Acute odontogenic maxillary synusitis: case report

Introduction: Caries, periodontal disease, endo-antral syndrome, oro-antral fistula, odontogenic cysts and iatrogenesis are odontogenic factors that can evolve to sinusitis. This paper aims to report the clinical case of a patient diagnosed with acute odontogenic sinusitis in which surgical maneuvers were used to close the oral communication and remission of the infectious condition. Case Report: Female patient, 40 years old, referred to the Service of Oral and Maxillofacial Surgery at Hospital Otorrinos (Feira de Santana-BA) for the treatment of a severe odontogenic sinusitis, which had previously been hospitalized for 15 days, under intravenous antibiotic therapy.Sinusitis was derived from a periapical abscess related to tooth 16, which drained into the maxillary sinus.The proposed treatment was extraction of element 16, associated with bone graft, performed in a hospital operating room, under general anesthesia.The postoperative period showed complete regression of sinusitis, bone repair and absence of recurrence of the infectious condition. Discussion: Upper molars are the elements commonly related to odontogenic sinusitis. The treatment of this pathology consists of the removal of the causal factor, and should be supported by a multidisciplinary approach. Final Considerations: The clinical-surgical-drug approach, in this case, proved to be effective.