Odontogenic sinusitis among patients surgically treated for maxillary sinus disease

Abstract

Objective: To report the underlying cause and occurrence of odontogenic disease among patients requiring treatment for chronic maxillary sinusitis in a University Hospital setting in Denmark. Study design: This is a retrospective study including all patients referred for surgical treatment of chronic maxillary sinusitis in the period January 1st, 2000 – December 1st, 2009. All files where reviewed and any concealed odontogenic cause was identified. Demographic data and clinical aspects including duration of illness, radiographic data and prior therapies were assessed. A telephone interview was performed as follow-up. Results: Files from 788 patients treated with surgery for their maxillary sinus disease were evaluated and among 37 patients an odontogenic origin of sinus disease was identified. Of these 81.1% participated in the telephone interview with the majority of patients reporting symptom improvement after the treatment. There were no major complications. The most common cause of odontogenic sinusitis was complication to tooth extraction. Diagnostic delay was common, 32% had experienced symptoms more than a year. Conclusion: According to the conducted survey, 4.7% of patients treated for maxillary sinus disease suffered from an underlying dental disease. In patients with Chronic Rhino Sinusitis (CRS) it is important to gather history of dental disease and prescribe evaluation by a maxillofacial surgeon especially in case of recalcitrant disease.

Keywords

• maxillary sinusitis
• chronic maxillary sinusitis
• odontogenic sinusitis
• dental disease/ complications
• periodontitis
• oroantral fistula