Incidence, association and treatments of maxillary sinus diseases due to odontogenic causes: retrospective clinical study
https://doi.org/10.23805/JO.2024.657
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Aim:This retrospective study aimed to assess the incidence of dental procedures causing maxillary sinus diseases, investigate possible associations between types of dental procedures and maxillary sinus involvement, and describe treatment details for maxillary sinus diseases due to odontogenic causes.
Materials and Methods: The study was conducted at San Raffaele Hospital, Milan, Italy, and included 51 patients (24 males, 27 females, average age 56 years) who developed maxillary sinus infections following dental procedures. Data collection involved clinical histories and radiographic examinations, with diagnoses confirmed by intra-oral X-rays, orthopantomography, and Cone Beam CT. The study focused on patients who developed infections involving the maxillary sinus after dental procedures performed in the maxillary region.
Results: Results indicated that dental implant placement was most frequently associated with maxillary sinus diseases (39.2%), followed by tooth extraction (17.6%), carious pathology (13.7%), endodontic procedures (11.8%), disodontiasis (9.8%), and sinus floor elevation surgery (7.8%). Surgical treatment was prevalent (86.3%), with trans-nasal, trans-oral, and combined approaches. Chi-square tests showed significant associations between dental procedures and maxillary sinus diseases (χ² = 32.14, p < 0.05) and between disease types and treatment modalities (χ² = 18.29, p < 0.05). ANOVA indicated age-related differences in disease severity and treatment choice (F(2, 48) = 4.73, p < 0.05). Logistic regression and correlation analyses identified age, gender, and dental procedure type as significant risk factors.
Conclusion: The findings underscore the importance of early diagnosis and multidisciplinary management to prevent complications associated with maxillary sinus diseases due to odontogenic causes. Further clinical studies are necessary to confirm these results and improve management strategies.
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