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Publication
Diferentes abordagens no tratamento da sinusite odontogénica
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Advisor(s)
Abstract(s)
Este trabalho apresenta a relação entre os seios maxilares, os dentes superiores posteriores e as doenças dentárias da cavidade oral. Devido à intima relação anatómica da região, diversos processos infeciosos e/ou iatrogénicos de origem dentária têm reflexo nos seios paranasais, em especial nos maxilares. Os sinais e sintomas da sinusite de origem dentária muitas vezes podem vir a ser confundidos com as doenças sinusais de origem viral ou bacteriana após uma infeção do trato respiratório (doença bifásica), bem como a odontalgia ter origem em doenças sinusais, e não ter causas odontogénicas.
O médico dentista deve ter conhecimento da anatomia e domínio das técnicas cirúrgicas que envolvem a região dos dentes posteriores superiores, tendo em vista que o seio maxilar em determinadas circunstâncias, é área de atuação do médico dentista.
Em todas as abordagens, mais ou menos invasivas, é obrigatório intervir na causa dentária ou iatrogénica, para alcançar o sucesso terapêutico. Uso de antibiótico terapia, intervenções endodônticas, acessos cirúrgicos e endoscopia sinusal fazem parte de uma gama de procedimentos já bem estabelecidos. Entretanto o que se pode deduzir deste trabalho é que um correto planeamento, intervenção cuidadosa e um diagnóstico preciso, pode evitar a maior causa de sinusite odontogénica: A iatrogenia.
This work presents the relation between maxillary sinuses, posterior superior teeth and dental diseases of the oral cavity. Due to the intimate anatomical relationship of the region, several infectious and / or iatrogenic processes of dental origin have a reflex in the paranasal sinuses, especially in the jaws. Signs and symptoms of sinusitis of dental origin can often be confused with sinus diseases of viral or bacterial origin after an infection of the respiratory tract (biphasic disease) as well as odontalgia originate from sinus diseases, and have no odontogenic causes. The dentist should be aware of the anatomy and mastery of the surgical techniques involving the region of the upper posterior teeth, since the maxillary sinus under certain circumstances is the area of practice of the dentist. In all approaches, more or less invasive, it is mandatory to intervene in the dental or iatrogenic cause, to achieve therapeutic success. Use of antibiotic therapy, endodontic interventions, surgical approaches and sinus endoscopy are part of a range of procedures already well established. However, what can be deduced from this work is that correct planning, careful intervention and accurate diagnosis can avoid the greatest cause of odontogenic sinusitis: iatrogeny.
This work presents the relation between maxillary sinuses, posterior superior teeth and dental diseases of the oral cavity. Due to the intimate anatomical relationship of the region, several infectious and / or iatrogenic processes of dental origin have a reflex in the paranasal sinuses, especially in the jaws. Signs and symptoms of sinusitis of dental origin can often be confused with sinus diseases of viral or bacterial origin after an infection of the respiratory tract (biphasic disease) as well as odontalgia originate from sinus diseases, and have no odontogenic causes. The dentist should be aware of the anatomy and mastery of the surgical techniques involving the region of the upper posterior teeth, since the maxillary sinus under certain circumstances is the area of practice of the dentist. In all approaches, more or less invasive, it is mandatory to intervene in the dental or iatrogenic cause, to achieve therapeutic success. Use of antibiotic therapy, endodontic interventions, surgical approaches and sinus endoscopy are part of a range of procedures already well established. However, what can be deduced from this work is that correct planning, careful intervention and accurate diagnosis can avoid the greatest cause of odontogenic sinusitis: iatrogeny.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Sinusite maxilar Odontogénica Complicações e tratamento