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Nonsurgical management of odontogenic maxillary sinusitis - Two case reports

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Resumo:Abstract Odontogenic maxillary sinusitis is a sinus pathology secondary to maxillary dental pathologies or complications from dental procedures. Due to its clinical presentations of sinonasal symptoms, odontogenic sources may be underdiagnosed, leading to an incorrect treatment. This report presents two cases in which odontogenic maxillary sinusitis was correctly diagnosed and treated by nonsurgical endodontic management. In both cases, the patients presented with pain or discomfort in the maxillary region, and the cone-beam computed tomography revealed thickening of the maxillary sinus membrane, which was helpful for the diagnosis and follow-up. In the first case, the tooth related to the pathology underwent primary nonsurgical endodontic treatment, while in the second case, the tooth underwent nonsurgical endodontic retreatment. In both cases, calcium hydroxide dressing was used between appointments, and the root canals were filled with gutta-percha cones and bioceramic sealer. The follow-up cone-beam computed tomography obtained 24 months later in the first case and 16 months in the second showed the absence of maxillary sinus abnormalities, and the patients presented without clinical symptoms. The clinician must be aware of the signs and symptoms related to odontogenic maxillary sinusitis to be successful in diagnosis, planning, and treatment.
Autores principais:Michelotto,André Luiz da Costa
Outros Autores:Oda,Lisa Yurie; Hummig,Wagner; Batista,Antonio
Assunto:Endodontic Maxillary sinusitis Root canal therapy
Ano:2025
País:Portugal
Tipo de documento:relatório
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
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author Michelotto,André Luiz da Costa
author2 Oda,Lisa Yurie
Hummig,Wagner
Batista,Antonio
author2_role author
author
author
author_facet Michelotto,André Luiz da Costa
Oda,Lisa Yurie
Hummig,Wagner
Batista,Antonio
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Michelotto,André Luiz da Costa\"},{\"Person.name\":\"Oda,Lisa Yurie\"},{\"Person.name\":\"Hummig,Wagner\"},{\"Person.name\":\"Batista,Antonio\"}]
datacite.creators.creator.creatorName.fl_str_mv Michelotto,André Luiz da Costa
Oda,Lisa Yurie
Hummig,Wagner
Batista,Antonio
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Endodontic
Maxillary sinusitis
Root canal therapy
datacite.titles.title.fl_str_mv Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
dc.creator.none.fl_str_mv Michelotto,André Luiz da Costa
Oda,Lisa Yurie
Hummig,Wagner
Batista,Antonio
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902025000200091
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Estomatologia e Medicina Dentária
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial v.66 n.2 2025
dc.subject.none.fl_str_mv Endodontic
Maxillary sinusitis
Root canal therapy
dc.title.fl_str_mv Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_93fc
description Abstract Odontogenic maxillary sinusitis is a sinus pathology secondary to maxillary dental pathologies or complications from dental procedures. Due to its clinical presentations of sinonasal symptoms, odontogenic sources may be underdiagnosed, leading to an incorrect treatment. This report presents two cases in which odontogenic maxillary sinusitis was correctly diagnosed and treated by nonsurgical endodontic management. In both cases, the patients presented with pain or discomfort in the maxillary region, and the cone-beam computed tomography revealed thickening of the maxillary sinus membrane, which was helpful for the diagnosis and follow-up. In the first case, the tooth related to the pathology underwent primary nonsurgical endodontic treatment, while in the second case, the tooth underwent nonsurgical endodontic retreatment. In both cases, calcium hydroxide dressing was used between appointments, and the root canals were filled with gutta-percha cones and bioceramic sealer. The follow-up cone-beam computed tomography obtained 24 months later in the first case and 16 months in the second showed the absence of maxillary sinus abnormalities, and the patients presented without clinical symptoms. The clinician must be aware of the signs and symptoms related to odontogenic maxillary sinusitis to be successful in diagnosis, planning, and treatment.
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person_str_mv Michelotto,André Luiz da Costa
Oda,Lisa Yurie
Hummig,Wagner
Batista,Antonio
publishDate 2025
publisher.none.fl_str_mv Sociedade Portuguesa de Estomatologia e Medicina Dentária
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spelling Nonsurgical management of odontogenic maxillary sinusitis - Two case reportsMichelotto,André Luiz da CostaOda,Lisa YurieHummig,WagnerBatista,AntonioEndodonticMaxillary sinusitisRoot canal therapyopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902025000200091URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902025000200091URLHasVersion2025-06-01Abstract Odontogenic maxillary sinusitis is a sinus pathology secondary to maxillary dental pathologies or complications from dental procedures. Due to its clinical presentations of sinonasal symptoms, odontogenic sources may be underdiagnosed, leading to an incorrect treatment. This report presents two cases in which odontogenic maxillary sinusitis was correctly diagnosed and treated by nonsurgical endodontic management. In both cases, the patients presented with pain or discomfort in the maxillary region, and the cone-beam computed tomography revealed thickening of the maxillary sinus membrane, which was helpful for the diagnosis and follow-up. In the first case, the tooth related to the pathology underwent primary nonsurgical endodontic treatment, while in the second case, the tooth underwent nonsurgical endodontic retreatment. In both cases, calcium hydroxide dressing was used between appointments, and the root canals were filled with gutta-percha cones and bioceramic sealer. The follow-up cone-beam computed tomography obtained 24 months later in the first case and 16 months in the second showed the absence of maxillary sinus abnormalities, and the patients presented without clinical symptoms. The clinician must be aware of the signs and symptoms related to odontogenic maxillary sinusitis to be successful in diagnosis, planning, and treatment.Sociedade Portuguesa de Estomatologia e Medicina DentáriaRevista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial v.66 n.2 2025text/htmlengreporthttp://purl.org/coar/resource_type/c_93fcother research product
spellingShingle Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
Michelotto,André Luiz da Costa
Endodontic
Maxillary sinusitis
Root canal therapy
status SINGLETON
subject.fl_str_mv Endodontic
Maxillary sinusitis
Root canal therapy
title Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
title_full Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
title_fullStr Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
title_full_unstemmed Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
title_short Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
title_sort Nonsurgical management of odontogenic maxillary sinusitis - Two case reports
topic Endodontic
Maxillary sinusitis
Root canal therapy
topic_facet Endodontic
Maxillary sinusitis
Root canal therapy
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902025000200091
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