Harvard School of Dental Medicine, Boston, Massachusetts.
Assistant Clinical Professor, Department of Endodontics, Tufts University School of Dental Medicine, Boston, Massachusetts; Lecturer, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine, Boston,Massachusetts; Private Practice limited to Endodontics, White River Junction, Vermont.
Compend Contin Educ Dent. 2024 Jun;45(6):295-299; quiz 300.
The anatomic proximity of maxillary posterior teeth to the maxillary sinus provides a natural conduit for the spread of dental pathology into the maxillary sinus. This diffusion results in the development of sinus disease attributable to endodontic pathology, and is termed "maxillary sinusitis of endodontic origin" (MSEO). Ultimately, suspicion of odontogenic causes of sinus disease should come as a relief to the provider and patient alike as the conditions are very treatable by noninvasive means with high expected success. This article reviews the diagnosis and management of odontogenic sinusitis with an emphasis on CBCT imaging as part of the interdisciplinary diagnostic workup. Illustrative cases documenting the treatment of MSEO are also presented.
上颌后牙与上颌窦的解剖位置接近，为牙病向上颌窦扩散提供了自然途径。这种扩散导致了与牙髓病理学相关的窦疾病的发展，被称为“牙髓源性上颌窦炎”（MSEO）。最终，对于提供者和患者来说，怀疑窦疾病的牙源性原因应该是一种解脱，因为这些疾病可以通过非侵入性的方法非常有效地治疗，预期成功率很高。本文回顾了牙源性窦炎的诊断和治疗，重点介绍了 CBCT 成像作为跨学科诊断评估的一部分。还提供了记录 MSEO 治疗的说明性病例。
