Abstract:
Bacterial odontogenic sinusitis (ODS) arises from maxillary dental issues or oral procedures, and affects at least the maxillary sinuses, with or without other paranasal sinus involvement. It has been historically underreported, in contrast to more recent findings attributing 25-40% of chronic maxillary sinusitis to dental causes. Endodontic infections represent one of the most common causes of ODS. Endodontic factors like root canal infection and microbial proximity to sinus cavities play pivotal roles. Host immunological responses further shape disease severity and progression. This article aims to explore the complexity of endodontic infections that cause ODS, elucidating anatomical, microbial, and immunological aspects.
摘要:
细菌性牙源性鼻窦炎(ODS)由上颌牙问题或口腔手术引起,至少影响上颌窦,有或没有其他鼻旁窦受累。历史上一直被低估了,与最近的发现相反,将25-40%的慢性上颌窦炎归因于牙齿原因。牙髓感染是ODS的最常见原因之一。根管感染和微生物接近窦腔的根管因素起着关键作用。宿主免疫反应进一步塑造疾病的严重程度和进展。本文旨在探讨引起ODS的牙髓感染的复杂性,阐明解剖学,微生物,和免疫学方面。