilar crônica odontogênica. Os resultados mostraram que 65,7% dos casos de sinusite odontogênica são de origem iatrogênica, já a presença de periodontite apical foi responsável por 16,8% dos casos.…”

“…7,8 Os sintomas dentários variam desde uma dor aguda associada à inflamação pulpar até a dor proveniente de uma infecção dentária envolvendo o osso ao redor, como a doença periodontal e periodontite apical. No entanto, por ser de origem odontogênica, geralmente, estes sintomas manifestam-se em apenas um lado da face, ao contrário da sinusite não odontogênica.…”

“…6 Os sintomas da sinusite de origem odontogênica são semelhantes a não odontogênica, como obstrução ou congestão nasal, dor ou pressão na face e dores de cabeça. 7,8 No entanto, quando a origem é odontogênica, geralmente, estes sintomas manifestam-se em apenas um lado da face. Outros sintomas como dor nos olhos, gotejamento pós-nasal, mau odor e dor de origem dentária também foram relatados.…”