Correlation between Endodontic Infection and Periodontal Disease and Their Association with Chronic Sinusitis: A Clinical-tomographic Study

doi:10.1016/j.joen.2017.08.014

Journal of Endodontics

Volume 43, Issue 12, December 2017, Pages 1978-1983

https://doi.org/10.1016/j.joen.2017.08.014 Get rights and content

Abstract

Introduction

The proximity of the roots of maxillary posterior teeth to the maxillary sinus floor can be associated with the development of chronic maxillary sinusitis (CMS). Therefore, this study evaluated the correlation between the presence of endodontic infection and periodontal disease in maxillary posterior teeth and the presence of CMS.

Methods

A total of 83 patients (159 maxillary sinuses) were selected and underwent clinical dental examination to assess tooth mobility and pulp condition. In addition, cone-beam computed tomography was performed to evaluate the presence of periapical lesion and periodontal bone loss, and measure the distance from the root apex to the cortical of the maxillary sinus. The maxillary sinuses were divided into 2 groups: CMS and no maxillary sinusitis. Data were analyzed using χ² test and binary logistic regression analysis (P < .05).

Results

Periodontal disease was positively associated with CMS, leading to a 3.45-fold higher association between these disorders (P < .05). CMS was significantly more common in patients with periodontal disease or endodontic infection in close proximity with the maxillary sinus. Periodontal disease or endodontic infection that was more distant from the maxillary sinus was more common in patients with no maxillary sinusitis (P < .05). To the extent that the tooth is more distant from the maxillary sinus floor, the chance of presenting CMS is reduced up to 2.5-fold (P < .05).

Conclusion

Periodontal disease and proximity to the maxillary sinus are more common in cases of CMS, requiring a dental assessment and cone-beam computed tomography evaluation in patients with CMS with ineffective treatment.

Section snippets

Sample Selection

The present study was approved by the Research Ethics Committee of the Federal University of Juiz de Fora (UFJF) (No. 1.461.931). In total, 83 patients from the Otorhinolaryngology Clinic of the University Hospital and the Clinic of the School of Dentistry, UFJF, were evaluated.

Patients from the University Hospital included in this study were diagnosed with chronic maxillary sinusitis through clinical examination and endoscopy by an otolaryngology specialist with more than 20 years of

Results

In this study, 159 maxillary sinuses and 413 teeth (second premolar, first and second molars) were evaluated from 83 individuals (57 women and 26 men). Patient age ranged from 18 to 69 years with a mean of 41.67 (±15.12) years. The presence of maxillary sinusitis was observed in 83 (52.2%) maxillary sinuses.

A single examiner performed the evaluations, and the intraexaminer Kappa was 0.94, which demonstrated excellent agreement.

From the clinical examination, it was observed that among the

Discussion

Odontogenic maxillary sinusitis corresponds to 10% to 40% of cases of maxillary sinusitis, indicating the importance of knowledge about the etiology, diagnosis, and treatment of this pathology 1, 2, 17, 18.

Various studies have demonstrated that dental changes, such as the presence of periapical lesion and PBL, can be associated with cases of mucosal thickening 3, 4, 5, 6, 19, 20; however, this is the first study that correlates the presence of periodontal disease and endodontic infection in the

Acknowledgments

This research was supported by Coordination for the Improvement of Higher Education Personnel (CAPES).

The authors deny any conflicts of interest related to this study.

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Clinical ResearchCorrelation between Endodontic Infection and Periodontal Disease and Their Association with Chronic Sinusitis: A Clinical-tomographic Study

Abstract

Introduction

Methods

Results

Conclusion

Section snippets

Sample Selection

Results

Discussion

Acknowledgments

Otolaryngol Clin North Am

J Endod

J Endod

Oral Surg Oral Med Oral Pathol Oral Radiol Endod

J Endod

J Endod

Facial Plast Surg Clin North Am

J Endod

J Endod

J Endod

Auris Nasus Larynx

J Endod

Oral Surg Oral Med Oral Pathol Oral Radiol Endod

J Endod

J Endod

Clinical Research
Correlation between Endodontic Infection and Periodontal Disease and Their Association with Chronic Sinusitis: A Clinical-tomographic Study