1/14. Case Report. Maxillary sinus infection due to emericella nidulans.Fungal infections of the maxillary sinus are frequently caused by aspergillus species, particularly A. fumigatus. In otherwise healthy persons there is an association with overfilling of dental root canals, when zinc-containing filling materials were used. Below, a maxillary sinus aspergilloma is reported in a young immunocompetent female patient caused by aspergillus (emericella) nidulans.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
2/14. Healing of maxillary sinusitis of odontogenic origin following conservative endodontic retreatment: case reports.Because of the anatomical proximity, infection of posterior upper teeth can spread into the maxillary sinus. When confronted with a large persistent periapical lesion on a posterior maxillary root-treated tooth, the practitioner should question the quality of the previous endodontic treatment, evaluate the impact of the potential causes of failure and consider, in the majority of cases, the conservative non-surgical retreatment instead of extraction or periapical surgery of the dental element. This paper reports two cases of healing of extensive periapical bone destruction and of the co-existing sinus pathology of odontogenic origin after non-surgical endodontic retreatment of previously root-treated upper molars. Misconceptions concerning the role of epithelium in the periapical lesion are discussed. Also, emphasis is put on the need of precise radiological diagnosis, pre-operatively as well as post-operatively to ascertain healing and to avoid unnecessary delay in the appropriate management of these patients.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
3/14. Accidental lodgment of an air gun pellet in the maxillary sinus of a 6-year old girl: a case report.air gun, although considered a toy, can cause injuries ranging from trivial to very grievous. The type and severity of injuries depend on the type of air gun used, the distance at which it is fired, and the anatomic site at which the pellet hits. An interesting case involving a young girl, who was accidentally hit by an air gun pellet at a village fair, is described. The pellet penetrated the maxillary bone to be lodged in the sinus. The treatment strategy along with literature review on short- and long-term complications of air gun injuries is presented.- - - - - - - - - - ranking = 5keywords = dental (Clic here for more details about this article) |
4/14. Inflammatory reaction to foreign body (amalgam) in the maxillary sinus misdiagnosed as an ethmoid tumor.A patient with chronic unilateral maxillary sinusitis caused by a foreign body (dental amalgam) and mistaken diagnosis of extensive ethmoid neoplasm is presented. The imitation of tumour symptoms was due to a long presence of foreign body in the maxillary sinus and chronic inflammation of maxillary, ethmoid and sphenoid sinuses.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
5/14. Molten aluminium inhalation in the nose and ethmoid sinus. Report of an unusual case.Accidental nasal inhalation of molten aluminium can occur during the industrial production of aluminium in spite of stringent safety precautions. In this case, believed to be the first reported in the literature, the initial evaluation of damage to the nasal mucosa was underestimated, because, in addition to a large nugget of aluminium in one nasal fossa, smaller fragments had penetrated deep into the middle meatus. These smaller fragments, undetected because of the poor radiopacity of aluminium, were responsible for extensive tissue damage which caused ethmoiditis and secondary maxillary sinusitis.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
6/14. Septic shock and death due to occult sinusitis.We report a case of septicaemia and death due to occult sinusitis in an otherwise healthy adult. Septicaemia was diagnosed on clinical grounds and blood culture grew streptococcus pneumoniae. maxillary sinusitis was discovered incidentally on a CT scan four days after the onset of symptoms. A sinus wash-out revealed pus which on culture was positive for streptococcus pneumoniae. The patient deteriorated gradually and died despite appropriate therapy. We conclude that sinusitis should be suspected in any case of septicaemia where the primary focus is not known and the patient does not respond quickly to treatment.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
7/14. Chronic sinusitis and zinc-containing endodontic obturating pastes.Several researchers have reported a link between the development of a solitary antral aspergillus sinusitis and the presence of zinc-containing root canal obturating paste within the antrum. If diagnosed correctly, it is generally accepted that this type of sinusitis can be treated effectively using surgical techniques alone. However, previous reports have shown that this is not always the case and may result in prolonged and inappropriate treatment of the condition. It is hoped that the reported case and literature review will assist both dental and medical practitioners in identifying affected patients and in the subsequent instigation of correct treatment regimes.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
8/14. Sinonasal teeth.Ectopic eruption of the teeth in the sinonasal tract and the migration of a displaced dental fragment from the maxillary sinus to the nose are two rare phenomena. This paper reports three cases: an asymptomatic ectopic tooth within the nasal septum, an ectopic maxillary sinus tooth causing repeated attacks of sinusitis, and a dental root that reached the nose through the maxillary antrum associated with aspergillus sinusitis. The etiology, diagnosis, complications, and treatment of simonasal teeth are discussed.- - - - - - - - - - ranking = 2keywords = dental (Clic here for more details about this article) |
9/14. Barodontalgia among flyers: a review of seven cases.Once referred to as "flyer's toothache," barodontalgia is defined as tooth pain occurring with changes in ambient pressure. It usually occurs in people who fly or dive. It can develop in conjunction with sinusitis, and in teeth experiencing pulpitis after restorative treatment, new and recurrent caries, intra-treatment endodontic symptoms, dental and periodontal cysts, or abscesses. Although the causal process of barodontalgia is not well understood, it may be related to pulpal hyperemia, or to gases that are trapped in the teeth following incomplete root canal treatment. patients who are frequently exposed to changes in ambient pressure should be encouraged to follow good oral health practices, attend regularly-scheduled dental recall examinations and accept the timely completion of restorative treatment to minimize the possibility of developing barodontalgia. By employing a classification system to document cases of barodontalgia, dentists will be better prepared to provide appropriate and successful treatment. Seven case reports of barodontalgia are presented and compared to previously documented cases. The author also reviews the reasons why military flyers are more likely to develop barodontalgia than others, although the passengers and crews of commercial airliners may also suffer from this condition.- - - - - - - - - - ranking = 2keywords = dental (Clic here for more details about this article) |
10/14. The troublesome submerged tooth: a diagnostic dilemma.Facial swelling caused by a periapical abscess is commonly encountered by dental practitioners. It requires prompt treatment, usually by removal of the infective foci and administration of appropriate antibiotics. However, diagnosis can be difficult, and may be complicated by the presence of retained deciduous teeth. This case report demonstrates a diagnostic dilemma and highlights the importance of looking beyond the obvious.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
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