Yekaterinburg, Ekaterinburg, Russian Federation
Ekaterinburg, Ekaterinburg, Russian Federation
Yekaterinburg, Ekaterinburg, Russian Federation
Subject. Chronic odontogenic maxillary sinusitis is an inflammatory disease of the mucous membrane of the maxillary sinus caused by an odontogenic infection. According to foreign sources, this disease occurs in 14-20% of the world's population. Sinusitis of odontogenic etiology account for up to 40% of all inflammatory diseases of the maxillary sinus. Biofilm, the root cause of apical periodontitis and odontogenic sinusitis, is resistant to the isolated effects of most medications. The combination of mechanical removal and irrigation in most cases leads to a sufficient reduction in microbial load. Several studies have concluded that none of the currently used root canal treatment methods and endodontic instruments can completely clean root canals, especially root canals with "irregular anatomy". When preparing the upper molars with rotary instruments, 43% ± 29% and 33% ± 19% of the walls of the mesiobuccal and distobuccal channels, respectively, remained intact. Methodology. The article presents a case of treatment of a patient with a periapical abscess with a fistula communicating with the maxillary sinus, as well as concomitant maxillary sinusitis. Positive dynamics in the healing of the periradicular process was achieved by increasing the apical diameter of the preparation. Result. Healing of the periradicular process, as well as inflammatory phenomena in the maxillary sinus at the time of examination after 10 months from the start of treatment. Conclusions. Thus, an increase in the apical diameter to sizes "unusual" for a dentist (45.02, 50.02 according to ISO) not only contributes to the healing of the periradicular process, but also does not weaken the root of the tooth, since the true diameter of the apical zone is much larger than it seems at first glance.
endodontics, maxillary sinusitis, periapical abscess, apical dissection, apical diameter
1. Alovisi M., Cemenasco A., Mancini L., Paolino D., Scotti N., Bianchi C.C. et al. Micro-CT evaluation of several glide path techniques and ProTaper Next shaping outcomes in maxillary first molar curved canals // Int Endod J. - 2017;50(4):387-397. doi:https://doi.org/10.1111/iej.12628.
2. Ahmed H.M.A., Versiani M.A., De-Deus G., Dummer P.M.H. A new system for classifying root and root canal morphology // Int Endod J. - 2018;50(8):761-770. doi:https://doi.org/10.1111/iej.12685.
3. Elsaka S.E., Elnaghy A.M., Badr A.E. Torsional and bending resistance of waveone gold, reciproc and twisted file adaptive instruments // Int Endod J. - 2017;50(11):1077-1083. doi:https://doi.org/10.1111/iej.12728.
4. Sousa-Neto M.D., Silva-Sousa Y.C. et al. Root canal preparation using microcomputed tomography analysis: a literature review // Braz Oral Res. - 2018;18;32. doi:https://doi.org/10.1590/1807-3107bor-2018.vol32.0066.
5. Siqueira Junior J.F., Rôças I.D.N., Marceliano-Alves M.F., Pérez A.R., Ricucci D. Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies // Braz Oral Res. - 2018;18;32. doi:https://doi.org/10.1590/1807-3107bor-2018.vol32.0065.
6. Zuolo M.L., Zaia A.A., Belladonna F.G., Silva E.J., Souza E.M., Versiani M.A. et al. MicroCT assessment of the shaping ability of four root canal instrumentation systems in oval-shaped canals // Int Endod J. - 2018;51(5):564-571. doi:https://doi.org/10.1111/iej.12810.
7. Siqueira Junior J.F., Pérez A.R., Marceliano-Alves M.F., Provenzano J.C., Silva S.G., Pires F.R. et al. What happens to unprepared root canal walls: a correlative analysis using microcomputed tomography and histology/scanning electron microscopy // Int. Endod. J. - 2018;51(5):501-508. doi:https://doi.org/10.1111/iej.12753.
