Dental Pathophysiology of Odontogenic Sinusitis: Endodontic Infections

Bacterial odontogenic sinusitis (ODS) arises from maxillary dental issues or oral procedures, and affects at least the maxillary sinuses, with or without other paranasal sinus involvement. It has been historically underreported, in contrast to more recent findings attributing 25-40% of chronic maxil...

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Published inOtolaryngologic clinics of North America Vol. 57; no. 6; p. 941
Main Authors Silva, Emmanuel João Nogueira Leal, Pinto, Karem Paula, Versiani, Marco Aurélio, Sassone, Luciana Moura
Format Journal Article
LanguageEnglish
Published United States 01.12.2024
Subjects
Endodontics
Root canal treatment
Apical periodontitis
Cone-beam computed tomography
Odontogenic maxillary sinusitis
Maxillary sinus
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Summary:Bacterial odontogenic sinusitis (ODS) arises from maxillary dental issues or oral procedures, and affects at least the maxillary sinuses, with or without other paranasal sinus involvement. It has been historically underreported, in contrast to more recent findings attributing 25-40% of chronic maxillary sinusitis to dental causes. Endodontic infections represent one of the most common causes of ODS. Endodontic factors like root canal infection and microbial proximity to sinus cavities play pivotal roles. Host immunological responses further shape disease severity and progression. This article aims to explore the complexity of endodontic infections that cause ODS, elucidating anatomical, microbial, and immunological aspects.
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ISSN:1557-8259
1557-8259
DOI:10.1016/j.otc.2024.06.007