ArticleJournal of clinical medicine2023
The Influence of Endodontic Lesions on The Clinical Evolution of Odontogenic Sinusitis-A Cohort Study.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Management of odontogenic maxillary sinusitis with endodontic microsurgery in maxillary posterior teeth: a case series.BMC oral health · 2026Article
- Navigating the Treatment Landscape of Odontogenic Sinusitis: Current Trends and Future Directions.Medicina (Kaunas, Lithuania) · 2025Review
- Characteristics and risk factors in odontogenic maxillary sinusitis from different dental infections: a retrospective study based on sinus CT imaging.BMC oral health · 2025Article
- Extent of Endoscopic Sinus Surgery for Odontogenic Sinusitis of Endodontic Origin with Ethmoid and Frontal Sinus Involvement.Journal of clinical medicine · 2024Article
- Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment.International journal of oral science · 2024Review
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Authors and funding
5 authors.
Funding
Abstract
Endodontic disease with formation of periapical lesions (PALs) is one of the most common causes of chronic odontogenic sinusitis (ODS). It requires close collaboration between otolaryngologists and dentists, but the best sequence of management is still unknown. The aim of the present study is to clarify how radiological characteristics of teeth with PALs and previous root-canal treatment (RCT) influence the clinical evolution of the disease and to define the predictive value of its radiological and endoscopic features in determining the need for further surgical intervention. A total of 68 symptomatic patients with ODS with PALs were included in the study. The evaluation was performed by an otolaryngologist and a dentist based on a medical interview, nasal endoscopy, cold pulp testing and tomography images. Patients were prospectively followed for at least 12 months, during which nasal steroids, saline irrigations and RCT were administered. The criteria of disease improvement were: decrease of symptoms, healed sinonasal mucosa in endoscopy and radiological resolution of periapical radiolucency and sinus inflammation. Results showed that 9 (13%) patients improved after conservative treatment and 59 (87%) required further surgical intervention. Patients who improved after medical treatment and RCT were younger (
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