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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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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 - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Marília Fagury Videira Marceliano-Alves - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Fábio Vidal Marques - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Vivian Ronquete - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Carlos Sardenberg Pereira - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Thais Machado de Carvalho Coutinho - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor 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.
