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periapical periodontitis maxillary sinus

Umut Aksoy, Kaan Orhan
OBJECTIVES: This study aimed to assess the maxillary sinus mucosal thickening and to associate them with odontogenic conditions using cone-beam computed tomographic (CBCT) images. MATERIALS AND METHODS: CBCT images of 294 patients (143 female, 151 males; age range 18-78 years) with 588 maxillary sinuses were evaluated retrospectively. The anatomic relationship between maxillary sinuses and teeth was determined and classified. The presence of root canal fillings and the periapical lesions of these teeth was also recorded...
January 2019: Clinical Oral Investigations
Azin Khorramdel, Adileh Shirmohammadi, Alireza Sadighi, Masoumeh Faramarzi, Amir Reza Babaloo, Mehrnoosh Sadighi Shamami, Amin Mousavi, Zia Ebrahim Adhami
Background. This study was undertaken to assess the pathological and spatial associations between periapical and periodontal diseases of the maxillary first molars and thickening of maxillary sinus mucosa with cone-beam computed tomography. Methods. A total of 132 CBCT images of subjects 20‒60 years of age were evaluated retrospectively. The patients' sex and age and demographic and pathologic findings of the maxillary sinus in the first molar area were recorded, graded and analyzed. Results. Approximately 59% of patients were male and 41% were female, with no significant difference in the thickness of schneiderian membrane between males and females...
2017: Journal of Dental Research, Dental Clinics, Dental Prospects
Carolina Oliveira de Lima, Karina Lopes Devito, Letícia Raquel Baraky Vasconcelos, Maíra do Prado, Celso Neiva Campos
INTRODUCTION: The proximity of the roots of maxillary posterior teeth to the maxillary sinus floor can be associated with the development of chronic maxillary sinusitis (CMS). Therefore, this study evaluated the correlation between the presence of endodontic infection and periodontal disease in maxillary posterior teeth and the presence of CMS. METHODS: A total of 83 patients (159 maxillary sinuses) were selected and underwent clinical dental examination to assess tooth mobility and pulp condition...
December 2017: Journal of Endodontics
Tuba Talo Yildirim, Güliz Nigar Güncü, Dincer Göksülük, Melek Didem Tözüm, Mehmet Colak, Tolga Fikret Tözüm
OBJECTIVES: The purpose of this study was to evaluate the prevalence of sinus mucosal thickening (MT) and mucosal appearance (MA) in a patient population as detected with cone beam computed tomography (CBCT) and to determine the effects of various disease and demographic factors on MT and MA. STUDY DESIGN: The retrospective study consisted of CBCT images of 1000 maxillary arches in 500 patients. The arches were divided into 3 groups (atrophic, partially atrophic, and nonatrophic) according to the type of the maxillary dental crest...
December 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Erdogan Bulbul, Bahar Yanik, Gulen Demirpolat
INTRODUCTION: Multidetector Computed Tomography (MDCT) is a widespread method for evaluating paranasal sinuses and nasal cavity in daily practice. The maxillary teeth are in field of view in a paranasal sinus CT scan and it is possible to detect dental pathologies with CT. AIM: To determine the incidence of maxillary teeth pathologies in routine paranasal sinus CT scans. MATERIALS AND METHODS: A retrospective study was conducted. Consecutive 395 paranasal sinus CT scans were evaluated...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
Musaed Fahad Al-Tammami, Saad A Al-Nazhan
A revascularization procedure was shown to be the best alternative therapy for immature teeth with necrotic pulp and apical infection. A 12 year old female with a history of trauma to her upper central incisor and a sinus tract was referred for endodontic treatment. She was an active orthodontic patient and had undergone regenerative endodontic treatment for the past 2 years. Clinical examination revealed no response to sensibility, percussion, and palpation tests. The preoperative radiograph showed an open apex and apical rarefaction...
February 2017: Restorative Dentistry & Endodontics
Jennifer L McCarty, Ryan M David, Shelly Y Lensing, Rohan S Samant, Manoj Kumar, Rudy L Van Hemert, Edgardo J C Angtuaco, Ryan T Fitzgerald
BACKGROUND AND PURPOSE: Dental and periodontal diseases represent important but often overlooked causes of acute sinusitis. Our goal was to examine the prevalence of potential odontogenic sources of acute maxillary sinusitis according to immune status and their associations with sinusitis. MATERIALS AND METHODS: A retrospective review of maxillofacial computed tomography studies from 2013 to 2014 was performed. Each maxillary sinus and its ipsilateral dentition were evaluated for findings of acute sinusitis and dental/periodontal disease...
