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Odontogenic sinusitis is a type of sinusitis (inflammation of the sinuses), specifically caused by dental infections or procedures. [1] Comprising approximately 10-12% of all chronic sinusitis cases, this condition primarily affects the maxillary sinus , which is in close proximity to the upper teeth .
Teeth that are tender to percussion, which may develop as the condition progresses. Loosening of teeth, which may develop as the condition progresses. Pus may later be visible, which exudes from around the necks of teeth, from an open socket, or from other sites within the mouth or on the skin over the involved bone. Fetid odor.
The cause of this situation is usually a periapical or periodontal infection of a maxillary posterior tooth, where the inflammatory exudate has eroded through the bone superiorly to drain into the maxillary sinus. Medical management and treatment of the underlying dental pathology remains a critical initial step in the treatment of odontogenic ...
Sinusitis is usually caused by a virus which is not affected by antibiotics. [70] Antibiotics Bacterial sinusitis Cases accompanied by extreme pain, skin infection, or which last a long time may be caused by bacteria. [70] Nasal irrigation: Nasal congestion: Can provide relief by helping decongest. [70] Drink liquids Thick phlegm
Exposed and necrotic bone or a fistula that probes to bone in patients with pain, infection, and one or more of the following: exposed and necrotic bone extending beyond the region of alveolar bone (i.e., inferior border and ramus in the mandible, maxillary sinus and zygoma in the maxilla) resulting in pathologic fracture, extra-oral fistula ...
Currently, buccal exostoses do not commonly require treatment. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris. [14]
Mouth infections are usually diagnosed on history and physical exam in the dental office or at a clinic visit with an otolaryngologist. [1] Swelling within the oral cavity or cheeks, along with a history of progressively worsening tooth pain and fevers, is usually enough evidence to support the diagnosis of a mouth infection.
Local and distant structures (such as ear, brain, carotid artery, or heart) can also refer pain to the teeth. [35]: 80, 81 Other non-dental causes of toothache include myofascial pain (muscle pain) and angina pectoris (which classically refers pain to the lower jaw).