1
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstarct

          Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion. Due to the lack of unique clinical features, OMS is difficult to distinguish from other types of rhinosinusitis. Besides, the characteristic infectious pathogeny of OMS makes it is resistant to conventional therapies of rhinosinusitis. Its current diagnosis and treatment are thus facing great difficulties. The multi-disciplinary cooperation between otolaryngologists and dentists is absolutely urgent to settle these questions and to acquire standardized diagnostic and treatment regimen for OMS. However, this disease has actually received little attention and has been underrepresented by relatively low publication volume and quality. Based on systematically reviewed literature and practical experiences of expert members, our consensus focuses on characteristics, symptoms, classification and diagnosis of OMS, and further put forward multi-disciplinary treatment decisions for OMS, as well as the common treatment complications and relative managements. This consensus aims to increase attention to OMS, and optimize the clinical diagnosis and decision-making of OMS, which finally provides evidence-based options for OMS clinical management.

          Related collections

          Most cited references100

          • Record: found
          • Abstract: found
          • Article: not found

          EPOS2020: a major step forward.

          W. Fokkens (2020)
          Together with this issue of Rhinology the new European Position Paper on Rhinosinusitis and Nasal Polyps will see the light. The European Position Paper on Rhinosinusitis and Nasal Polyps 2020 is the update of similar evidence based position papers published in 2005 and 2007 and 2012. The core objective of the EPOS2020 guideline is to provide revised, up-to-date and clear evidence-based recommendations and integrated care pathways in ARS and CRS. EPOS2020 provides an update on the literature published and studies undertaken in the eight years since the EPOS2012 position paper was published and addresses areas not extensively covered in EPOS2012 like paediatric CRS, sinus surgery, exacerbations of CRS and the prevention of CRS. EPOS2020 also involved new stakeholders, like neurologists, immunologists, pharmacists and patients and address new target users who have become more involved in the management and treatment of rhinosinusitis since the publication of the last EPOS document, including pharmacists, nurses, specialised care givers and indeed patients themselves, who employ increasing self-management of their condition using over the counter treatments. The document provides suggestion for future research in this area and offer updated guidance for definitions and outcome measurements in research in different settings.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Cone-beam computed tomography evaluation of maxillary sinusitis.

            Dental pain originating from the maxillary sinuses can pose a diagnostic problem. Periapical lesion development eliciting inflammatory changes in the mucosal lining can cause the development of a sinusitis. The purpose of this study was to describe the radiographic characteristics of odontogenic maxillary sinusitis as seen on cone-beam computed tomography (CBCT) scans and to determine whether any tooth or any tooth root was more frequently associated with this disease. Eighty-two CBCT scans previously identified as showing maxillary sinus pathosis were examined for sinusitis of odontogenic origin in both maxillary sinuses. One hundred thirty-five maxillary sinusitis instances with possible odontogenic origin were detected. Of these, 37 sinusitis occurrences were from nonodontogenic causes, whereas 98 instances were tooth associated with some change in the integrity of the maxillary sinus floor. The average amount of mucosal thickening among the sinusitis cases was 7.4 mm. Maxillary first and second molars were 11 times more likely to be involved than premolars, whereas either molar was equally likely to be involved. The root most frequently associated with odontogenic sinusitis is the palatal root of the first molar followed by the mesiobuccal root of the second molar. Changes in the maxillary sinuses appear associated with periapical pathology in greater than 50% of the cases. Maxillary first or second molar teeth are most often involved, and individual or multiple roots may be implicated in the sinusitis. The use of CBCT scans can provide the identification of changes in the maxillary sinus and potential causes of the sinusitis. Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study.

              This study evaluated the pathologic and spatial associations between apical periodontitis of the maxillary premolars/molars and the maxillary sinus mucosal thickening using cone-beam computed tomography (CBCT) scanning. CBCT images of 372 patients with 508 exposed maxillary sinuses were inspected retrospectively. Clinical features such as sex and age of the patients and pathologic findings of the maxillary sinus and adjacent teeth were recorded, graded, and analyzed. Maxillary sinus mucosal thickening was found in 180 (48.4%) patients and 235 (46.2%) sinuses. The prevalence of maxillary sinus mucosal thickening increased dramatically as the severity of apical periodontitis increased (from 41.5% in those without periodontal disease to 100%). However, the nature of the spatial relationship between the maxillary sinus floor and the infected root tips or between the sinus floor and periapical lesions did not appear to have an effect on the prevalence of maxillary sinus mucosal thickening. Patients over 60 years of age had the highest prevalence of maxillary sinus mucosal thickening. A retrospective inspection of CBCT images revealed that the prevalence and severity of maxillary sinus mucosal thickening were positively associated with the degree of apical periodontitis. CBCT imaging is applicable for the evaluation of the maxillary sinuses and adjacent teeth. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
                Bookmark

