Endodontic treatment of patients with symptoms of chronic odontogenic sinusitis

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Abstract

Purpose. To determine the tactics of treatment and prevention of complications of odontogenic sinusitis in dental patients.

Material and methods. The study involved 40 patients with chronic odontogenic sinusitis, divided into 2 groups depending on the therapy received: 1st (n = 20) – patients receiving dental and otorhinolaryngological treatment; 2nd (n = 20) – patients who received only otorhinolaryngological treatment.

Results. It has been established that chronic odontogenic sinusitis in the early period of development is accompanied by significant homeostatic disorders, including clinical (the appearance of toothache, malaise, weakness), laboratory (endogenous intoxication, prolongation of blood clotting time, depression of fibrinolytic activity) and instrumental (inflammatory changes in the maxillary sinuses, communication between a carious cavity and a tooth cavity, etc.). After 1 month of treatment, complete restoration of the structures of the maxillary sinus was observed in 90.0% of patients in group 1, and in 60.0% in group 2. The quality of life in group 1 was assessed in most cases as excellent and good, in group 2 – satisfactory.

Conclusion. Endodontic root canal treatment in the treatment of concomitant odontogenic sinusitis can prevent tooth extraction, reduce the likelihood of using surgical treatment methods, complications and progression of the disease. Thus, an interdisciplinary approach to the treatment of odontogenic sinusitis can increase the effectiveness of treatment.

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About the authors

T. O. Asanova

Stoma-Lux LLC; MedGarant LLC

Author for correspondence.
Email: Asanova.stom@gmail.com
Russian Federation, Saint Petersburg; Saint Petersburg

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2. Fig. 1. Main clinical symptoms in the study groups

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3. Fig. 2. Cone-beam computed tomography of a patient with chronic odontogenic maxillary sinusitis

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