Diagnostic criteria for odontogenic sinusitis: narrative review of relevant literature data

Abstract

Background. Specific tendency could be observed regarding increasing number of odontogenic sinusitis related publications within decades between 1990 and 2019, but even with upgrowing pool of literature data regarding odontogenic sinusitis evidences reported within it remains of low quality. Also, it should be noted that yet no evidence-based consensus decision have been made regarding strict diagnostic criteria of maxillary odontogenic sinusitis. Objective. To systematize relevant data regarding odontogenic maxillary sinusitis diagnostic criteria based on available guidelines, consensus reports, CBCT-based and clinical researches. Materials and Methods. Study was provided in the form of retrospective literature review. Seach of publications related with the objective of the research was held within PubMed Central database (https://www.ncbi.nlm.nih.gov/pmc/) by applying Mesh-terms combinations. Articles included into study group were processed due to the following categories of content-analysis: signs and symptoms which may be used to prove odontogenic origin of maxillary sinusitis; diagnostic significance of different manifestations which may be used to prove odontogenic origin of maxillary sinusitis; approaches which should be followed to provide correct diagnostics of odontogenic maxillary sinusitis. Results. Out of 15 targeted publications, which formed study group, 2 were represented in the form of systematic review, 1 – in the form of online-survey study, 6 – in the form of literature/comprehensive/state-of-art review, 4 – in the form of retrospective study, 1 – in the form of international multidisciplinary consensus statement, 1 – in the form of experimental imaging study. Considering only one available international multidisciplinary consensus statement regarding odontogenic sinusitis diagnosis next approach should be followed in mentioned order for correct diagnostics of such pathology: 1) suspect odontogenic maxillary sinusitis; 2) confirm sinusitis; 3) confirm odontogenic pathology. Conclusion. Tomographical methods of examination are more accurate for the odontogenic maxillary sinusitis diagnostics, nevertheless if multidisciplinary diagnostic approach (endoscopy, tomography and clinical examination) is possible for realization it should be held as a primary diagnostic strategy. Cases of asymptomatic maxillary odontogenic sinusitis, while also symptomatic ones developing without background of recent dental treatment, may also be observed in clinical practice, and thus should be correctly diagnosed for appropriate treatment planning.