Etiologies and Treatments of Odontogenic Maxillary Sinusitis: A Systematic Review

Abstract

Context:Maxillary sinusitis is an important issue in dentistry and maxillofacial surgery. This study aims to present a systematic review of etiologies and treatments of odontogenic maxillary sinusitis.Evidence Acquisition:An electronic database search was performed based on related MeSH keywords. Articles published between January 2001 and December 2014 was selected according to the inclusion criteria. The information extracted from various studies was categorized in various tables.Results:The study selected 19 studies. In most studies, oroantral fistula (OAF) was the most common etiology of odontogenic sinusitis. Alpha-hemolytic streptococcus was the most common flora in sinusitis with dental origin. The literature shows that the Caldwell-Luc approach may be the best method for treating sinusitis in cases of displaced teeth.Conclusions:OAF is a common cause of odontogenic maxillary sinusitis and may easily be treated by endoscopy and fistula closure. Maxillofacial surgeons and dentists should consider this problem to avoid misdiagnosis and prevent complications.

Formation of papillary mucosa folds and enhancement of epithelial barrier in odontogenic sinusitis

“…Data extracted from microbiological studies suggested that anaerobic bacteriological flora was the most common cause of chronic OS, whereas the predominant bacterial flora were mixed and mainly involved gram‐negative Bacilli , Peptostreptococcus , and Fusobacterium spp. in cases with acute odontogenic maxillary sinusitis …”

“…It is therefore important to open drainage of maxillary sinusitis through endoscopic sinus surgery (ESS). It has been deduced that ESS is the most common treatment plan for cleaning the antrum and the infected mucosa for OS and, furthermore, fairly satisfactory therapeutic effect after ESS could always be obtained compared with other types of CRS. Although several studies have elaborated the etiology of OS based on dental disease origin and microbiology, none of the studies has paid attention to what happened under such an etiologic background and why OS patients experiencing ESS always gained an ideal therapeutic outcome.…”

Non-invasive treatment of an acute sinusitis after open maxillary sinus floor augmentation with simultaneous bone graft and implant placement. Case Report.

“…3, 10 In this case, the appearance of sinusitis seems to be related to the perforation of the Schneiderian membrane and the dispersion of graft material which could have caused the obstruction of the ostium as well as a disorder in the ciliary function of the sinus mucosa, coinciding with Cho-Lee et al, who reported that the perforation of the membrane brought with it an increase in sinusitis, peri-implantitis and the subsequent loss of the implant.…”

Un nuevo enfoque de enseñanza anatómica: técnica Caldwell-Luc modificada

“…M e d . innovadora y orientada al conocimiento efectivo la variación de la técnica Caldwell-Luc indicada en el tratamiento de la sinusitis crónica y que puede ser el mejor método empleado en el tratamiento de la sinusitis por desplazamiento dental, teniendo como objetivo facilitar el aprendizaje de los profesionales (4,5).…”