Odontogenic sinusitis in recent years is becoming more common. Why it happens? And what are the features of the treatment given.
Our experts – dentist-universalist Vladimir Nikityuk and Honored Doctor of the Russian Federation, Candidate of Medical Sciences, otolaryngologist Yevgeny Savelyev.
In the practice of an otolaryngologist, there are cases when patients come with complaints of nagging pain in the nose, cheeks. What problems immediately come to mind? Cold, sinusitis. It is necessary to take a picture of the paranasal sinuses. The doctor looks at the results of research and sees in the maxillary sinus … a foreign body. If the density of alien is large, it is logical to assume: this is a filling material. There are frequent cases when it penetrates the maxillary sinus when filling the teeth of the upper jaw, especially the “sixes”. Doubts are dispelled if the patient confirms: yes, he was recently at the dentist’s!
Anatomically, the root of the sixth upper tooth either approaches the maxillary sinus, or even “enters” into its cavity. Its thin stenochku when filling the channels can accidentally break through. As a result, the filling material gets through the torn canal of the tooth root directly into the cavity of the sinus.
Not the fact that the problem immediately declares itself. Often, patients are not even aware of it. The newcomer creates problems when an infection starts to develop in the maxillary sinuses. A person has aching pains, runny nose. The symptoms are similar to the banal antritis. But odontogenic sinusitis always goes much harder.
It was necessary to care for your teeth!
The cause of the disease can be not only a poorly placed filling. Odontogenic sinusitis can occur due to the individual characteristics of the structure of the upper jaw. But in the overwhelming majority of cases, improper dental care leads to illness. For example, the patient starts caries, begins necrotic disintegration of the pulp (dental nerve). The products of necrosis cause inflammation in the peritoneal tissues, then it develops through the membrane of the maxillary sinus.
If, due to the prolonged inflammatory process of the upper “sixes,” the tooth has to be removed, an additional problem may arise – a fistula. Then only the operation becomes a solution: from the oral cavity, a flap is cut out, with which the tooth hole is closed. If the infection has managed to lead to the development of sinusitis, then the maxillary sinus has to be operated on.
However, sometimes the tooth still can be saved. In such cases, the doctor gently moves the gum with special tools, cuts out a piece of the root, filling the void with artificial bone tissue and treating the site of the operation with medicines. Naturally, at the same time, therapy is prescribed from the maxillary sinus mucosa – this is the prerogative of the otolaryngologist. But it should be noted that healing is a fairly long process, not less than a month and a half.
To assess the risk of odontogenic sinusitis today is easy. Formally, this is the result of close adherence of the maxillary sinus to the apexes – the tops of the roots of the upper teeth of the chewing group. Therefore, a simple and effective diagnostic tool is a panoramic shot of the jaw. The doctor will receive up to 90% of information about her condition. The rest, if necessary, will give individual images of each tooth. Are the teeth in satisfactory condition? Then you can repeat the examination every 2-3 years!
Undermined immunity always contributes to the development of odontogenic sinusitis. Moreover, the state of the immune system is directly related to the health of the teeth. Therefore, treatment should always begin with the rehabilitation of the oral cavity.