Odontogenic maxillary sinusitis and oroantral communication: A case report
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Background: Odontogenic maxillary sinusitis (OMS) and oroantral communication (OAC) have been well recognized in oral and maxillofacial surgery. The treatment ranges from non-surgical treatment to surgical treatment. Purpose: This case report discusses the management of OMS and OAC through a non-surgical approach. Case: A female patient presented to our department after being referred from a different department. After informed consent was obtained, her tooth was extracted. Unfortunately, the maxillary sinus was exposed, and OMS was suspected after pus leakage occurred into the oral cavity prior to tooth extraction. The communication was found at the mesiobuccal region with a 3 mm diameter and distobuccal region with a 2 mm diameter. Case management: Due to the small size of the OAC, it was decided to close the communication using the figure-of-eight suture technique, and an absorbable gelatin sponge was placed inside the socket. Odontogenic maxillary sinusitis was treated with a combination of pharmacological therapy and dental therapy, including the removal of the source of infection and a prescription of antibiotics and nasal decongestant due to the OAC. Finally, the patient was educated about the sinus precaution step. Conclusion: Good healing of the lesion was noted in this report. Non-surgical treatment such as dental therapy and pharmacological therapy can, therefore, be considered to treat OMS. Closure of the OAC using a suture technique and a gelatin sponge can treat small-sized communication.
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Kim SM. Definition and management of odontogenic maxillary sinusitis. Maxillofac Plast Reconstr Surg. 2019; 41(1): 13. doi: https://doi.org/10.1186/s40902-019-0196-2
Hutomo FR, Kamadjaja DB, Danudiningrat CP, Bramantoro T, Amir MS. Dental infection is a major problem in Indonesia: Retrospective study in emergency department attached to Dental Hospital. World J Dent. 2024; 15(1): 48–52. doi: https://doi.org/10.5005/jp-journals-10015-2362
Nurrachman AS, Rahman FUA, Sarifah N, Ghazali AB, Epsilawati L. Ostiomeatal complex inflammation with a rare ethmoid sinolith utilizing cone-beam computed tomography: A clinical and radiological approach to diagnosis. Radiol Case Reports. 2024; 19(1): 268–76. doi: https://doi.org/10.1016/j.radcr.2023.10.035
Yoshida H, Sakashita M, Adachi N, Matsuda S, Fujieda S, Yoshimura H. Relationship between infected tooth extraction and improvement of odontogenic maxillary sinusitis. Laryngoscope Investig Otolaryngol. 2022; 7(2): 335–41. doi: https://doi.org/10.1002/lio2.765
Isnandar, Hanafiah OA, Lubis MF, Lubis LD, Pratiwi A, Erlangga YSY. The effect of an 8% cocoa bean extract gel on the healing of alveolar osteitis following tooth extraction in Wistar rats. Dent J. 2022; 55(1): 7–12. doi: https://doi.org/10.20473/j.djmkg.v55.i1.p7-12
Chekaraou SM, Benjelloun L, EL Harti K. Management of oro-antral fistula: Two case reports and review. Ann Med Surg. 2021; 69: 102817. doi: https://doi.org/10.1016/j.amsu.2021.102817
Konate M, Sarfi D, El Bouhairi M, Benyahya I. Management of oroantral fistulae and communications: our recommendations for routine practice. Case Rep Dent. 2021; 2021: 7592253. doi: https://doi.org/10.1155/2021/7592253
Mahdani FY, Nirwana I, Sunariani J. The decrease of fibroblasts and fibroblast growth factor-2 expressions as a result of X-ray irradiation on the tooth extraction socket in Rattus novergicus. Dent J (Majalah Kedokt Gigi). 2015; 48(2): 94. doi: https://doi.org/10.20473/j.djmkg.v48.i2.p94-99