May 2017: Journal of Computer Assisted Tomography
Florin Eggmann, Thomas Connert, Julia Bühler, Dorothea Dagassan-Berndt, Roland Weiger, Clemens Walter
OBJECTIVES: This systematic review analyzed the relationship between periapical and periodontal pathologies in the posterior maxilla and the appearance of the Schneiderian membrane in cone-beam computed tomography (CBCT) compared with sound dentitions. METHODS: Five electronic databases (Cochrane Library, Embase, OpenGrey, PubMed, Web of Science), complemented by hand searching, were screened up to May 9, 2016. Human clinical studies that used CBCT and contained information on the periapical/periodontal status in the posterior maxilla and Schneiderian membrane appearance were included...
June 2017: Clinical Oral Investigations
K Matsushita, H Yamamoto
No abstract text is available yet for this article.
April 2017: British Journal of Oral & Maxillofacial Surgery
Priya Mittal, Ganesh R Jadhav, Shibli Syed, Nikita D Bhujbal
Dens invaginatus (DI) is a developmental anomaly seen infrequently in maxillary canines. This article describes cone-beam computed tomography-guided nonsurgical management of type III (subtype B) DI in a permanent maxillary canine associated with a sinus tract and peri-invagination periodontitis in a 17-year-old female. After gaining access to the root canal, thorough chemo-mechanical preparation was performed and usage of intracanal medicament of calcium hydroxide was prescribed for 3 weeks, during which the sinus tract healed completely...
June 2016: Compendium of Continuing Education in Dentistry
Eduarda Helena Leandro Nascimento, Maria Luiza A Pontual, Andrea A Pontual, Deborah Q Freitas, Danyel E Cruz Perez, Flávia M M Ramos-Perez
INTRODUCTION: The maxillary sinus can be affected by dental infections because of its close relationship with upper teeth. This study aimed to assess the most common types of maxillary sinus alterations and to associate them with odontogenic conditions using cone-beam computed tomographic (CBCT) images. METHODS: CBCT scans of 400 patients showing sinus disease in 1 or both maxillary sinuses were evaluated. Sinus alteration was considered as follows: generalized or localized mucosal thickening (MT), maxillary sinusitis (MS), and retention cysts (RCs)...
October 2016: Journal of Endodontics
Azar Heydari, Mona Rahmani, Mostafa Heydari
UNLABELLED: Instrument breakage during treatment can lead to serious complications and carries the risk of treatment failure. When a file breaks in the canal, bypassing or removal can be difficult and the long-term prognosis of the tooth may be compromised. Sometimes surgery may be indicated for removal of the broken segment. Often some part of the root cannot be cleaned because of blockage by the broken file. This report presents a specific approach in non- surgical removal of a broken file from a maxillary lateral incisor with a buccal sinus tract and a broken instrument in the apical third which was partially over extended into the periapical lesion...
2016: Iranian Endodontic Journal
Amy Wai-Yee Wong, Cissy Sung-Chi Tsang, Shinan Zhang, Kar-Yan Li, Chengfei Zhang, Chun-Hung Chu
BACKGROUND: Clincians have been providing single-visit and multiple-visit endodontic treatments for their patients. This study aims to compare the success rate, prevalence of postoperative pain and chairside time of single-visit and multiple-visit endodontic treatments. METHOD: Patients who required primary endodontic treatment in a university dental clinic were randomly allocated to two general dentists for single-visit or multiple-visit treatments using the same materials and procedures...
December 19, 2015: BMC Oral Health
Carlos Estrela, Olavo César Lyra Porto, Nádia Lago Costa, Marcel da Silva Garrote, Daniel Almeida Decurcio, Mike R Bueno, Brunno Santos de Freitas Silva
Inflammatory injuries in the maxillary sinus may originate from root canal infections and lead to bone resorption or regeneration. This report describes the radiographic findings of 4 asymptomatic clinical cases of large reactional osteogenesis in the maxillary sinus (MS) associated with secondary root canal infection detected using cone-beam computed tomographic (CBCT) imaging. Apical periodontitis, a consequence of root canal infection, may lead to a periosteal reaction in the MS and osteogenesis seen as a radiopaque structure on imaging scans...
