Within The Sinus Of The Tooth Root

Dental and facial anatomy that are complex structures are closely related to each other. The sinus cavities in the upper jaw and teeth, especially the maxillary sinuses, anatomically very close to each other. In some cases, the sinus cavity may extend into the roots of the upper teeth, or sinus may be placed. In this case, “the root-sinus tooth” is called and can lead to various health problems. In this paper, the root of the tooth to the sinus causes, symptoms, diagnosis and treatment methods with possible complications will be discussed.

Reasons

1. Anatomical Proximity: Teeth in the upper jaw, especially in the back area (premolar and molar teeth is very close to the roots of the maxillary sinus. In some individuals, because of genetic and anatomical differences can range from the roots of the teeth towards the sinus cavity.
2. After Tooth Extraction: During the extraction of teeth in the upper jaw, sinus bone between the floor and the root of the tooth if you have a fine structure, the structure may be damaged with a communication between the oral cavity and sinus can occur. This situation “oroantral fistula” is called.
3. Infections and Cysts: Infections that occur in the tooth root, apical lesions or cysts, bone structure to progress into the sinus may cause weakening of the tooth root.
4. Trauma: The roots of the teeth as a result of impacts or accidents to the facial area can be pushed into the sinus cavity.

Symptoms

• Facial pain and a feeling of pressure: Located within the dental follicle sinus, sinus pain and irritate the mucosa and can cause a feeling of pressure.
• Symptoms Of Sinusitis: Can be seen in episodes of recurrent or chronic sinusitis. Nasal congestion, discharge, and headache are common symptoms.
• The escape of air or fluid from the mouth: If you have sinus with an opening between the oral cavity, oral fluids may come through the nose, or the escape of air from the nose can be felt.
• Tooth pain and sensitivity: Respective teeth, there may be constant pain or tenderness.
• Swelling and inflammation: Swelling and redness of the face can be seen in the corresponding region.

Diagnosis

• Clinical Examination: Dentist ear, nose & throat made a detailed examination of symptoms is evaluated.
• Radiographic Imaging: Panoramic radiographs, periapical X-ray or computed tomography (CT) imaging techniques, such as the relationship with the roots of the teeth by using the sinus was examined.
• Endoscopic Examination: Ear, nose and throat specialist may require an endoscopic examination of the sinuses.

Methods Of Treatment

1. Surgical Intervention:

• A Root Tip Resection (Apikoektomi): Within the sinus surgical removal of part of the tooth root.
• Oroantral Fistula Repair: Surgical intervention for closing the gap between the oral cavity and sinus.
• Tooth Extraction: If the tooth is beyond saving, if the tooth be extracted from the base of the sinus and may need to be repaired.

1. Antibiotic and anti-inflammatory Treatment:

• Inflammatory drugs used for pain management and antibiotics to control the infection.

1. Endodontic Treatment:

• The tooth to be saved with root canal therapy are targeted, but in consideration of the relationship with the sinuses, special precautions should be taken.

Possible Complications

• Chronic Sinusitis: Considered a foreign object in the sinus, tooth root, it can lead to chronic infections.
• The Sinus Mucosa Damage: Long-term irritation, thickening of the sinus mucosa and may result in the formation of polyps.
• Osteomyelitis: Infection of the jaw bone, serious and difficult to treat complication.

Prevention and considerations

• Regular Dental Checkups: The condition of the sinuses of the upper jaw and teeth should be checked regularly.
• Care After Tooth Extraction: Afterwards, following the suggestions it is important to avoid heavy physical activity and to blow the nose.
• Treatment Of Infections: Dental and sinus infections should be treated early.

Results

The root of the tooth in the sinus to be both complex and sine functions is a condition that affects dental health. With early diagnosis and proper treatment, complications can be avoided and the patient's quality of life can be increased. Dentists and ear, nose and Throat Specialists of the cooperation is critical in the successful management of such cases. Pay attention to the oral and dental health of individuals, not to ignore the symptoms and to get expert help is of great importance.