Chronic sinusitis of odontogenic origin due to an undiagnosed displaced root fragment in the maxillary sinus and the role of cone beam computed tomography in successful management

Karumaran, Chellaswamy Savarimalai; Ramachandran, Anil Kumar; Venkatesan, Remya

doi:10.4103/ijdr.ijdr_167_18

Cited by 4 publications

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Signs of CS are, in particular, increased nocturnal retronasal secretion ("postnasal drip"), recurrent nasal congestion, intermittent olfactory disorders and, in special cases, a feeling of pressure or pain in the area of the affected paranasal sinuses (11). Risk factors for CS are ventilation disorders of the paranasal sinuses, such as those caused by concha bullosa, turbinate hypertrophy and dental infections and/or treatments (8,12). Therefore attention should be paid to indications of odontogenic causes for CS and a co-assessment by the Department of Oral and Maxillofacial Surgery should be considered.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic Maxillary Sinusitis Caused by an Aspergilloma in the Context of Inadequately Treated Type II Diabetes Mellitus

Dudde¹,

Barbarewicz²,

Knyphausen³

et al. 2023

In Vivo

View full text Add to dashboard Cite

Background/Aim: The prevalence of chronic sinusitis (CS) in Europe is greater than 10%. The causes of CS are diverse. In some cases, dental treatment in the maxilla as well as fungal infection, such as aspergilloma, can lead to CS. Inadequately treated illnesses, such as type II diabetes, are known risk factors for atypical infections. Case Report: The present case report describes a 72-year-old female suffering from CS in the maxillary sinus. A few years earlier, the patient received endodontic treatment of a maxillary tooth. For further diagnostics a CT-scan was performed showing an obstructed maxillary sinus on the left due to a polypoid tumor. The patient had been suffering from type II diabetes that had been inadequately treated for several years. The patient was surgically treated with an osteoplasty of the maxillary sinus combined with a supraturbinal antrostomy. Histopathological findings revealed an aspergilloma. The surgical therapy was supplemented by antimycotic therapy. In addition, the patient received antidiabetic treatment leading towards stable blood sugar levels. Conclusion: Rare entities, such as aspergillomas, can also be the cause of CS. In particular, patients with previous illnesses relevant to the immune system are predisposed for Aspergilloma after dental treatment leading to CS.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In some cases, a dental focus and/or dental treatment can also be the cause of CS (8). Unrecognized or inadequately treated diseases, such as type II diabetes, promote an imbalance in the immune system (9).…”

mentioning

confidence: 99%

Chronic Maxillary Sinusitis Caused by an Aspergilloma in the Context of Inadequately Treated Type II Diabetes Mellitus

Dudde¹,

Barbarewicz²,

Knyphausen³

et al. 2023

In Vivo

View full text Add to dashboard Cite

show abstract

“…Rev Fac Odontol Univ Fed Bahia 2020; 50(3) : [19][20][21][22][23][24][25][26] ARTIGO ORIGINAL ORIGINAL PAPER para a tomada de decisões nesta área da Odontologia.…”

Section: Estudo Observacional Entre a Correlação Clínica E Tomográfic...unclassified

Estudo observacional entre a correlação clínica e tomográfica das afecções endodônticas In vivo study between clinical and tomographic correlation of the endodontic affections