8. Lacerda M.F., Marceliano-Alves M.F., Pérez A.R., Provenzano J.C., Neves M.A., Pires F.R. et al. Cleaning and shaping oval canals with 3 instrumentation systems: a correlative micro-computed tomographic and histologic study // J Endod. - 2018;43(11):1878-1884. doi:https://doi.org/10.1016/j.joen.2017.06.032.
9. Pereira R.D., Brito-Júnior M., Leoni G.B., Estrela C., Sousa-Neto M.D. Evaluation of bond strength in single-cone fillings of canals with different cross-sections // Int Endod J. - 2018;50(2):177-183. doi:https://doi.org/10.1111/iej.12607.
10. Arias A., Paqué F., Shyn S., Murphy S., Peters O.A. Effect of canal preparation with TRUShape and Vortex rotary instruments on three-dimensional geometry of oval root canals // Aust Endod J. - 2018;44(1):32-39. doi:https://doi.org/10.1111/aej.12201.
11. Mohamed Mohamed Elashiry , Shehab Eldin Saber, Salma Hasan Elashry, Comparison of Shaping Ability of Different Single-File Systems Using Microcomputed Tomography // Eur J Dent. - 2020;14(1):70-76. doi:https://doi.org/10.1055/s-0040-1701393.
12. Uslu G., Özyürek T., Yılmaz K., Gündoğar M. Cyclic fatigue resistance of R-Pilot, HyFlex EDM and PathFile nickel-titanium glide path files in artificial canals with double (S-shaped) curvature // Int Endod J. - 2018;51(5):584-589. doi:https://doi.org/10.1111/iej.12846.
13. Özyürek T., Gündoğar M., Yılmaz K., Uslu G. Bending resistance and cyclic fatigue life of reciproc blue, waveone gold, and genius files in a double (S-shaped) curved canal // J Dent Res Dent Clin Dent Prospect. - 2017;11(4):241-246. doi:https://doi.org/10.15171/joddd.2017.042.
14. Gaudin R.A., Hoehle L.P., Smeets R., Heiland M., Caradonna D.S., Gray S.T. Impact of odontogenic chronic rhinosinusitis on general health-related quality of life // Eur Arch Otorhinolaryngol. - 2018;275:1477-1482. doi:https://doi.org/10.1007/s00405-018-4977-5.
15. Lechien J.R., Filleul O., Costa de Araujo P., Hsieh J.W., Chantrain G., Saussez S. Chronic maxillary rhinosinusitis of dental origin: a systematic review of 674 patient cases // Int J Otolaryngol. - 2019:465173. doi:https://doi.org/10.1155/2014/465173.
16. Gaudin R.A., Hoehle L.P., Smeets R., Heiland M., Caradonna D.S., Gray S.T., Sedaghat A.R. Impact of odontogenic chronic rhinosinusitis on general health-related quality of life // Eur Arch Otorhinolaryngol. - 2018;275:1477-1482. doi:https://doi.org/10.1007/s00405-018-4977-5.
17. An J.H., Park S.H., Han J.J., Jung S., Kook M.S., Park H.J., Oh H.K. Treatment of dental implant displacement into the maxillary sinus // Maxillofac Plast Reconstr Surg. - 2018;39:35. doi:https://doi.org/10.1186/s40902-017-0133-1.
18. Dass K., Peters A.T. Diagnosis and management of rhinosinusitis: highlights from the 2015 practice parameter // Curr Allergy Asthma Rep. - 2019;16:29. doi:https://doi.org/10.1007/s11882-016-0607-8.
19. Simuntis R., Kubilius R., Padervinskis E., Ryškienė S., Tušas P., Vaitkus S. Clinical efficacy of main radiological diagnostic methods for odontogenic maxillary sinusitis // Eur Arch Otorhinolaryngol. - 2018;274:3651-3658. doi:https://doi.org/10.1007/s00405-017-4678-5.
20. Giacomini G., Pavan A.L.M., Altemani J.M.C., Duarte S.B., Fortaleza C.M.C.B., Miranda J.R.deA. et al. Computed tomography-based volumetric tool for standardized measurement of the maxillary sinus // PLoS One. - 2018;13:e0190770. doi:https://doi.org/10.1371/journal.pone.0190770.
