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JOURNAL READING

Etiologies and Treatments of Odontogenic


Maxillary Sinusitis: A Systematic Review
Diajukan untuk Melengkapi Tugas Kepaniteraan Klinik

Bagian Ilmu Kesehatan THT-KL di RST dr. Soedjono Magelang

Pembimbing :

Kolonel(PURN) CKM dr. Budi Wiranto, Sp.THT-KL

Disusun Oleh :

Dewa Ayu Putri Mandalika E.

30101306910
JOURNAL IDENTITY

• TITLE
– Etiologies and Treatments of Odontogenic Maxillary
Sinusitis
• WRITER
– Fahimeh Akhlaghi,1 Mohammad Esmaeelinejad,1,* and
Pooria Safai2
• PUBLISHER
– Iran Red Crescent Med J. 2015
INTRODUCTION The maxillary sinuses are the
most important paranasal sinuses
in dentistry and maxillofacial

proximity to the roots of upper


dentition

Dental sources are responsible for


complications, including 10 - 12% of maxillary sinusitis and
orbital cellulitis and cerebral that late diagnosis and treatment
abscesses of this problem can lead to severe
INTRODUCTION

Hence, accurate detection and


immediate treatment of
odontogenic maxillary sinusitis is
an important issue

the microbiology of odontogenic


sinusitis differs from that of other
maxillary sinusitis,

necessitating treatment plans


based on the source of infection
INTRODUCTION

Study aims

treatments of
present a systematic
odontogenic maxillary
review of etiologies
sinusitis
INTRODUCTION
INTRODUCTION

Result

Method for
Etiology of Common
treating sinusitis in
odontogenic flora in
cases of displaced
sinusitis sinusitis
teeth

Oroantral Alpha-hemolytic
Caldwell-Luc
fistula (OAF) streptococcus
INTRODUCTION

Conclusion

Oroantral
fistula (OAF)
Maxillary
Sinusitis

Fistula
Endoscopy
closure
CASE PRESENTATION

Inclusion only maxillary sinusitis, not pan-


Criteria sinusitis cases; maxillary sinusitis
with dental origin that was
compared to other etiologies;
investigations assessing
diagnosis, treatment, or
microbiology of odontogenic
sinusitis.
CASE PRESENTATION

Exclusion
Criteria Animal studies, case reports,
review articles, conference
lectures, posters, and technical
reports, and investigations that did
not compare odontogenic sinusitis
with other etiologies
RESULT

• Dental Etiologies :
- Oroantral fistula (OAF) was
the most common cause of
maxillary sinusitis that had
dental origin.
- The second most common
cause was chronic apical
periodontitis.
RESULT
RESULT

• Microbiology of
Odontogenic Sinusitis :
- Anaerobic
bacteriological flora is the
most common cause of
chronic odontogenic
sinusitis, while the
predominant flora are mixed
in cases with acute
sinusitis.
RESULT

- In acute odontogenic
maxillary sinusitis, Gram-
negative bacilli,
Peptostreptococcus, and
Fusobacterium spp are the
predominant bacterial flora,
although the literature
indicates no certain flora for
chronic cases.
RESULT

• Treatment Plans for Odontogenic


Sinusitis :
- The Caldwell-Luc approach is the
most popular method for treating
sinusitis caused by displaced teeth,
roots, or dental materials.
- Endoscopic sinus surgery (ESS)
was the most common treatment
plan for cleaning the antrum and the
infected mucosa.
CONCLUSION

Sinusitis Maxillaris
Odontogenic

chronic acute
sinusitis sinusitis

Complication
Oroantral fistula Other dental
of tooth
(OAF) etiologies
extraction
CONCLUSION

Studies of the
microbiology

Aerobic flora:
1. Staphylococcus aureus
(acute and chronic Anaerobic flora:
odontogenic sinusitis) 1. Peptostreptococcus
2. Alpha-hemolytic
3. Microaerophilic
streptococci
CONCLUSION

These findings suggest


that the flora implicated in
odontogenic sinusitis are
very similar to the flora in Alpha hemolytic
the oral cavity. streptococci are
responsible for dental
decay, so they may easily
invade the inferior border
of the maxillary sinuses
and causes inflammation.
CONCLUSION

Method for
treating sinusitis

Fistula
closure Endoscopic sinus Caldwell-Luc
surgery (ESS) technique

Cleaning the inflamed


Displaced teeth or
and proliferated
dental material
membrane
CONCLUSION

This treatment plan may be


the simplest and safest
method, with minimal
complication In this technique, an
endoscope is passed through
the nose and inserted into the
sinus to provide an internal
view of the sinus so that the
infected membrane,
mucoceles, and other small
objects blocking the sinus
opening can be removed
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