Private Practice, Santa Barbara Endodontics, 9 East Pedregosa Street, Suite B, Santa Barbara, CA 93101, USA.
Rhinology, Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, MI, USA.
Otolaryngol Clin North Am. 2024 Dec;57(6):1119-1138. doi: 10.1016/j.otc.2024.07.002. Epub 2024 Aug 30.
Primary dental treatments for odontogenic sinusitis (ODS) due to endodontic infections (pulpal necrosis and apical periodontitis ± periapical abscess) include extraction and root canal treatment (RCT). Published evidence is lacking on the success of primary endodontic treatment for purulent ODS, with the majority of RCT-related series reporting on its success at resolving reactive maxillary sinus mucositis. Dental extraction is the most definitive treatment of endodontic disease causing ODS, but compromises the functional dentition and still often fails to resolve the purulent sinusitis. This article highlights key concepts of RCT and dental extraction techniques, as well as their published success at resolving ODS.
牙髓感染（牙髓坏死和根尖周炎±根尖周脓肿）引起的牙源性鼻窦炎（ODS）的主要牙科治疗包括拔牙和根管治疗（RCT）。目前缺乏关于化脓性 ODS 原发性牙髓治疗成功率的研究证据，大多数与 RCT 相关的系列研究报告称其可成功缓解反应性上颌窦黏膜炎。拔牙是治疗引起 ODS 的牙髓疾病的最有效方法，但会损害功能牙列，并且仍经常无法解决化脓性鼻窦炎。本文重点介绍 RCT 和拔牙技术的关键概念，以及它们在解决 ODS 方面的已发表成功率。
