SP-26 Maxillary Sinusitis of Endodontic Origin: From Diagnosis to Treatment Outcome
CE Hours: 0.75
Description: Maxillary sinusitis of endodontic origin refers specifically to sinusitis secondary to periradicular disease of endodontic origin. This pathology requires an accurate diagnosis followed by appropriate endodontic treatment to remove the source of endodontic pathogens associated with the periapical disease and secondary sinus infection. The use of CBCT imaging significantly improve the ability to detect mucosal soft tissue changes, sinus membrane thickening and odontogenic sources for sinusitis, such as untreated canals. In this presentation, several cases of maxillary sinusitis of endodontic and dental origin, with different manifestations, diagnostic challenges, treatment and outcomes will be described. All of them with inflammatory sinus changes represented by mucositis, osteoperiostitis or partial obstruction; that showed sinus signs and symptoms which disappeared after dental management. In most of them, the sinus condition had an endodontic origin, however, in one case, sinusitis was caused by trauma to the face. All cases had a satisfactory response of the periradicular tissues and maxillary sinus to treatment that consisted of root canal therapy or trauma management.
Learning Objectives:
- Describe classification of maxillary sinusitis of endodontic origin.
- Diagnose through CBCT maxillary sinusitis associated with endodontic infection.
- Evaluate different treatment alternatives for teeth causing maxillary sinusitis.
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Gabriela Martin, DDS, PhD
• Dentist, graduated from the Faculty of Dentistry, National University of Cordoba (UNC), Córdoba, Argentina. December 1991.
• University Professor, graduated from the Faculty of Dentistry, National University of Cordoba (UNC), Córdoba, Argentina. December 2001.
• PhD in Dentistry, Faculty of Dentistry, National University of Córdoba (UNC), Argentina. April 23 2014.
• Specialist in Endodontics, certified by the Argentine Society of Endodontics (SAE) in 2002 and by the Ministry of Health of the Nation (MSN) in 2007.
• Director of the Posgraduate Program in Endodontics, Faculty of Health Sciences, Catholic University of Córdoba (UCC), Argentina. Since 2016 to present.
• Assistant Professor of the Endodontic Department at the Faculty of Dentistry, National University of Cordoba, Argentina. Since 2003 to present.
• Director of Posgraduate Program in Endodontics, Faculty of Dentistry, National University of the Northeast (UNNE), Corrientes, Argentina (2019-2021).
• Member of EndoChat Group
• Private Practice in Endodontics in Cordoba, Argentina.
• Speaker at the IFEA Meeting 2010 in Greece, 2013 in Tokio, J2016 in Cape Town.
• Speaker on Endodontic Topics, specially in Regenerative Endodontics at National and International Congress and meetings.
• Author and co-author of research articles and case reports in national and international journals.
• Honorable Mention in the Journal of Endodontics Awards 2022 for the article: "Effects of Endodontic Infections on the Maxillary Sinus: A Case Series of Treatment Outcome", published in the JOE with Dr. José Siqueira and colleagues.
• Reviewer of the IFEA Awards and scientific articles of Acta Odontologica Latinoamericana.
• Member of the Argentine Society of Endodontics (SAE), Argentine Society of Dental Research (SAIO),International Association for Dental Research (IADR) and American Association of Endodontists (AAE).
Disclosure(s): No financial relationships to disclose