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Case Report
Resolution of chronic secondary rhinosinusitis of odontogenic origin after endodontic treatment: A case report
1 Department of Dentistry Research, Iguaçu University, Nova Iguaçu, RJ, Brazil
2 Post-Graduation Program in Dentistry, Estacio de Sá University, Rio de Janeiro, Brazil
3 Department of Endodontics, Iguaçu University, Nova Iguaçu, RJ, Brazil
Address correspondence to:
Marília Fagury Videira Marceliano-Alves
DDS, MSc, PhD, Department of Endodontics and Dental Research, Av. Abílio Augusto Távora, 2134 Nova Iguaçu – RJ 26260-045,
Brazil
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Article ID: 101358Z01AM2022
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How to cite this article
Marques AA, Marceliano-Alves MFV, Marques FV, Ronquete V, Pereira CS, Coutinho TMC. Resolution of chronic secondary rhinosinusitis of odontogenic origin after endodontic treatment: A case report. Int J Case Rep Images 2022;13(2):189–195.ABSTRACT
Introduction: A case of successful resolution of odontogenic rhinosinusitis after endodontic treatment is presented.
Case Report: The patient previously diagnosed with rhinosinusitis presented with an active parulid between the 25 and 26 teeth. The sinus tract-tracing indicated 26 tooth as the source and periapical radiography showed a chronic apical periodontitis lesion. A cone beam computed tomography (CBCT) demonstrated hyperdense imaging on the floor of the left maxillary sinus of posterior teeth region, and rupture of the cortical bone of sinus floor and thickening of its membrane. The odontogenic localized secondary rhinosinusitis was diagnosed. Conventional endodontic treatment was performed with intracanal medication. Nine months later, the patient returned without symptoms and the new CBCT showed no periradicular lesion, corticalization of the maxillary sinus floor, and no sinus disease.
Conclusion: The dental resolution of presented case showed that patients with unsuccessful previous treatment for rhinosinusitis may suffer from endodontic diseases, which may fail without the dentist’s approach. The presented case showed that the implemented treatment protocol was effective to improve the patient’s health, as well shows the necessity of proper approach to achieve success.
Keywords: Endodontic treatment, Maxillary sinus, Odontogenic localized secondary rhinosinusitis, Rhinosinusitis
SUPPORTING INFORMATION
Acknowledgments
This study was supported by grants from Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazilian Governmental Institutions.
Author ContributionsAmanda Assumpção Marques - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marília Fagury Videira Marceliano-Alves - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fábio Vidal Marques - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vivian Ronquete - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Carlos Sardenberg Pereira - Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Thais Machado de Carvalho Coutinho - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Amanda Assumpção Marques et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
