Odontogenic Sinusitis

2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43

Odontogenic sinusitis

Odontogenic sinusitis is a special type of this disease that develops in the paranasal sinuses. Unlike usual sinusitis, which is most often the result of colds, it occurs under the influence of pathological processes in the oral cavity. They are associated with inflammation of the upper molars and premolars. The roots of these teeth are located near the bottom of the maxillary sinuses. This leads to the fact that odontogenic infection develops in the mouth, spreads to the nose.

Diplococci, staphylococci, streptococci, enterococci are its main pathogens.

Suppuration of the maxillary cyst also often contributes to the development of infection. However, it applies to the maxillary sinuses in the following cases:

• In case of non-observance of oral hygiene. It includes brushing your teeth regularly, rinsing after meals, and routine dental check-ups. A visit to the doctor is often postponed in the absence of pain. But caries in most cases delivers tangible discomfort even with tooth nerve necrosis. In this case, the pain is difficult to endure. Therefore, it is important to check with the dentist on time and not neglect the rules of personal oral hygiene.

• With improper treatment and tooth growth. Removal can provoke the destruction of the septum between the maxillary sinuses and the upper jaw. This is due to the large size of the roots of the teeth, especially the molars. As a result, odontogenic infection quickly spreads from the mouth to the sinuses. Inaccurate placement of the filling can lead to the fact that a part of the medicine placed in the tooth gets through the canal into the maxillary sinus. It also leads to inflammation. Promotes the development of odontogenic infections and periodontal disease. The reason for this is incorrect tooth growth.

Odontogenic sinusitis in the absence of timely treatment can lead to serious complications, including a brain abscess. Therefore, it is important to monitor your oral cavity by observing all the rules of hygiene and regularly visiting your dentist.

Content:

• Symptoms and diagnosis of odontogenic sinusitis
• Treatment of odontogenic sinusitis

Symptoms and diagnosis of odontogenic sinusitis

Odontogenic sinusitis can be identified by characteristic nasal discharge. They have a watery consistency and have an unpleasant odor. At the initial stages of the development of the disease, the patient feels pain in the area of the inflamed tooth. It is felt in the frontal part of the head, the infraocular region on the same side. The ability to distinguish between odors is impaired. As a rule, odontogenic sinusitis is unilateral, so pain is felt only in one half of the body.

If the disease is not diagnosed in time, the sinuses can be completely filled with mucous secretions. This process is accompanied by an increase in edema. Discharge from the nose in this case is a mixture of mucus and pus. Any touch to the site of inflammation causes severe pain. Breathing and sense of smell are impaired. Outflow of nasal discharge in a natural way is no longer possible. These symptoms indicate a purulent form of odontogenic sinusitis.

The patient experiences weakness, constant malaise. He may have a fever, a fever appears. Outwardly, swelling of the cheeks and redness on the face from the side of the inflamed tooth are noticeable. The patient cannot sleep well. In some cases, photophobia is even observed.

To make sure that the patient really has odontogenic sinusitis allows radiography. The picture should show darkening in the area of the maxillary sinuses. Sometimes special dyes are used to obtain a clear image. This is necessary in the case of the polyposis form of odontogenic sinusitis. During rhinoscopy, enlargement of the nasal mucous membranes is usually noticeable. In the blood of a patient with this type of sinusitis, the erythrocyte sedimentation rate is increased and neutrophilic leukocytosis is present. During the puncture, pus is released, which also confirms the diagnosis.

Treatment of odontogenic sinusitis

Endoscopy. If odontogenic sinusitis is caused by a filling in the canal, inflammation of a tooth or root, this problem is eliminated first and the oral cavity is sanitized. Then, with the help of endoscopy, purulent discharge is removed. The procedure is performed under local anesthesia. In especially difficult cases, they resort to general anesthesia. Similarly, the elimination of infection is carried out in cases when it develops in soft tissues.

Conservative treatment after getting rid of the cause of the development of the disease is carried out with the help of pharmaceutical preparations. Nasal lavages and physiotherapy are performed daily. Antibiotics are often used to avoid complications or if they are present. Pain relievers can help relieve discomfort and discomfort. During treatment, the patient should avoid increased stress.

On the subject: How to treat sinusitis at home?

Operation. The chronic form of odontogenic sinusitis requires not only conservative methods. Surgery may be required, during which the doctor expands the anastomosis. This is necessary to make it easier for pus to escape from the sinuses. After surgery, flushing with saline is carried out for several days.

Puncture or puncture is another type of surgery for odontogenic sinusitis. A cotton swab with lidocaine is placed in the nose beforehand. This is how anesthesia works. After that, the doctor makes a puncture with a needle, and the discharge from the maxillary sinuses is removed through the mouth.

This operation is not considered difficult and rarely causes complications. However, many people avoid a puncture for fear of pain. With anesthesia, it can be avoided, so this is not a cause for concern. Of course, in general, the procedure gives the patient unpleasant sensations, but in many cases, surgery is the only way to get rid of odontogenic sinusitis.

If you refuse to carry out this procedure, you can get a complication in the form of inflammation of the sphenoid and frontal sinuses, meningitis and even a brain abscess. It is not worthwhile to independently treat odontogenic sinusitis. As practice shows, traditional methods are ineffective.

You need to know: The modern method of treating sinusitis without a puncture

The author of the article: Lazarev Oleg Vladimirovich | ENT

Education: In 2009, he received a diploma in the specialty "General Medicine" at the Petrozavodsk State University. After completing an internship at the Murmansk Regional Clinical Hospital, he received a diploma in Otorhinolaryngology (2010)