Azzouzi A, Hallab L, Chbicheb S. Diagnosis and Management of oro-antral fistula: Case series and review. Int J Surg Case Rep. 2022; 97: 107436. doi: https://doi.org/10.1016/j.ijscr.2022.107436
Ragab MH, Abdalla AY, Sharaan ME-S. Location of the maxillary posterior tooth apices to the sinus floor in an egyptian subpopulation using cone-beam computed tomography. Iran Endod J. 2022; 17(1): 7–12. doi: https://doi.org/10.22037/iej.v17i1.34696
Razumova S, Brago A, Howijieh A, Manvelyan A, Barakat H, Baykulova M. Evaluation of the relationship between the maxillary sinus floor and the root apices of the maxillary posterior teeth using cone-beam computed tomographic scanning. J Conserv Dent. 2019; 22(2): 139. doi: https://doi.org/10.4103/JCD.JCD_530_18
Shaul Hameed K, Abd Elaleem E, Alasmari D. Radiographic evaluation of the anatomical relationship of maxillary sinus floor with maxillary posterior teeth apices in the population of Al-Qassim, Saudi Arabia, using cone beam computed tomography. Saudi Dent J. 2021; 33(7): 769–74. doi: https://doi.org/10.1016/j.sdentj.2020.03.008
Aulianisa R, Widyaningrum R, Suryani IR, Shantiningsih RR, Mudjosemedi M. Comparison of maxillary sinus on radiograph among males and females. Dent J. 2021; 54(4): 200–4. doi: https://doi.org/10.20473/j.djmkg.v54.i4.p200-204
Parvini P, Obreja K, Begic A, Schwarz F, Becker J, Sader R, Salti L. Decision-making in closure of oroantral communication and fistula. Int J Implant Dent. 2019; 5(1): 13. doi: https://doi.org/10.1186/s40729-019-0165-7
Sabatino L, Lopez MA, Di Giovanni S, Pierri M, Iafrati F, De Benedetto L, Moffa A, Casale M. Odontogenic sinusitis with oroantral communication and fistula management: role of regenerative surgery. Medicina (B Aires). 2023; 59(5): 937. doi: https://doi.org/10.3390/medicina59050937
Martu C, Martu M-A, Maftei G-A, Diaconu-Popa DA, Radulescu L. Odontogenic sinusitis: from diagnosis to treatment possibilities-a narrative review of recent data. Diagnostics (Basel, Switzerland). 2022; 12(7): 1600. doi: https://doi.org/10.3390/diagnostics12071600
Troeltzsch M, Pache C, Troeltzsch M, Kaeppler G, Ehrenfeld M, Otto S, Probst F. Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases. J Cranio-Maxillofacial Surg. 2015; 43(8): 1522–9. doi: https://doi.org/10.1016/j.jcms.2015.07.021
Dhaniar N, Praja HA, Santoso RM, Ongkowijoyo CW, Saraswati W. Conventional endodontic retreatment of persistent pain on previously treated tooth in an elderly patient: A case report. Acta Med Philipp. 2021; 55(8): 854–9. doi: https://doi.org/10.47895/AMP.V55I8.2131
Novan Y I P, Primadi A, Mahfudz, Suharjono. Comparison of antibiotic prescriptions in adults and children with upper respiratory tract infections in Bangka Tengah primary health care centers. J Basic Clin Physiol Pharmacol. 2020; 30(6). doi: https://doi.org/10.1515/jbcpp-2019-0248
Newsome HA, Poetker DM. Odontogenic sinusitis: current concepts in diagnosis and treatment. Immunol Allergy Clin North Am. 2020; 40(2): 361–9. doi: https://doi.org/10.1016/j.iac.2019.12.012
Bhalla N, Sun F, Dym H. Management of oroantral communications. Oral Maxillofac Surg Clin North Am. 2021; 33(2): 249–62. doi: https://doi.org/10.1016/j.coms.2021.01.002
Shahrour R, Shah P, Withana T, Jung J, Syed AZ. Oroantral communication, its causes, complications, treatments and radiographic features: A pictorial review. Imaging Sci Dent. 2021; 51(3): 307–11. doi: https://doi.org/10.5624/isd.20210035
Procacci P, Alfonsi F, Tonelli P, Selvaggi F, Menchini Fabris GB, Borgia V, De Santis D, Bertossi D, Nocini PF. Surgical treatment of oroantral communications. J Craniofac Surg. 2016; 27(5): 1190–6. doi: https://doi.org/10.1097/SCS.0000000000002706
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