Odontogenic Sinusitis: Current Concepts in Diagnosis and Treatment

Immunol Allergy Clin North Am. 2020 May;40(2):361-369. doi: 10.1016/j.iac.2019.12.012. Epub 2020 Jan 22.

Abstract

Odontogenic sinusitis is a unique cause of sinus disease that deserves special consideration. An astute clinician can elicit historical findings such as recent dental work, and symptoms such as unilateral facial pain and foul drainage, despite a relatively benign oral cavity examination. Otolaryngologists and dental professionals who care for these patients must be able to interpret imaging studies for dental disorder such as periapical abscesses and periodontal disease. Treatment is frequently some combination of antibiotic therapy, dental procedures, and endoscopic sinus surgery. More prospective studies are needed to determine the best approach to caring for this patient population.

Keywords: Dental origin; Implant; Odontogenic sinusitis; Periapical abscess; Unilateral maxillary sinusitis.

Publication types

  • Review

MeSH terms

  • Dental Implants
  • Humans
  • Maxillary Sinusitis / diagnosis*
  • Maxillary Sinusitis / therapy
  • Periapical Abscess / diagnosis*
  • Periapical Abscess / therapy
  • Periodontal Diseases / diagnosis*
  • Periodontal Diseases / therapy
  • Tomography, X-Ray Computed

Substances

  • Dental Implants