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The etiology of odontogenic sinusitis is primarily related to dental infections or procedures. Preliminary studies suggest that odontogenic sinusitis has different biological mechanisms from acute or chronic rhinosinusitis. [4] Dental conditions such as gum disease, periapical abscesses, or tooth decay can lead to odontogenic sinusitis ...
[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). Very rarely, toothache can be psychogenic in origin. [10]: 57–58 Disorders of the maxillary sinus can be referred to the upper back teeth. The posterior, middle and anterior superior ...
Dental abscess; Other names: Dentoalveolar abscess, Periapical abscess, tooth abscess, root abscess: A decayed, broken down tooth, which has undergone pulpal necrosis.A periapical abscess (i.e. around the apex of the tooth root) has then formed and pus is draining into the mouth via an intraoral sinus ().
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. [59] An estimated 0.5 to 2.0% of viral rhinosinusitis (VRS) will develop into bacterial infections in adults and 5 to 10% in ...
Rhinosinusitis is inflammation or infection of the sinus cavities. Acute rhinosinusitis has symptoms lasting less than four weeks, while chronic rhinosinusitis lasts greater than 12 weeks. [8] This persistent irritation can lead to increased mucus production as a result of pro-inflammatory pathways, producing symptoms of PND. [7]
The symptoms of sinusitis are headache, usually near the involved sinus, and foul-smelling nasal or pharyngeal discharge, possibly with some systemic signs of infection such as fever and weakness. The skin over the involved sinus can be tender, hot, and even reddened due to the inflammatory process in the area.
Given the natural history of a mouth infection, the vast majority of clinically-treated oral infections are polymicrobial, or caused by multiple different species of bacteria at the same time. [9] Until the source of the infection is controlled with some form of drainage and antibiotics, a mouth infection will likely not resolve on its own.
In chronic pericoronitis, drainage may happen through an approximal sinus tract. The chronically inflamed soft tissues around the tooth may give few if any symptoms. This can suddenly become symptomatic if new debris becomes trapped [ 8 ] or if the host immune system becomes compromised and fails to keep the chronic infection in check (e.g ...