Rosário¹,

Queiroz²,

Sarmento³

et al. 2021

RFO

View full text Add to dashboard Cite

Introdução: O conhecimento acerca da anatomia dos canais radicularese periápice dentário são imprescindíveis para o tratamento das patologiasque os afligem, porém, em muitos casos, os métodos tradicionais de imagemdiagnóstica não permitem a visualização fiel de diversas alteraçõespresentes nos tecidos dentários. Objetivo: Sob esta perspectiva, surge anecessidade da utilização de métodos diagnósticos que possam facilitara observação do que de fato ocorre em determinado sítio, sendo a tomografiacomputadorizada de feixe cônico (TCFC) bastante útil para estefim em Endodontia. Este estudo relacionou os achados da TCFC e afecçõesendodônticas vistas clinicamente. Metodologia: Foi conduzido umestudo observacional descritivo, onde foram selecionados 63 exames deTCFC do arquivo de uma única clínica de radiologia particular na cidadede Valença, Bahia. Estes foram solicitados após avaliações clínicas de umaprofissional especialista em Endodontia. Resultados: Foram avaliados 55pacientes (70 dentes), sendo o grupo estudado com maior acometimentode alterações o dos primeiros molares superiores. Foram emitidos 106diagnósticos tomográficos e 92 diagnósticos clínicos e a concordânciaentre eles se deu em 89% dos pacientes. A validade de utilização da TCFCpara tomada de decisão foi obtida em 96% dos pacientes. Conclusão: Odiagnóstico das afecções, principalmente fraturas e reabsorções radicularesrepresentam um grande desafio para o clínico. O presente trabalhodemonstrou a confiabilidade da TCFC como instrumento de avaliação para a tomada de decisões nesta área da Odontologia.Introduction: Knowledge about the root canal anatomy and dental periapiceis essential for the treatment of endodontic’s diseases, although inmany cases, the traditional do not allow the faithful visualization of variouschanges present in dental tissues. Objective: From this perspective,the need arises for the use of diagnostic methods that can facilitate theobservation of what actually occurs in a given site, being Cone BeamComputed Tomography (CBCT) very useful for this purpose in Endodontics.This study aimed to correlate CBCT and endodontic clinically conditionsfindings. Methods: A descriptive observational study was conducted,which selected 63 CBCT scans from the archive of a single privateradiology clinic in the city of Valença, Bahia. These were requested by aspecialist in endodontics after clinical evaluations. Results: 55 patients (70teeth) were evaluated, and the group with the highest involvement wasthe upper first molars. 106 tomographic diagnoses and 92 clinical diagnoseswere obtained and the agreement between them was seen in 89%of the patients. The use of CBCT for treatment plan definition was 96%.Conclusion: Diagnosing endodontic problems, such as root fractures andresorptions, is a major challenge for clinicians. The present study demonstratedthe reliability of CBCT as an evaluation tool for decision making inthis dentistry area .

show abstract

“…The most frequent complications of teeth displacement in the maxillary sinus are acute or chronic sinusitis [31,32]. Oral bacterial flora is introduced into the sinuses, which is in principle, a germless cavity, via the antral floor perforation during avulsion.…”

Section: Complicationsmentioning

confidence: 99%

Teeth roots displacement in the maxillary sinus: characteristics and management

Seigneur¹,

Cloître²,

Malard

et al. 2020

J Oral Med Oral Surg

View full text Add to dashboard Cite

Introduction: Teeth displacement in the maxillary sinus is one of the most frequently described peri-extraction complications in oral surgery. Roots or whole teeth accidentally displaced during an avulsion process are the most common cause of foreign bodies in the maxillary sinus. It exposes the patient to more or less serious complications that can go as far as development of pneumonia or septic thrombosis of the cavernous sinus in rare cases. Several therapeutic solutions can be proposed to manage this complication, ranging from therapeutic abstention to the removal of the dental component using various techniques. Corpus: The pedagogical objectives of this article are to explain the main characteristics of this complication as well as its treatment. Through a systematic review of the literature according to the PRISMA methodology, the risk factors, prevention, diagnosis, complications, and management of teeth displacement will be discussed. A treatment decision tree will be proposed to guide practitioners in the management of a tooth or dental root displaced into the sinus. Conclusion: This article summarizes the importance of pre-extraction radiographic examinations for preventive purposes and their analysis to guide the practitioner in the choice of an appropriate surgical technique. Furthermore, the surgical management in almost all cases must be carried out early to prevent later infectious complications.

show abstract

Chronic sinusitis of odontogenic origin due to an undiagnosed displaced root fragment in the maxillary sinus and the role of cone beam computed tomography in successful management

Cited by 4 publications

References 1 publication

Chronic Maxillary Sinusitis Caused by an Aspergilloma in the Context of Inadequately Treated Type II Diabetes Mellitus

Chronic Maxillary Sinusitis Caused by an Aspergilloma in the Context of Inadequately Treated Type II Diabetes Mellitus

Estudo observacional entre a correlação clínica e tomográfica das afecções endodônticas In vivo study between clinical and tomographic correlation of the endodontic affections

Teeth roots displacement in the maxillary sinus: characteristics and management

Contact Info

Product

Resources

About