21. Drumond J., Allegro B., Novo N., de Miranda S., Sendyk W. Evaluation of the prevalence of maxillary sinuses abnormalities through spiral computed tomography (CT) // Int Arch Otorhinolaryngol. - 2018;21:126-133. doi:https://doi.org/10.1055/s-0036-1593834.
22. Alekseeva N.S., Aznabaeva L.F., Antoniv V.F. i dr. Otorinolaringologiya. Nacional'noe rukovodstvo. Moskva : GEOTAR-Media. 2020. [N.S. Alekseeva, L.F. Aznabaeva, V.F. Antoniv et al. Otorhinolaryngology. National leadership. Moscow : GEOTAR-Media. 2020. (In Russ.)]. https://kim.by/catalog/otorinolaringologiya/nacionalnoe-rukovodstvo.-otorinolaringologiya.-2-e-izd.-pererab.-i-dop.-seriya-nacionalnye
23. Vishnyakov V.V., Makarova N.V., Pashovkina O.V. Izmeneniya slizistoy obolochki pri hronicheskom verhnechelyustnom sinusite, vyzvannom inorodnymi telami. Vestnik otorinolaringologii. 2014;1:12-14. [V.V. Vishnyakov, N.V. Makarova, O.V. Pashovkina. Mucosal changes in chronic maxillary sinusitis caused by foreign bodies. Bulletin of otorhinolaryngology. 2014;1:12-14. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21204673
24. Gulyuk A.G. i dr. Morfologicheskie izmeneniya slizistoy obolochki verhnechelyustnoy pazuhi pri razlichnyh formah hronicheskogo odontogennogo gaymorita. Chast' I. Sovremennaya stomatologiya. 2013;4:131-136. [A.G. Gulyuk. Morphological changes in the mucous membrane of the maxillary sinus in various forms of chronic odontogenic sinusitis. Part I. Modern dentistry. 2013;4:131-136. (In Russ.)]. https://www.elibrary.ru/item.asp?id=23463442
25. Iordanishvili A.K., Nikitenko V.V., Balin D.V. Vozrastnye osobennosti klinicheskogo techeniya odontogennogo verhnechelyustnogo sinusita. Stomatologiya. 2013;5:25-28. [A.K. Iordanishvili, V.V. Nikitenko, D.V. Balin. Age features of the clinical course of odontogenic maxillary sinusitis. Dentistry. 2013;5:25-28. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21084664
26. Karpischenko S.A. i dr. Cifrovaya ob'emnaya tomografiya v otorinolaringologii. Sankt-Peterburg : Dialog. 2011:72. [S.A. Karpishchenko et al. Digital Volumetric Tomography in Otorhinolaryngology. St. Petersburg: Dialogue. 2011:72. (In Russ.)]. https://www.mmbook.ru/catalog/rentgenologija/108804-detail
27. Hudaybergenov G.G., Gun'ko V.I. Opyt diagnostiki i lecheniya bol'nyh s odontogennym verhnechelyustnym sinusitom. Stomatolog. 2011;3:59-61. [G.G. Khudaibergenov, V.I. Gunko. Experience in the diagnosis and treatment of patients with odontogenic maxillary sinusitis. Dentist. 2011;3:59-61. (In Russ.)]. https://www.elibrary.ru/item.asp?id=17738592
28. Yaremenko A.I., Matina V.N., Suslov D.N., Lysenko A.V. Hronicheskiy odontogennyy verhnechelyustnoy sinusit: sovremennoe sostoyanie problemy (obzor literatury). Mezhdunarodnyy zhurnal prikladnyh i fundamental'nyh issledovaniy. 2015;10-5:834-837. [A. I. Yaremenko, V.N. Matina, D.N. Suslov, A.V. Lysenko. Chronic odontogenic maxillary sinusitis: current state of the problem (literature review). International Journal of Applied and Basic Research. 2015;10-5:834-837. (In Russ.)]. https://www.elibrary.ru/item.asp?id=24302547
