EPIDEMIOLOGICAL, BACTERIOLOGICAL AND CLINICAL CONDITIONS IN ODONTOGENIC MAXILLARY SINUSITIS

Rezumat

Introduction. The pathological extent of dental disease in the maxillary sinus is described as odontogenic maxillary sinusitis [1]. According to the selective literature, the incidence of odontogenic maxillary sinusitis is 10-12% of all cases of maxillary sinusitis, but more recent studies reveal that the percentage is even higher and reaches 30-40% [11]. Maxillary sinusitis of dental origin is a condition with a high incidence, and due to the anatomotopographic features of this facial region, this pathology is studied by two specialties (oromaxillofacial surgeon, otorhinolaryngologist) [2].

The aim of this analysis is to study the maxillary sinuses of dental cause in terms of epidemiological, bacteriological and clinical characters.

Material and methods. In accordance to the purpose and objectives of the analysis, a retrospective clinical-statistical study was performed, based on patient observation sheets, diagnosed with odontogenic maxillary sinusitis, selected from all patients with bacterial maxillary rhinosinusitis, hospitalized in the otorhinolaryngology department of IMSP Republican Clinical Hospital during 01.01.2017 – 31.12.2019 period.

Results. The study of the results of the bacteriological examination aimed to identify the main bacterial strains, aerobic and anaerobic, which determines the appearance of the suppurative process in the maxillary sinus.

Conclusions. Odontogenic maxillary sinusitis is most often caused by microbial associations. Women are more likely to develop the pathology, but the cause is not elucidated. From the point of view of distribution by age groups, the predominant impairment is certified in the fourth decade of life [3, 7, 10].