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Similarly, dental procedures such as tooth extractions, implant placement, or root canal treatments, particularly if they involve the posterior maxillary teeth, can also cause this condition. [ 5 ] [ 6 ] Microbiological studies have also determined that anaerobic bacteria are more frequently involved in odontogenic sinusitis cases than in ...
The maxillary sinus can normally be seen above the level of the premolar and molar teeth in the upper jaw. This dental x-ray film shows how, in the absence of the second premolar and first molar, the sinus became pneumatized and expanded towards the crest of the alveolar process (location at which the bone meets the gum tissue).
Sinusitis is a condition that affects both children and adults. It is caused by a combination of environmental and a person's individual health factors. [8] It can occur in individuals with allergies, exposure to environmental irritants, structural abnormalities of the nasal cavity and sinuses and poor immune function. [9]
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Infections associated with teeth may be responsible for approximately 20% of cases of maxillary sinusitis. [7] The cause of this situation is usually a periapical or periodontal infection of a maxillary posterior tooth, where the inflammatory exudate has eroded through the bone superiorly to drain into the maxillary sinus .
Less commonly, non-dental conditions can cause toothache, such as maxillary sinusitis, which can cause pain in the upper back teeth, or angina pectoris, which can cause pain in the lower teeth. Correct diagnosis can sometimes be challenging. Proper oral hygiene helps to prevent toothache by preventing dental disease.
Because the maxillary posterior teeth are close to the maxillary sinus, this can also cause clinical problems if any disease processes are present, such as an infection in any of these teeth. These clinical problems can include secondary sinusitis, the inflammation of the sinuses from another source such as an infection of the adjacent teeth. [6]
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