Journal of

Case Reports and Images in Dentistry

 
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Case Report
 
A periapical disease aggravating maxillary rhinosinusitis
Bülent Yilmaz1, Muzaffer Emir Dinçol1, Handan Ersev2
1Assistant Professor, Department of Endodontics, Istanbul University, Istanbul, Turkey.
2Associate Professor, Department of Endodontics, Istanbul University, Istanbul, Turkey.

Article ID: 100011Z07BY2016
doi:10.5348/Z07-2016-11-CR-9

Address correspondence to:
Bülent Yilmaz
Istanbul Universitesi, Dis Hekimligi Fakültesi
Endodonti A.D., çapa
Fatih, Istanbul
Türkiye, 34104

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How to cite this article:
Yilmaz B, Dinçol ME, Ersev H. A periapical disease aggravating maxillary rhinosinusitis. J Case Rep Images Dent 2016;2:37–41.


Abstract
Introduction: The maxillary sinus exhibits a close anatomical relationship with maxillary posterior teeth. Therefore, maxillary sinusitis having a possible odontogenic infection may present a real diagnostic challenge in some cases.
Case Report: A patient with a history of chronic maxillary rhinosinusitis was sent to our department by an otorhinolaryngologist for a dental consultation. A coronal computed tomography (CT) section showed that the left sinus had significant mucosal thickening and bone erosion in its floor and in the lateral wall. The oral examination demonstrated that none of the ipsilateral maxillary teeth had caries or had been restored before. Periapical radiography showed that a periapical lesion associated with the first molar tooth had elevated the sinus floor. Nonsurgical endodontic treatment was initiated because the established diagnosis of the endodontic lesion was a chronic periapical abscess. At the root-filling appointment, periapical radiography showed the finding of healing in the periapical lesion. A follow-up CT scan performed three years after initiation of the treatment revealed that the mucosal inflammation had resolved and the sinus floor had remodeled. The rhinologic findings such as another mucosal inflammation in the anterolateral wall and a mucous retention cyst have also been reported to exist in the same sinus.
Conclusion: This case was classified as a chronic maxillary rhinosinusitis with a secondary endodontic source of infection because the rhinologic findings were still present after the elimination of endodontic infection and its local inflammatory effects on the sinus.

Keywords: Maxillary sinusitis, Odontogenic infection, Periapical diseases, Root canal therapy, Rhinosinusitis, Teeth


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Author Contributions
Bülent Yilmaz – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Muzaffer Emir Dinçol – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Handan Ersev – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Bülent Yilmaz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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