Clinical ResearchCorrelation between Endodontic Infection and Periodontal Disease and Their Association with Chronic Sinusitis: A Clinical-tomographic Study
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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Cited by (31)
Imaging of the Sinonasal Cavities
2024, Dental Clinics of North AmericaDiagnosing odontogenic sinusitis of endodontic origin: A multidisciplinary literature review
2021, American Journal of Otolaryngology - Head and Neck Medicine and SurgeryCitation Excerpt :Few ODS studies have reported frequencies of middle meatal purulence, edema, or polyps. Three studies stated that 100% of patients had endoscopic findings of infection, but did not specify precise endoscopic findings [55,68,69]. Middle meatal purulence has been the most commonly reported endoscopic finding in ODS, with four studies reporting it in 66–88% of cases [6,48,54,70].
Assessment of relationship between maxillary sinus membrane thickening and the adjacent teeth health by cone-beam computed tomography
2021, Journal of Dental SciencesCitation Excerpt :In this study, we showed that sinus membrane thickening was significantly associated with periodontal bone loss and periapical lesions, respectively. In line with our results, many studies have also demonstrated that membrane thickening was related to periodontal and periapical health statuses.12,16,17,23–27 In interpreting such similar findings, differences in populations, sample sizes, and diagnostic thresholds for membrane thickening measurement should be taken into consideration.
A rare case of polymicrobial chronic maxillary sinusitis due to concurrent isolation of Parvimonas micra and Fusobacterium nucleatum
2020, AnaerobeCitation Excerpt :The association between dental infections and odontogenic sinusitis, accounts for 10%–40% of the cases of maxillary sinusitis [11]. The presence of endodontic infections and periodontal disease in teeth apices located proximal to the maxillary sinus floor is significantly more frequent in cases of chronic sinusitis [12], as revealed in our case. The study of the association between dental and sinus microbiota is a challenge for the future.