Endodontic Treatment: A Significant Risk Factor for the Development of Maxillary Fungal Ball
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Objectives. The risk factors for maxillary fungal ball are largely unknown. The aim of this study was to determine whether endodontic treatment of maxillary teeth is a risk factor for fungal ball development in the maxillary sinus, and to identify other possible risk factors. Methods. One hundred and twelve case patients diagnosed with maxillary fungal ball (FB group) and age and gender matched control patients diagnosed with chronic paranasal rhinosinusitis (PNS group) were included to determine associations between previous endodontic treatment and maxillary fungal ball. In addition, we reviewed the dental extraction status of maxillary teeth and the underlying disease in both groups to analyze the other risk factors for maxillary fungal ball. Results. There were 36.3% of patients in the FB group and 16.1% in the PNS group showed evidence of endodontic treatment on the maxillary teeth (P<0.001). Even after correction for possible confounding factor - the frequency of dental extractions - the rate of endodontic treatment remained higher in the FB group. The mean number of endodontically treated maxillary teeth in the FB group and PNS group were 0.63 and 0.27, respectively (P=0.001). In addition,20.5% of the patients in the FB group and 13.4% in the PNS group has diabetes mellitus (P=0.154). Conclusion. Endodontic treatment on maxillary teeth was a significant risk factor for the development of fungal balls in the maxillary sinus.
Abstract
Objectives. The risk factors for maxillary fungal ball are largely unknown. The aim of this study was to determine whether endodontic treatment of maxillary teeth is a risk factor for fungal ball development in the maxillary sinus, and to identify other possible risk factors. Methods. One hundred and twelve case patients diagnosed with maxillary fungal ball (FB group) and age and gender matched control patients diagnosed with chronic paranasal rhinosinusitis (PNS group) were included to determine associations between previous endodontic treatment and maxillary fungal ball. In addition, we reviewed the dental extraction status of maxillary teeth and the underlying disease in both groups to analyze the other risk factors for maxillary fungal ball. Results. There were 36.3% of patients in the FB group and 16.1% in the PNS group showed evidence of endodontic treatment on the maxillary teeth (P<0.001). Even after correction for possible confounding factor - the frequency of dental extractions - the rate of endodontic treatment remained higher in the FB group. The mean number of endodontically treated maxillary teeth in the FB group and PNS group were 0.63 and 0.27, respectively (P=0.001). In addition,20.5% of the patients in the FB group and 13.4% in the PNS group has diabetes mellitus (P=0.154). Conclusion. Endodontic treatment on maxillary teeth was a significant risk factor for the development of fungal balls in the maxillary sinus.
참고문헌 (28)
- Grosjean P, "Fungus balls of the paranasal sinuses: a review", Eur Arch Otorhinolaryngol, 264(5), pp.461~470 (2007)
- Dhong HJ, "Clinical characteristics of chronic sinusitis with asthma", Korean J Otolaryngol-Head Neck Surg, 43(5), pp.514~519 (2000)
- deShazo RD, "Fungal sinusitis", N Engl J Med, 337(4), pp.254~259 (1997)
- Dufour X, "Paranasal sinus fungus ball and surgery: a review of 175 cases", Rhinology, 43(1), pp.34~39 (2005)
- Uri N, "Classification of fungal sinusitis in immunocompetent patients", Otolaryngol Head Neck Surg, 129(4), pp.372~378 (2003)
- Beck-Mannagetta J, "Radiologic findings in aspergillosis of the maxillary sinus", Oral Surg Oral Med Oral Pathol, 62(3), pp.345~349 (1986)
- De Foer C, "Sinus aspergillosis", J Craniomaxillofac Surg, 18(1), pp.33~40 (1990)
- Kopp W, "Aspergillosis of the paranasal sinuses", Radiology, 156(3), pp.715~716 (1985)
- Krennmair G, "Maxillary sinus aspergillosis: diagnosis and differentiation of the pathogenesis based on computed tomography densitometry of sinus concretions", J Oral Maxillofac Surg, 53(6), pp.657~663 (1995)
- Legent F, "The role of dental canal fillings in the development of Aspergillus sinusitis: a report of 85 cases", Arch Otorhinolaryngol, 246(5), pp.318~320 (1989)
- Mensi M, "Risk of maxillary fungus ball in patients with endodontic treatment on maxillary teeth: a case-control study", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 103(3), pp.433~436 (2007)
- Blitzer A, "Fungal infections of the nose and paranasal sinuses: part I", Otolaryngol Clin North Am, 26(6), pp.1007~1035 (1993)
- Lee BJ, "Fungal sinusitis: clinical features and treatment outcomes with emphasis on endoscopic sinus surgery", Korean J Otolaryngol-Head Neck Surg, 41(3), pp.318~322 (1998)
- Stammberger H, "Endoscopic surgery for mycotic and chronic recurring sinusitis", Ann Otol Rhinol Laryngol Suppl, 119, pp.1~11 (1985)
- Granville L, "Fungal sinusitis: histologic spectrum and correlation with culture", Hum Pathol, 35(4), pp.474~481 (2004)
- Dodd RB, "An endodontically induced maxillary sinusitis", J Endod, 10(10), pp.504~506 (1984)
- Kobayashi A, "Asymptomatic aspergillosis of the maxillary sinus associated with foreign body of endodontic origin: report of a case", Int J Oral Maxillofac Surg, 24(3), pp.243~244 (1995)
- Hauman CH, "Endodontic implications of the maxillary sinus: a review", Int Endod J, 35(2), pp.127~141 (2002)
- Schuh E, "Anatomic limits of endosseous dental implantation", Z Stomatol, 81(2), pp.81~90 (1984)
- Ross IS, "Some effects of heavy metals on fungal cells", Trans Br Mycol Soc 1975 Apr, 64(2), pp.175~193 (1975)
- Hybbinette JC, "A method for evaluating the effect of pharmacological substances on mucociliary activity in vivo", Acta Otolaryngol, 93(1-2), pp.151~159 (1982)
- Reinhold JG, "Trace elements: a selective survey", Clin Chem, 21(4), pp.476~500 (1975)
- Listgarten MA, "Pathogenesis of periodontitis", J Clin Periodontol, 13(5), pp.418~425 (1986)
- 김수환, "진균성 부비동염의 임상적 고찰", 대한이비인후과학회지 두경부외과학, 48(3), pp.332~337 (2005), 대한이비인후과학회
- Kim HY, "Prevalence of lower airway diseases in patients with chronic rhinosinusitis", Acta Otolaryngol Suppl, (558), pp.110~114 (2007)
- Dhong HJ, "Computed tomographic assessment of chronic rhinosinusitis with asthma", Am J Rhinol, 20(5), pp.450~452 (2006)
- Kim HY, "Clinical characteristics of chronic rhinosinusitis with asthma", Auris Nasus Larynx, 33(4), pp.403~408 (2006)
- Dhong HJ, "Histopathologic characteristics of chronic sinusitis with bronchial asthma", Acta Otolaryngol, 125(2), pp.169~176 (2005)