Treatment of non-chronic odontogenic sinusitis: maxillary sinus lavage via extraction socket after tooth or implant removal.

Abstract

Objectives: This study evaluates the feasibility and clinical outcomes of treating acute or subacute odontogenic maxillary sinusitis using sinus irrigation through an extraction socket following the extraction of the causative tooth or implant.

Materials and methods: This retrospective case series included patients over 19 years old with acute or subacute odontogenic maxillary sinusitis who underwent maxillary sinus lavage through the extraction socket to resolve non-chronic odontogenic maxillary sinusitis. Exclusion criteria were previous sinus surgery, bilateral disease, or maxillary sinus pathology unrelated to dental origin. The treatment involved extracting the causative tooth or implant, intentionally perforating the sinus through the extraction socket with a 19-gauge needle, and performing sinus irrigation with saline. Antibiotic therapy was administered based on culture and sensitivity results.

Results: Seven patients were included. Following the removal of causative teeth or implants, the average number of sinus irrigation sessions via the extraction socket required to resolve symptoms was 2.7±1.3. Saline irrigation combined with appropriate antibiotic treatment led to symptom resolution.

Conclusion: Treating non-chronic odontogenic maxillary sinusitis through sinus irrigation via the extraction site, combined with appropriate antibiotic therapy, was effective in resolving symptoms and avoiding additional surgeries.