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The treatment of odontogenic sinusitis involves addressing the underlying dental condition and managing the sinus inflammation. This may include dental procedures such as root canal treatment, tooth extraction, or periodontal therapy. Antibiotics, nasal corticosteroids, and nasal irrigation may be used to control symptoms, though their role in ...
The maxillary sinus is known for its thin floor and close proximity to the posterior maxillary (upper) teeth. [1] [6] The extraction of a maxillary tooth (typically a maxillary first molar which lies close to the lowest point of antral floor although any premolar or molar can be affected) is the most common cause of an OAC (which can then ...
In order to obtain permission from patient for extraction of tooth, the dentist should explain that other treatment options are available, what is involved in the dental extraction procedure, the potential risks of the procedure and the benefits of the procedure. [2] The process of gaining consent should be documented in clinical notes. [2]
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
After stabilizing the patient's airway, extracting the infected tooth will typically promote adequate drainage and the infection will resolve shortly thereafter. If the infection involves multiple primary spaces or any of the secondary spaces previously mentioned, then incision and drainage with culture-guided antibiotics may be indicated.
Treatment options include non-surgical root canal treatment, periradicular surgery, tooth replantation, or extraction of the infected tooth. [59] For chronic or recurring sinusitis, referral to an otolaryngologist may be indicated, and treatment options may include nasal surgery.
Clinical signs of infection: tenderness, sinus, suppuration, swelling; Treatment options will be extraction for the primary tooth. For the permanent tooth, endodontic treatment can be considered. Radiographic signs of periapical inflammation is usually evident in a tooth with necrotic pulp
The relationship of the tooth to neighbouring structures (the inferior dental nerve, mental foramen and maxillary sinus) or to adjacent roots must be noted, to anticipate operative complications and inform the patient. At least 3 mm of tissue beyond the apex of the roots should be radiographically assessed.