Management of Endodontic Disease for Odontogenic Sinusitis

Document Type

Article

Publication Date

12-1-2024

Publication Title

Otolaryngologic clinics of North America

Abstract

Primary dental treatments for odontogenic sinusitis (ODS) due to endodontic infections (pulpal necrosis and apical periodontitis ± periapical abscess) include extraction and root canal treatment (RCT). Published evidence is lacking on the success of primary endodontic treatment for purulent ODS, with the majority of RCT-related series reporting on its success at resolving reactive maxillary sinus mucositis. Dental extraction is the most definitive treatment of endodontic disease causing ODS, but compromises the functional dentition and still often fails to resolve the purulent sinusitis. This article highlights key concepts of RCT and dental extraction techniques, as well as their published success at resolving ODS.

Medical Subject Headings

Humans; Root Canal Therapy; Maxillary Sinusitis; Tooth Extraction; Periapical Periodontitis; Dental Pulp Necrosis

PubMed ID

39214736

ePublication

ePub ahead of print

Volume

57

Issue

6

First Page

1119

Last Page

1138

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