Odontogenic maxillary sinusitis and oroantral communication: A case report
Background: Odontogenic maxillary sinusitis (OMS) and oroantral communication (OAC) have been well recognized in oral and maxillofacial surgery. The treatment ranges from non-surgical treatment to surgical treatment. Purpose: This case report discusses the management of OMS and OAC through a non-sur...
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Universitas Airlangga
2025-06-01
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| Series: | Dental Journal |
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| Online Access: | https://e-journal.unair.ac.id/MKG/article/view/52902 |
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| author | Jackson Dipankara Gary Hadrian Eddy Tansza Setiana Putri Astri Rinanti Thet Thet Swe Wiwiek Poedjiastoeti |
| author_facet | Jackson Dipankara Gary Hadrian Eddy Tansza Setiana Putri Astri Rinanti Thet Thet Swe Wiwiek Poedjiastoeti |
| author_sort | Jackson Dipankara |
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| description | Background: Odontogenic maxillary sinusitis (OMS) and oroantral communication (OAC) have been well recognized in oral and maxillofacial surgery. The treatment ranges from non-surgical treatment to surgical treatment. Purpose: This case report discusses the management of OMS and OAC through a non-surgical approach. Case: A female patient presented to our department after being referred from a different department. After informed consent was obtained, her tooth was extracted. Unfortunately, the maxillary sinus was exposed, and OMS was suspected after pus leakage occurred into the oral cavity prior to tooth extraction. The communication was found at the mesiobuccal region with a 3 mm diameter and distobuccal region with a 2 mm diameter. Case management: Due to the small size of the OAC, it was decided to close the communication using the figure-of-eight suture technique, and an absorbable gelatin sponge was placed inside the socket. Odontogenic maxillary sinusitis was treated with a combination of pharmacological therapy and dental therapy, including the removal of the source of infection and a prescription of antibiotics and nasal decongestant due to the OAC. Finally, the patient was educated about the sinus precaution step. Conclusion: Good healing of the lesion was noted in this report. Non-surgical treatment such as dental therapy and pharmacological therapy can, therefore, be considered to treat OMS. Closure of the OAC using a suture technique and a gelatin sponge can treat small-sized communication. |
| format | Article |
| id | doaj-art-5e7c9dce4d314e9ab84ab2b098a1c25a |
| institution | OA Journals |
| issn | 1978-3728 2442-9740 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Universitas Airlangga |
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| series | Dental Journal |
| spelling | doaj-art-5e7c9dce4d314e9ab84ab2b098a1c25a2025-08-20T02:32:30ZengUniversitas AirlanggaDental Journal1978-37282442-97402025-06-0158219419710.20473/j.djmkg.v58.i2.p194-19751063Odontogenic maxillary sinusitis and oroantral communication: A case reportJackson Dipankara0https://orcid.org/0000-0002-2290-4866Gary Hadrian1https://orcid.org/0009-0007-0921-9884Eddy2https://orcid.org/0000-0001-9529-3704Tansza Setiana Putri3https://orcid.org/0000-0002-0615-6677Astri Rinanti4https://orcid.org/0000-0001-8649-6307Thet Thet Swe5https://orcid.org/0000-0003-1895-8869Wiwiek Poedjiastoeti6https://orcid.org/0000-0001-5471-4437Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Trisakti, JakartaConservative Dentistry Resident, Faculty of Dentistry, Universitas Trisakti, JakartaDepartment of Dental Material, Faculty of Dentistry, Universitas Trisakti, JakartaDepartment of Dental Material, Faculty of Dentistry, Universitas Trisakti, JakartaDepartment of Environmental Engineering, Faculty of Landscape Architecture and Environmental Technology, Universitas Trisakti, JakartaDepartment of Physics, University of Yangon, Kamayut, YangonDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Trisakti, JakartaBackground: Odontogenic maxillary sinusitis (OMS) and oroantral communication (OAC) have been well recognized in oral and maxillofacial surgery. The treatment ranges from non-surgical treatment to surgical treatment. Purpose: This case report discusses the management of OMS and OAC through a non-surgical approach. Case: A female patient presented to our department after being referred from a different department. After informed consent was obtained, her tooth was extracted. Unfortunately, the maxillary sinus was exposed, and OMS was suspected after pus leakage occurred into the oral cavity prior to tooth extraction. The communication was found at the mesiobuccal region with a 3 mm diameter and distobuccal region with a 2 mm diameter. Case management: Due to the small size of the OAC, it was decided to close the communication using the figure-of-eight suture technique, and an absorbable gelatin sponge was placed inside the socket. Odontogenic maxillary sinusitis was treated with a combination of pharmacological therapy and dental therapy, including the removal of the source of infection and a prescription of antibiotics and nasal decongestant due to the OAC. Finally, the patient was educated about the sinus precaution step. Conclusion: Good healing of the lesion was noted in this report. Non-surgical treatment such as dental therapy and pharmacological therapy can, therefore, be considered to treat OMS. Closure of the OAC using a suture technique and a gelatin sponge can treat small-sized communication.https://e-journal.unair.ac.id/MKG/article/view/52902odontogenic maxillary sinusitisoroantral communicationnon-surgical treatment |
| spellingShingle | Jackson Dipankara Gary Hadrian Eddy Tansza Setiana Putri Astri Rinanti Thet Thet Swe Wiwiek Poedjiastoeti Odontogenic maxillary sinusitis and oroantral communication: A case report Dental Journal odontogenic maxillary sinusitis oroantral communication non-surgical treatment |
| title | Odontogenic maxillary sinusitis and oroantral communication: A case report |
| title_full | Odontogenic maxillary sinusitis and oroantral communication: A case report |
| title_fullStr | Odontogenic maxillary sinusitis and oroantral communication: A case report |
| title_full_unstemmed | Odontogenic maxillary sinusitis and oroantral communication: A case report |
| title_short | Odontogenic maxillary sinusitis and oroantral communication: A case report |
| title_sort | odontogenic maxillary sinusitis and oroantral communication a case report |
| topic | odontogenic maxillary sinusitis oroantral communication non-surgical treatment |
| url | https://e-journal.unair.ac.id/MKG/article/view/52902 |
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