Romanian Journal of Medical and Dental Education Volum 9 Issue 6, 2020 MAXILLARY SINUS MEMBRANE MODIFICATIONS DUE TO ODONTOGENIC CAUSES. REVIEW


George-Alexandru Maftei, Cristian Martu, Maria-Alexandra Martu, Ana-Maria Filioreanu, Andrada Doscas, Ionut Taraboanta, Vlad Danila, Cristina Popa


Maxillary sinusitis is a frequent pathology encountered in both otolaryngology but also in oro-maxillo-facial and dento-alveolar surgery. When it is of odontogen origin it can originate in a maxillary tooth infection, and/or endodontic treatment, periodontal bone loss and dental implants. Odontogenic maxillary sinusitis accounts for approximately 10%–41% cases of maxillary sinusitis and a routine radiologic examination can reveal its dental origin.

The purpose of this review was to assess the association and influence between the various odontogenic conditions (endodontic periapical pathology, periodontal disease, bone loss, dental trauma, missing teeth, etc.) and the presence of maxillary sinus mucosal thickening reported in the literature. The thickness of the alveolar cortical plate and the roots of maxillary molars affect the spread of odontogenic infection, which, in turn, is the basis of treatment planning.

Conclusion: Otolaryngologists are frequently involved in the treatment of patients with maxilary sinusitis. However, during treatment the odontogenic cause is often overlooked, leading to persistent symptoms in patients and an incomplete and a failure of sinusitis treatment. A collaborative approach to the diagnosis and treatment of suspected odontogenic maxillary sinusitis between otolaryngologists and dental practitioners may be an effective patient-centered strategy. The interdisciplinary management of sinusitis and the dental origin of the condition is essential in these cases.

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