Odontogenic sinusitis

Odontogenic sinusitis is an inflammatory process that affects the mucous membrane lining the maxillary sinus.

The source of the disease can be periodontitis of teeth on the upper jaw in acute or exacerbated chronic form, radicular festering cyst, retouched teeth, osteomyelitis, traumatic tooth extraction (teeth). To the risk factors should be attributed a fairly close location of the roots to the bottom of the sinus, as well as a decrease in protective reactions in the body.

Odontogenic sinusitis can occur in subacute, chronic or acute form. In the latter case, there is swelling, hyperemia of the mucosa. In this case, odontogenic sinusitis is accompanied by a decrease in the cavity, narrowing or closing the hole in the nose. In the submucosal layer there is a pseudocyst formation. There is an increase in mucous glands and an abundant secretion of secretions from them filling the cavity. After two days, the catarrhal inflammation passes into purulent inflammation. Thus, an odontogenic infection develops. Leucocyte infiltration of the mucosa, formation of individual microabscesses is noted.

Chronic odontogenic sinusitis can be diffuse and limited, non-lipogenic and polyposis. In the lumen of the cavity, purulent or with an admixture of mucus is detected. Polyposis chronic inflammation is characterized by pronounced swelling on the wall surfaces, represented by polypous-granular growths.

Inflammation in the maxillary sinus of the acute course is accompanied by acute painful sensations in the affected area, buccal, suborbital areas or the entire facial half. Irradiation is noted in the temporal, frontal, occipital part, and also on the upper teeth. There are purulent or mucous discharge from the corresponding nasal passage. In the field of small and large molars with nakusyvanii marked soreness. In addition, the patient has general symptoms in the form of malaise, weakness, appetite disorders, impaired sense of smell to an absolute loss.

Palpation of the anterior wall in the maxillary sinus, percussion of the tooth - the causes of inflammation reveals soreness, there is an increase in the lymph nodes from the side of the lesion. On the eve of the oral cavity, the corresponding nasal cavity - significant swelling, discharge.

The clinical picture of inflammation in the maxillary sinus of a chronic nature is a consequence of the previous acute course of the disease. The patient complains of headache, discharge from the appropriate part of the nose, soreness and a feeling of heaviness in the nape of the neck. There is rapid fatigue, decreased ability to work, lethargy, weakness. The aggravation of the process may be accompanied by an increase in temperature. The chronic form of inflammation can also be asymptomatic.

With an objective examination of changes in the configuration of the face is not observed. When palpation of the anterior part of the upper jaw, the soreness accompanying odontogenic sinusitis is noted.

Treatment of an acute inflammatory process consists in the elimination of the periapical focus - the cause of the disease. Puncture is performed with washing and subsequent introduction of enzymes, antibiotics into the sinus. For the nasal cavity, vasoconstrictive drugs are used as mucosal anemia and to form an outflow.

Appoint and physiotherapy, including diathermy, UHF, fluctuorization, helium-neon laser.

General therapy includes the use of analgesics, phenacetin, amidopyrine, and also desensitizing medications. Assign sulfonamides, as well as stimulating and restorative means.

As preventive measures, sanitation of the oral cavity is used, timely removal of the retinas of the upper jaw.