치과재료에 의한 일측성 아급성 상악동염 1예

Abstract

Although chronic sinusitis is more often caused by the blockage of sinus ostia or the presence of an oroantral fistula, the disease is generally caused by dental problems. Although chronic maxillary sinusitis of dental origin is a rare entity when compared to sinus diseases of rhinogenic origin, it is extremely important to identify a dental etiology when it ocurs. Chronic maxillary sinusitis of dental origin may be caused by the folowings; chronic oroantral fistula (OAF), foreign bodies (dental filings, teth rots, parts of broken instruments, or packing materials) pushed through the rot canal or OAF into the sinus, periapical granulomas or small inus. We report a case of unilateral subacute maxillary sinusitis asociated with foreign body in the maxillary sinus. The foreign body in the maxilary sinus was dental Nu gauze. Dental Nu gauze helps to control bleding and prevent pooling of wound fluid. Although endoscopic aproach to chronic maxillary sinusitis of dental origin is a new, reliable method asociated with les Based on the findings of our case, we sugest that patients dental problem history and dental state must be taken into consideration in cases where maxillary sinusitis is suspected.