The Relationship between Dental Indentation and Maxillary Sinusitis


Purpose: To determine the relationship between the dental root indentation and maxillary sinusitis. Methods: We assessed the records of the patients who underwent paranasal sinus computed tomography imaging for suspected sinusitis. Results: We identified a total of 52 patients with a pre-diagnosis of maxillary sinusitis. Dental indentation was detected in 58 of 104 (55.7%) sinuses. Forty six of 58 sinuses (79.3%) with dental indentation had mucosal thickening higher than 2 mm. The difference between the groups was statistically significant (p = 0.007). Conclusion: Dental indentation should be kept in mind as a reason for chronic maxillary sinus inflammation, if an underlying cause cannot be identified.

Share and Cite:

D. Yildirim, M. Eroglu, M. Salihoglu, A. Yildirim, H. Karagoz and M. Erkan, "The Relationship between Dental Indentation and Maxillary Sinusitis," Open Journal of Medical Imaging, Vol. 3 No. 2, 2013, pp. 65-68. doi: 10.4236/ojmi.2013.32009.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] O. Arias-Irimia, C. Barona-Dorado, J. A. Santos-Marino, N. Martínez-Rodriguez and J. M. Martínez-González, “Meta-Analysis of the Etiology of Odontogenic Maxillary Sinusitis,” Medicina Oral Patologia Oral y Cirugia Bucal, Vol. 15, No. 1, 2010, pp. 70-73. doi:10.4317/medoral.15.e70
[2] D. P. Kretzschmar and J. L. Kretzschmar, “Rhinosinusitis: review from a dental perspective”, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, Vol. 96, No.2, 2003, pp. 128-135. doi:10.1016/S1079-2104(03)00306-8
[3] J. Vallo, L. Suominen-Taipale, S. Huumonen, K. Soikkonen and A. Norblad, “Prevalence of Mucosal Abnormalities of the Maxillary Sinus and Their Relationship to Dental Disease in Panoramic Radiography: Results from the Health 2000 Health Examination Survey,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, Vol. 109, No. 3, 2010, pp. 80-87. doi:10.1016/j.tripleo.2009.10.031
[4] A. Whyte and G. Chapeikin, “Opaque Maxillary Antrum: A Pictorial Review,” Australasian Radiology, Vol. 49, No. 3, 2005, pp. 203-213. doi:10.1111/j.1440-1673.2005.01432.x
[5] K. Patel, S. V. Chavda, N. Violaris and A. L. Pahor, “Incidental Paranasal Sinus Inflammatory Changes in a British Population,” Journal of Laryngology and Otology, Vol. 110, No. 7, 1996, pp. 649-651. doi:10.1017/S0022215100134516
[6] I. Brook, “Sinusitis of Odontogenic Origin,” Otolaryngology—Head and Neck Surgery, Vol. 135, No. 3, 2006, pp. 349-355. doi:10.1016/j.otohns.2005.10.059
[7] H. M. Worth and D. W. Stoneman, “Radiographic Interpretation of Antral Mucosal Changes Due to Localized Dental Infection,” Journal of the Canadian Dental Association, Vol. 38, No. 3, 1972, pp. 111-116.
[8] N. L. Rhodus, “The Prevalence and Clinical Significance of Maxillary Sinus Mucous Retention Cyst in a General Clinic Population,” Ear, Nose and Throat Journal, Vol. 69, No. 2, 1990, pp. 82-90.
[9] H. C. Kelley and L. W. Kay, “The Maxillary Sinus and Its Dental Implications,” John Wright and Sons, Bristol, 1975.
[10] J. Abrahams and R. M. Glassberg, “Dental Disease: A Frequently Unrecognized Cause of Maxillary Sinus Abnormalities?” American Journal of Roentgenology, Vol. 166, No. 5, 1996, pp. 1219-1223.
[11] H. Sicher, “The Viscera of Head and Neck,” CV Mosby, St. Louis, 1975.
[12] P. Mehra, A. Caiazzo and S. Bestgen, “Odontogenic Sinusitis Causing Orbital Cellulitis: A Case Report,” Journal of the American Dental Association, Vol. 130, No. 7, 1999, pp. 1086-1092.
[13] C. Phillips and T. Platts-MiIIs, “Chronic Sinusitis: Relationship between CT Findings and Clinical History of Asthma, Allergy, Eosinophilia, and Infection”, American Journal of Roentgenology, Vol. 164, No. 1, 1995, pp. 185-187.
[14] J. P. Van den Bergh, C. M. ten Bruggenkate, F. J. Disch and D. B. Tuinzing, “Anatomical Aspects of Sinus Floor Elevations,” Clinical Oral Implants Research, Vol. 11, No. 3, 2000, pp. 256-265. doi:10.1034/j.1600-0501.2000.011003256.x
[15] C. A. Cagici, C. Yilmazer, C. Hurcan, C. Ozer and F. Ozer, “Appropriate Interslice Gap for Screening Coronal Paranasal Sinus Tomography for Mucosal Thickening,” European Archives of Otorhinolaryngology, Vol. 266, No. 4, 2009, pp. 519-525. doi:10.1007/s00405-008-0786-6
[16] H. Falk, S. Ericson and A. Hugosona, “The Effects of Periodontal Treatment on Mucosal Membrane Thickening in the Maxillary Sinus,” Journal of Clinical Periodontology, Vol. 13, No. 3, l986, pp. 217-222.
[17] K. Yoshiura, S. Ban, T. Hijiya, K. Yuasa, K. Miwa, E. Ariji, et al., “Analysis of Maxillary Sinusitis Using Computed Tomography,” Dentomaxillofacial Radiolology, Vol. 22, No. 2, 1993, pp. 86-92.
[18] D. Yildirim, O. Saglam, B. Gurpinar and T. Ilica, “Nasal Cavity Masses: Clinico-Radiologic Collaborations, Differential Diagnosis by Special Clues,” Open Journal of Medical Imaging, Vol. 2 No. 1, 2012, pp. 10-18. doi:10.4236/ojmi.2012.21002
[19] E. Konen, M. Faibel, Y. Kleinbaum, M. Wolf, A. Lusky, C. Hoffman, et al., “The Value of the Occipitomental (Water’s) View in Diagnosis of Sinusitis: A Comparative Study with Computed Tomography,” Clinical Radiology, Vol. 55, No. 11, 2000, pp. 856-860.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.