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Stomatologija 2018; 20 (1): 22-6 160 KB

Treatment options for odontogenic maxillary sinusitis: a review

Rokas Aukštakalnis*, Rūta Simonavičiūtė*, Regimantas Simuntis*

Summary

Objective. The aim of this article is to review the main treatment options for odontogenic sinusitis that are used today.

Material and methods. Search on PubMed, Cochrane Library, PMC, Science Direct data bases. For a literature review search keywords were used: odontogenic sinusitis, odontogenic maxillary sinusitis treatment OR diagnosis, maxillary sinusitis of dental source OR dental origin OR etiology.

Results. 2886 articles were found in the databases using keywords. After duplicate citations screened, inclusion/exclusion criteria applied, excluded articles after titles, summaries and full-text reading 25 articles were included in the literature review.

Conclusion. Although clinical symptomatology is not conspicuous among other types of sinusitis, the odontogenic maxillary sinusitis treatment regimen is different. It consists of eliminating dental infection and management of sinusitis. The usage of Caldwell-Luc approach is limited these days and recommended only when a better access to sinus is needed, for example, removing large foreign bodies. Endoscopic sinus surgery is widely used these days to remove the inflamed sinus mucosa, foreign bodies, displaced teeth, while preserving physiological function of the sinus. Sometimes dental infection removal alone is sufficient to resolve the odontogenic maxillary sinusitis, but sometimes concomitant endoscopic sinus surgery or Caldwell-Luc approach is necessary for full resolution.

Key words: odontogenic maxillary sinusitis treatment, Caldwell Luc, endoscopic sinus surgery, maxillary sinusitis of dental origin.

Received: 06 01 2018

Accepted for publishing: 27 03 2018

*Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas Lithuania

Address correspondence to Rokas Aukštakalnis, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Miglos g. 6, 53273 Garliava, Lithuania.

E-mail address: rokasaukstakalnis@gmail.com



	Baltic Dental and Maxillofacial Journal

March, 2018, Vol. 20, No. 1 CONTENTS REVIEWS Quality of life in patients with temporomandibular disorders. A systematic review Dovile Bitiniene, Roberta Zamaliauskiene, Ricardas Kubilius, Marijus Leketas, Tadas Gailius, Karina Smirnovaite 3-9 SCIENTIFIC ARTICLES Implant-supported prosthesis treatment planning aspects of Kaunas city dentists and dental specialists Henrikas Rusilas, Laura Jacinkevičiūtė, Jan Pavel Rokicki 10-13 REVIEWS Uses of maxillary sinus lateral wall bony window in an open window sinus lift procedure: literature review Elvinas Juzikis, Algimantas Gaubys, Henrikas Rusilas 14 -21 Treatment options for odontogenic maxillary sinusitis: a review Rokas Aukštakalnis, Rūta Simonavičiūtė, Regimantas Simuntis 22-26 SCIENTIFIC ARTICLES The oral health status and behaviour of methadone users in Lithuania Rokas Aukštakalnis, Tomas Jurgelevičius 27-31 CASE REPORT Self-inflicted face gunshot injuries: two case reports Rokas Gelažius, David Kasradze, Albinas Gervickas 32-36 © 2018 Stomatologija		Stomatologija 2018; 20 (1): 22-6 160 KB Treatment options for odontogenic maxillary sinusitis: a review Rokas Aukštakalnis, Rūta Simonavičiūtė, Regimantas Simuntis* Summary Objective. The aim of this article is to review the main treatment options for odontogenic sinusitis that are used today. Material and methods. Search on PubMed, Cochrane Library, PMC, Science Direct data bases. For a literature review search keywords were used: odontogenic sinusitis, odontogenic maxillary sinusitis treatment OR diagnosis, maxillary sinusitis of dental source OR dental origin OR etiology. Results. 2886 articles were found in the databases using keywords. After duplicate citations screened, inclusion/exclusion criteria applied, excluded articles after titles, summaries and full-text reading 25 articles were included in the literature review. Conclusion. Although clinical symptomatology is not conspicuous among other types of sinusitis, the odontogenic maxillary sinusitis treatment regimen is different. It consists of eliminating dental infection and management of sinusitis. The usage of Caldwell-Luc approach is limited these days and recommended only when a better access to sinus is needed, for example, removing large foreign bodies. Endoscopic sinus surgery is widely used these days to remove the inflamed sinus mucosa, foreign bodies, displaced teeth, while preserving physiological function of the sinus. Sometimes dental infection removal alone is sufficient to resolve the odontogenic maxillary sinusitis, but sometimes concomitant endoscopic sinus surgery or Caldwell-Luc approach is necessary for full resolution. Key words: odontogenic maxillary sinusitis treatment, Caldwell Luc, endoscopic sinus surgery, maxillary sinusitis of dental origin. Received: 06 01 2018 Accepted for publishing: 27 03 2018 *Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas Lithuania Address correspondence to Rokas Aukštakalnis, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Miglos g. 6, 53273 Garliava, Lithuania. E-mail address: rokasaukstakalnis@gmail.com