Odontogenic sinusitis is not necessarily cured by extracting the teeth, it needs to be judged in combination with the degree and extent of inflammation, as well as the patient’s clinical symptoms and auxiliary examinations. For mild cases, tooth extraction may not be needed, and can be cured by root canal treatment and medication; for serious cases, even other surgical treatments are needed in addition to tooth extraction.
Odontogenic sinusitis, as the name suggests, is an inflammation of sinusitis caused by dental lesions, the premise is because of the teeth and sinuses adjacent to the clinic, so the maxillary sinusitis is more common. In some patients, the root tip of the corresponding part of the tooth is long, and the bone of the maxillary sinus bottom wall is thin, so the root tip of the tooth is partially protruded into the maxillary sinus, and the inflammation of the tooth causes maxillary sinusitis at the same time.
1. Mild condition: If the tooth is not obviously loose and the tip of the root is not long enough to protrude into the maxillary sinus, conservative treatment can be tried. Joint stomatology root canal treatment, at the same time according to the principles of sinusitis treatment standardized medication, is expected to be able to cure.
2. More serious cases: through the oral film or CT examination to understand the specific length of the tooth protruding into the sinus cavity, if there is obvious tooth loosening, apical cysts or maxillary teeth containing cysts and other lesions, may need to be extracted, in conjunction with the active anti-infective treatment. A maxillary sinus fistula may result after tooth extraction, and then the fistula will need to be repaired at the same time.
Therefore, if you have odontogenic sinusitis, it is recommended to go to the regular hospital in time, according to the specific examination to develop an individualized treatment plan.