Odontogenic Sinusitis

Odontogenic sinusitis, or sinusitis resulting from a dental infection, is a very common condition that is often under recognized by otolaryngologists (ENT doctors). Many symptoms that occur in odontogenic sinusitis are similar to that which occurs for other causes of sinusitis (nasal obstruction, nasal drainage, facial pain or facial pressure, and trouble with sense of smell). Things that might be more likely to indicate a dental source of sinusitis are when symptoms occur unilaterally (only on 1 side) or when a foul smell seems to be present within the nose. Additionally, a history of dental or teeth issues or dental procedures on the maxillary dentition (upper teeth) may be present. A nasal endoscopy can help confirm the presence of purulent drainage which is often helpful in distinguishing odontogenic sinusitis from other forms of sinusitis. Many forms of sinusitis are actually inflammatory in nature rather than infectious, so in many forms of chronic sinusitis - purulent drainage is not likely to be seen.

Treatment of an odontogenic sinusitis requires careful coordination between dental professionals and otolaryngologists (ENT surgeons). Sometimes treatment will include treatment of underlying dental conditions with antibiotics and other times endoscopic sinus surgery is required. If you feel you may be suffering from odontogenic sinusitis or chronic sinusitis, it is important to be seen by an otolaryngologist (ENT physician) in order to