Odontogenic pathologies of the sinuses
Introduction :
Pathological relationships between the teeth and the maxillary sinus can cause sinus pathology of dental origin.
Caries pathology is the best example. Iatrogenic pathology, in particular pre-implant surgery, as well as benign or malignant tumors are also responsible for sinusitis. These pathological relationships also explain some of the ophthalmic conditions of dental origin. A therapy adapted to each etiology makes it possible to avoid complications and after-effects.
Maxillary sinusitis of dental origin :
They are identical to those of classic acute sinusitis.
Toothache, fetid rhinorrhea …….
Radiological examination:
A dental radiographic assessment is carried out, consisting of retroalveolar images of the sinus teeth and an orthopantomogram to look for infectious foci, a Blondeau image for diagnosis in case of clinical doubt.
CT scan for a precise diagnosis and assessment, complication…
In case of complications: maxillary sinusitis can spread to other sinuses, ethmoid and frontal sinusitis and other complications….
A radiological confrontation requested: standard X-ray images: face; profile or other incidences for the diagnosis, a CT scan can be carried out for a precise diagnosis….
Iatrogenic sinus pathologies:
Sinusitis of iatrogenic origin: during:
Tooth extraction: Projection of a tooth into the maxillary sinus, Oro-sinus communication, Cyst surgery: During curettage of a residual cyst, an effraction into the sinus may also occur, Implant surgery………
X-ray, CT scan: confirms the precise diagnosis.
Dr. REGUIEG
Sinus pathologies of tumor origin, cysts:
Cysts of dental origin that develop in the jaws can be of different types.
The radiculo-dental cyst is an inflammatory lesion of dental origin.
X-ray, CT scan: confirms the cyst and the precise lesion assessment.
The extension of the cyst into the sinuses is rare, on the X-ray: the cystic lesion can be visualized nevertheless, sometimes this lesion requires lesion precision, the scanner is then essential for the characteristics of the lesion.
Follicular or pericoronary cyst:
Follicular cysts form only on impacted teeth. Their epithelial lining comes from the cells of the dental sac called follicle . This cyst is observed at any age.
Malignant odontogenic tumor pathologies with sinus extension.
Odontogenic pathologies of the sinuses
Early cavities in children need to be treated promptly.
Dental veneers cover imperfections such as stains or cracks.
Misaligned teeth can cause difficulty chewing.
Dental implants provide a stable solution to replace missing teeth.
Antiseptic mouthwashes reduce bacteria that cause bad breath.
Decayed baby teeth can affect the health of permanent teeth.
A soft-bristled toothbrush preserves enamel and gums.