Published online Feb 16, 2025. doi: 10.12998/wjcc.v13.i5.95130
Revised: May 25, 2024
Accepted: June 12, 2024
Published online: February 16, 2025
Processing time: 224 Days and 17.1 Hours
Odontogenic maxillary sinusitis, often triggered by dental issues like periapical periodontitis, significantly contributes to chronic sinusitis, mainly affecting adults around 50 years old, emphasizing the need for a multidisciplinary diagnostic and treatment approach.
To investigate the therapeutic effect and clinical value of root canal therapy combined with nasal endoscopic surgery compared with simple root canal the
The clinical data, diagnosis, and treatment of 200 patients with severe odonto
First, we compared the effective rates: 23 cases were cured, 22 were improved, and 8 were ineffective in the control group, yielding a total effective rate of 84.90%. Meanwhile, 97 cases were cured, 34 improved, and 6 were ineffective in the observation group, resulting in a total effective rate of 95.62%. The observation group had a higher total effective rate compared with the control group (P < 0.05). Second, we compared the Lund–Kennedy endoscopic score. Before treatment, no significant difference (P > 0.05) was observed in this score between the two groups. After treatment, the Lund–Kennedy endoscopic score decreased in both groups. The Lund–Kennedy endoscopic score of the observation group at 3 and 6 mo after treatment was lower compared to that of the control group (P < 0.05). Third, we compared the Lund–Mackay score of paranasal sinuses. Before treatment, there was no significant difference in this score between the two groups (P > 0.05). After treatment, the Lund–Mackay scores of paranasal sinuses decreased in both groups. The Lund–Mackay scores of paranasal sinuses in the observation group at 3 and 6 mo after treatment were lower compared to those of the control group (P < 0.05). Fourth, we compared the incidence and recurrence rate of complications. Three months after treatment, no significant difference was found in the incidence and recurrence rate of complications between the observation group (6.56%) and the control group (9.52%) (P > 0.05). However, 6 mo after treatment, the incidence and recurrence rate of complications in the observation group (2.91%) was significantly higher compared to that of the control group (12.69%) (P < 0.05). Fifth, we compared patient satisfaction. Six months after treatment, the patient satisfaction of the observation group (93.43%) was significantly better than that of the control group (84.12%) (P < 0.05).
Root canal therapy combined with nasal endoscopic surgery has a good therapeutic effect on severe odontogenic maxillary sinusitis caused by periapical periodontitis, and it can reduce the injury of maxillary sinus mucosa and bone, and significantly reduce the incidence of complications and recurrence rate. Meanwhile, it has high patient satisfaction and remarkable therapeutic effect, which is suggested to be popularized and applied in clinic.
Core Tip: Combining root canal therapy with nasal endoscopic surgery significantly improves treatment outcomes for severe odontogenic maxillary sinusitis caused by periapical periodontitis, compared to root canal therapy alone. This combination approach not only enhances the total effective rate but also reduces the scores of Lund-Kennedy and Lund-Mackay, indicating a reduction in maxillary sinus mucosa and bone injury. Moreover, it significantly lowers the incidence of complications and recurrence rates, while increasing patient satisfaction. These findings support the broader clinical adoption of this combined treatment strategy.