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Continuing Education Credits Available
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Description:
This lecture discusses and illustrates the etiology and pathophysiology of acute and chronic rhinosinusitis and its similarities, inter-relationship and distinguishing differences to pain of dental origin. Emphasis is made on the diagnostic challenges that face the general dentist, endodontist and the otorhinolaryngologist in recognizing maxillary sinusitis of dental origin, and the crucial importance of accurate treatment delivery to prevent or resolve this common condition.
The goal is to help practitioners relieve patient discomfort through accurate diagnosis, precise, microscope-enhanced treatment, and effective communication with ENT specialists when necessary.
COURSE OUTLINE
OBJECTIVES
After completing this course, the clinician will be able to:
1. Understand the anatomy and function of the paranasal sinuses as well as the etiology and current treatment of acute and chronic sinusitis.
2. Recognize the distinguishing clinical differences between pain of sinus origin and pain of pulpal origin and know when to render endodontic care or make an appropriate ENT referral.
3. Recognize a maxillary sinusitis of dental origin (MSDO) and understand how periradicular infection can directly cause a secondary sinus infection.
4. Understand the critical importance of precise endodontic treatment in maxillary posterior teeth for the prevention or resolution of MSDO and the benefits of the operating microscope and cone beam imaging in treatment delivery.
COURSE EVALUATION
The evaluation form for your self instructional CE credits exam will be available when you log in.
RESOURCES AND REFERENCES
See Below
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References
- Tataryn, RW. Rhinosinusitis and Endodontic Disease. Ingle's Endodontics 6th Ed. 626-37; 2008
- Falace, D et al, J Orofac Pain 10: 166-8; 1996
- Berry G. Dental caries as a contributing factor in maxillary sinusitis. Arch Otol 11: 55; 1930
- Bauer WH. Maxillary sinusitis of dental origin. Am J Orthod Oral Surg 29:133; 1943
- Maloney PL., Doku HC. Maxillary sinusitis of odontogenic origin. J Can Dent Assoc 34:11;591; 1968
- Seldon HS., August DS. Maxillary sinus involvement - an endodontic complication. Oral Surg 30: 7;117; 1970
- Seldon HS. The interrelationship between the maxillary sinus and endodontics. Oral Surg 38: 623; 1974
- Christensen O., Gilhuus-Moe O. Surgical treatment of chronic hyperplastic sinusitis and maxillary sinus empyema of oral/dental origin. Int J Oral Surg 8:4; 276; 1979
- Fairbanks DN. Dental and allergic aspects of sinusitis and nasal polyposis: a review. Otolaryngol Head Neck Surg 90: 5;527-33; 1982
- Radman PW. The maxillary sinus - revisited by and endodontist. J Endodon 9:9; 382; 1983
- Dodd RB., et al. An endodontically induced maxillary sinusitis. J Endodon 10; 504; 1984
- Melen I., et al. Chronic maxillary sinusitis. Definition,
- diagnosis and relation to dental infection. Acta Otolaryngol 101: 3; 1986
- Berg O., et al. On the diagnosis and pathogenesis of intramural maxillary cysts. Acta Otolaryngol 108:5-6; 464-8; 1989
- Greval RS., et al. Anaerobic infection in chronic maxillary sinusitis. Ind J Med Sci 47: 8; 201-3; 1993
- Yoshiura K., et al. Analysis of maxillary sinusitis using computed tomography. Dentomaxillofac Radiol 22:2; 86; 1993
- Min YG, Lee JW, Shin JS. Radiologic assessment of diseased mucosa of the maxillary sinus after functional endoscopic sinus surgery. Acta Otolaryngol 114: 6; 1994
- Brook I., Frazier EH., Gher ME. Microbiology of periapical abscesses and associated maxillary sinusitis. J Periodontol 67: 6; 608-10; 1996
- Brook I., Frazier EH., Foote PA. Microbiology of the transition from acute to chronic maxillary sinusitis. J Med Microbiol 45: 5; 372-5; 1996
- Brook I. Microbiology and management of sinusitis. J Otolaryngol 25: 4; 249-56; 1996
- Abrahams JJ., Glassberg RM. Dental disease: a frequently unrecognized cause of maxillary sinus abnormalities? Am J Roentgenol 166: 1219; 1996
- Bertrand B., et al. Sinusitis of dental origin. Acta Otorhinolaryngol Belg 51: 4; 315; 1997
- Biel MA., et al. Evaluation of the microbiology of chronic maxillary sinusitis. Ann Otol Rhinol Laryngol 942-5; 1998
- Institute for Clinical Systems Improvement (ICSI). Health care guideline: Acute sinusitis in adults. Postgrad Med 103: 154-68; 1998
- Parameters for the diagnosis and management of sinusitis. American Academy of Allergy, Asthma and Immunology/American College of Allergy, Asthma and Immunology/Joint Council of Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol 102: S107; 1998
- Guidelines for Clinical Care: Acute rhinosinusitis in adults. University of Michigan Health System. 1996 May (revised 1999 Dec)
- Conner SE., et al. Computed tomography evidence of dental restoration as aetiological factor for maxillary sinusitis. J Laryngol Otol 114: 7; 510; 2000
- Medical management of acute bacterial sinusitis - Recommendations of a clinical advisory committee on pediatric and adult sinusitis. Ann Otol Rhinol Laryngol 109: 2-20; 2000
- Hauman DHJ., Chandler NP., Tong DC. Endodontic implications of the maxillary sinus: a review. Int Endod J 35: 127-41; 2002
- Kretzschmar DP., Kretzschmar JL. Rhinosinusitis: Review from a dental perspective. Oral Surg 96: 128-35; 2003
- Garming Legert K., Zimmerman M., Steirna P. Sinusitis of odontogenic origin: Pathophysiological implications of early treatment. Acta Otolaryngol 124: 655-63; 2004
- Brook I. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin. Laryngoscope 115: 823-5; 2005
Schedule
This presentation schedule:
Release Date: Nov 10-12, 2011
*Expiration Date: Nov 10, 2014
*Self-instructional activities are reviewed at least once every three years, or more frequently if indicated by new scientific developments, to ensure that content is current and accurate.
CE Credits
AMED is an ADA CERP recognized provider
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.
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