Department of Integrated Clinical Procedures, School of Dentistry, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil; Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil.
Department of Integrated Clinical Procedures, School of Dentistry, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil.
Otolaryngol Clin North Am. 2024 Dec;57(6):941-955. doi: 10.1016/j.otc.2024.06.007. Epub 2024 Aug 1.
Bacterial odontogenic sinusitis (ODS) arises from maxillary dental issues or oral procedures, and affects at least the maxillary sinuses, with or without other paranasal sinus involvement. It has been historically underreported, in contrast to more recent findings attributing 25-40% of chronic maxillary sinusitis to dental causes. Endodontic infections represent one of the most common causes of ODS. Endodontic factors like root canal infection and microbial proximity to sinus cavities play pivotal roles. Host immunological responses further shape disease severity and progression. This article aims to explore the complexity of endodontic infections that cause ODS, elucidating anatomical, microbial, and immunological aspects.
细菌性牙源性鼻窦炎（ODS）由上颌牙齿问题或口腔手术引起，至少影响上颌窦，无论是否伴有其他副鼻窦受累。与最近将 25-40%的慢性上颌窦炎归因于牙齿原因的发现相比，这种疾病的历史报道较少。牙髓感染是 ODS 的最常见原因之一。根管感染和微生物接近窦腔等牙髓因素起着关键作用。宿主免疫反应进一步影响疾病的严重程度和进展。本文旨在探讨引起 ODS 的牙髓感染的复杂性，阐明解剖学、微生物学和免疫学方面。