December 2015: Journal of Endodontics
Matthias Troeltzsch, Christoph Pache, Markus Troeltzsch, Gabriele Kaeppler, Michael Ehrenfeld, Sven Otto, Florian Probst
The purpose of the study was to analyze the causative pathology associated with symptomatic unilateral maxillary sinusitis requiring surgical treatment. A retrospective review of all patients that have been treated surgically for unilateral symptomatic maxillary sinusitis between 2006 and 2013 at a single institution was performed. Demographic, anamnesis, clinical, radiological, microbiological and histological data were gathered and analyzed. The patients were allocated into groups depending on the underlying cause of the disease...
October 2015: Journal of Cranio-maxillo-facial Surgery
Cinthya Cristina Gomes, Larissa Christina Costa Pinto, Fernanda Loretti Victor, Erlange Andrade Borges da Silva, Apoena de Aguiar Ribeiro, Maria Inês de Moura Sarquis, Isabel Coelho Gomes Camões
INTRODUCTION: Diseases of the maxillary sinus have been associated with dental roots near the maxillary sinus that have undergone endodontic treatment. OBJECTIVE: To investigate the presence of filamentous fungi in patients with dental roots near the maxillary sinus who had apical periodontitis treated endodontically, and to alert practitioners that this could be a possible avenue of contamination of the sinus in patients who develop maxillary sinus infection. METHODS: Cross-sectional study in 60 palatal roots of the first maxillary molars near the maxillary sinus, that underwent endodontic treatment for apical periodontitis...
September 2015: Brazilian Journal of Otorhinolaryngology
Duygu Goller-Bulut, Ahmet-Ercan Sekerci, Emre Köse, Yildiray Sisman
BACKGROUND: This study assessed the relationship between mucosal thickness (MT) of the maxillary sinus and periodontal bone loss (PBL) and periapical condition of related teeth. We also aimed to identify the association between root apices and the inferior wall of the maxillary sinus using Cone beam computed tomography (CBCT). MATERIAL AND METHODS: In this study, CBCT images of 205 patients with 410 maxillary sinuses were examined, retrospectively. A total of 582 maxillary molars and 587 premolars were observed...
September 1, 2015: Medicina Oral, Patología Oral y Cirugía Bucal
Ganesh Ranganath Jadhav, Dipali Shah, Srinidhi Surya Raghvendra
Caries or trauma induced non-vital immature permanent tooth with blunderbuss, thin root which are very common among childrens are corrected using regenerative endodontic (revascularization) procedures. In the presented case, a 16-year-old boy reported with chief complaint of pain in maxillary left central incisor (Tooth #21). Tooth #21 showed grade III mobility, draining labial sinus, and short blunderbuss root with diffuse periapical radiolucency. Patient was explained the treatment plan and written informed consent was taken...
January 2015: Journal of Natural Science, Biology, and Medicine
Fabrizio Carini, Salvatore Longoni, Ernesto Amosso, Stefania Carini, Werner Garavello, Gianluca Porcaro
AIM OF THE STUDY: The odontogenic sinusitis has an incidence between 38 and 40.6%. Increased risk of maxillary sinusitis has been reported with the presence of periapical abscesses, periodontal disease, dental trauma, tooth extraction and implant placement when the sinusal membrane is perforated. MATERIALS AND METHODS: A patient with odontogenic maxillary sinusitis associated with oro-nasal fistula was treated. RESULTS: The follow-up at six months showed the complete resolution of maxillary sinusitis, palatal fistula got closed and pain symptoms disappeared...
October 2014: Annali di Stomatologia
Oséas Santos Junior, Lucas Rodrigues Pinheiro, Otávio Shoiti Umetsubo, Marcelo Gusmão Paraíso Cavalcanti
The purpose of the present study was to test the applicability of cone beam computed tomography (CBCT) to evaluate the integrity of the cortical sinus close to periapical lesions. Two observers analyzed samples of 64 alveoli of first molar roots in macerated swine maxillas prepared with perchloric acid to simulate periapical lesions. The specimens were evaluated using CBCT (55-mm high and 100-mm diameter cylinder at 0.2-mm voxel resolution) for the presence of oroantral communication (OAC) caused by the simulated lesions...
2015: Brazilian Oral Research
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