                Author and article information

                Contributors
                zhouxd@scu.edu.cn
                dr.luozhang@139.com
                Journal
                Int J Oral Sci
                Int J Oral Sci
                International Journal of Oral Science
                Nature Publishing Group UK (London )
                1674-2818
                2049-3169
                1 February 2024
                1 February 2024
                2024
                : 16
                : 11
                Affiliations
                [1 ]GRID grid.24696.3f, ISNI 0000 0004 0369 153X, Department of Stomatology, Beijing TongRen Hospital, , Capital Medical University, ; Beijing, China
                [2 ]GRID grid.24696.3f, ISNI 0000 0004 0369 153X, Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, , Capital Medical University, ; Beijing, China
                [3 ]GRID grid.414373.6, ISNI 0000 0004 1758 1243, Beijing Key Laboratory of Nasal Diseases, , Beijing Institute of Otolaryngology, ; Beijing, China
                [4 ]GRID grid.24696.3f, ISNI 0000 0004 0369 153X, Department of Allergy, Beijing TongRen Hospital, , Capital Medical University, ; Beijing, China
                [5 ]State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shanxi International Joint Research Center for Oral Diseases, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, ( https://ror.org/00ms48f15) Xi’ an, China
                [6 ]GRID grid.479981.a, Department of Oral and Maxillofacial Surgery, , Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, ; Beijing, China
                [7 ]Department of Oral &Maxillofacial Pathology, School and Hospital of Stomatology, Jilin University, ( https://ror.org/00js3aw79) Jilin, China
                [8 ]GRID grid.41156.37, ISNI 0000 0001 2314 964X, Department of Periodontology, Nanjing Stomatological Hospital, , Medical School of Nanjing University, ; Nanjing, China
                [9 ]Department of Periodontics, School and Hospital of Stomatology, China Medical University, ( https://ror.org/00v408z34) Shenyang, China
                [10 ]GRID grid.415954.8, ISNI 0000 0004 1771 3349, Department of Otorhinolaryngology Head and Neck Surgery, , China-Japan Union Hospital of Jilin University, ; Changchun, China
                [11 ]Department of Otolaryngology, Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, ( https://ror.org/0064kty71) Guangzhou, China
                [12 ]Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration, Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration, Shandong Provincial Clinical Research Center for Oral Diseases, ( https://ror.org/0207yh398) Jinan, China
                [13 ]Department of Implantology, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, ( https://ror.org/03rc6as71) Shanghai, China
                [14 ]Research Unit of Diagnosis and Treatment of Chronic Nasal Diseases, Chinese Academy of Medical Sciences, ( https://ror.org/02drdmm93) Beijing, China
                [15 ]State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, ( https://ror.org/011ashp19) Chengdu, China
                [16 ]State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, ( https://ror.org/011ashp19) Chengdu, China
                [17 ]State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, ( https://ror.org/00ms48f15) Xi’an, China
                Author information
                http://orcid.org/0000-0002-6170-7566
                http://orcid.org/0000-0002-8398-2104
                http://orcid.org/0000-0002-2533-8150
                http://orcid.org/0000-0002-6963-3530
                http://orcid.org/0000-0001-6711-8992
                http://orcid.org/0000-0002-4323-0506
                http://orcid.org/0000-0003-4608-4556
                Article
                278
                10.1038/s41368-024-00278-z
                10834456
                38302479
                6bfbafcd-9bfb-4d4e-8aff-de4397d2ea3a
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 14 November 2023
                : 25 December 2023
                : 2 January 2024
                Funding
                Funded by: Changjiang Scholars and Innovative Research Team (IRT13082) CAMS Innovation Fund for Medical Sciences (2019-I2M-5-022) Capital’s Funds for Health Improvement and Research (CFH2022-1-1091) Beijing Municipal Administration of Hospitals’ Mission Plan (SML20150203)
                Funded by: FundRef https://doi.org/10.13039/501100001809, National Natural Science Foundation of China (National Science Foundation of China);
                Award ID: 82025010
                Award ID: 81870698
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/501100009592, Beijing Municipal Science and Technology Commission;
                Award ID: Z221100007422009
                Award Recipient :
                Funded by: Beijing Municipal Administration of Hospitals’ Dengfeng plan (DFL20190202)
                Categories
                Review Article
                Custom metadata
                © West China School of Stomatology Sichuan University 2024

                Dentistry
                oral diseases,oral manifestations
                Dentistry
                oral diseases, oral manifestations

                Comments

                Comment on this article