Odontogenic Maxillary Sinusitis After Tooth Extraction Associated with Dry Socket: A Clinical Case Report
DOI:
https://doi.org/10.30659/medali.8.1.39-45Keywords:
Odontogenic maxillary sinusitis, Dry socket, Tooth extraction, non-surgical managementAbstract
Abstract
Background: Odontogenic maxillary sinusitis (OMS) is a sinus infection of dental origin, commonly associated with extraction of maxillary posterior teeth. While alveolar osteitis (dry socket) is a common post-extraction complication, its progression to OMS is relatively low, though clinically observed. This case report discussed the management of OMS, for the general practitioner to collaborating with otorhinolaryngologist and eliminating the focal infection with non-surgical management.
Case: A 28-year-old female presented with severe pain, foul-smelling odor, facial discomfort, and postnasal drip following extraction of the upper left maxillary molar (tooth 26). Clinical examination revealed dry socket, while panoramic radiography suggested sinusitis involvement. Multidisciplinary management, such as saline irrigation, antibiotic therapy, and nasal decongestant under otorhinolaryngologist supervision and for the focal infection included local debridement and curettage without any dressing following with maintaining good oral hygiene. After 12 days, significant symptom improvement was observed, both clinical and radiographic evaluations confirmed complete resolution at three months follow-up.
Conclusion: OMS associated with dry socket is relatively low but can be effectively managed with non-surgical multidisciplinary management. Good healing following extraction to eliminate the focal infection is fundamental. Ensuring a favorable prognosis further requires accurate diagnosis, appropriate pharmacological therapy, effective dental focal management, and comprehensive patient education
References
George M, Noor A, Thorpe ARDS, Sritharan N, Riffat F. Odontogenic sinusitis: A literature review. Oral Surg. 2024; 17: 170–178. https://doi.org/10.1111/ors.12861
Arsheilla Ika Maulida, & Kusumastiwi, R. P. O. (2024). Successful Management of Dry Socket with Alveogyl Following Posterior Mandibular Tooth Root Extraction: A Case Report. Crown: Journal of Dentistry and Health Research, 2(2), 151-160. https://doi.org/10.59345/crown.v2i2.159
Dehghani, Mahdieh & Motallebi, Elham & Navabazam, Alireza & Ezoddini, Fatemeh & Ghanea, Sahar. (2017). The Relation Between Maxillary Sinus Floor and Posterior Maxillary Teeth Roots Using Panoramic and Cone Beam Computed Tomography. Journal of Dentomaxillofacial Radiology, Pathology and Surgery. 6. 49-60. 10.29252/3dj.6.3.49.
Lin, J., Wang, C., Wang, X. et al. Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment. Int J Oral Sci 16, 11 (2024). https://doi.org/10.1038/s41368-024-00278-z
Psillas G, Papaioannou D, Petsali S, Dimas GG, Constantinidis J. Odontogenic maxillary sinusitis: A comprehensive review. J Dent Sci. 2021 Jan;16(1):474-481. doi: 10.1016/j.jds.2020.08.001. Epub 2020 Aug 22. PMID: 33384837; PMCID: PMC7770314.
Parvini P, Obreja K, Begic A, Schwarz F, Becker J, Sader R, Salti L. Decision-making in closure of oroantral communication and fistula. Int J Implant Dent. 2019 Apr 1;5(1):13. doi: 10.1186/s40729-019-0165-7. PMID: 30931487; PMCID: PMC6441669.
Azzouzi A, Hallab L, Chbicheb S. Diagnosis and Management of oro-antral fistula: Case series and review. Int J Surg Case Rep. 2022 Aug;97:107436. doi: 10.1016/j.ijscr.2022.107436. Epub 2022 Jul 21. PMID: 35917603; PMCID: PMC9403197.
Martu, C.; Martu, M.-A.; Maftei, G.-A.; Diaconu-Popa, D.A.; Radulescu, L. Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data. Diagnostics 2022, 12, 1600. https://doi.org/10.3390/ diagnostics12071600
Khalil W (July 04, 2023) A New Approach for Explaining and Treating Dry Sockets: A Pilot Retrospective Study. Cureus 15(7): e41347. doi:10.7759/cureus.41347
Khandelwal P, Hajira N. Management of Oro-antral Communication and Fistula: Various Surgical Options. World J Plast Surg. 2017 Jan;6(1):3-8. PMID: 28289607; PMCID: PMC5339603.
Potrykus, Maria & Musyt, Wiktoria & Pietruszka, Wiktoria & Klasicki, Przemysław. (2025). Odontogenic Maxillary Sinusitis: Etiological Pathways and Clinical Implications – A Contemporary Review. Quality in Sport. 43. 62409. 10.12775/QS.2025.43.62409.
Henry CJ, Stassen LFA. The non-healing extraction socket: a diagnostic dilemma - case report and discussion. J Ir Dent Assoc. 2016 Sep;62(4):215-220. PMID: 29797831.
Riba-Terés, N & Jorba-García, Adrià & Toledano-Serrabona, Jorge & Aguilar, Laura & Figueiredo, Rui & Valmaseda-Castellón, Eduard. (2020). Microbiota of alveolar osteitis after permanent tooth extractions: A systematic review. Journal of stomatology, oral and maxillofacial surgery. 122. 10.1016/j.jormas.2020.08.007.
WIDYASTUTI, Vera; AZHARI, Azhari; EPSILAWATI, Lusi. Sensitivity of panoramic radiographs in diagnosing maxillary sinusitis: a scoping review. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 5, n. 3, p. 136-141, dec. 2021. ISSN 2686-1321
Dipankara, J., Hadrian, G., Eddy, Putri, T. S., Rinanti, A., Swe, T. T., & Poedjiastoeti, W. (2025). Odontogenic maxillary sinusitis and oroantral communication: A case report. Dental Journal (Majalah Kedokteran Gigi), 58(2), 194–197. https://doi.org/10.20473/j.djmkg.v58.i2.p194-197
A. Moreira CA, Castelo GH, Oliveira JP, Marques LA. Odontogenic Sinusitis – Case Report. Brazilian Journal of Dentistry and Oral Radiology. 2025 Jan-Dec;4:bjd56
Bowe, D.C., Rogers, S., Stassen, L.F. The management of dry socket alveolar osteitis. JOURNAL OF THE IRISH DENTAL ASSOCIATION 2012;57 (6): 305-310
Aqsa Kamal, Marzuki Omar, A.R. Samsudin, Management of Dry Socket: New regenerative techniques emerge while old treatment prevails, Dentistry Review, Volume 2, Issue 1, 2022, 100035, ISSN 2772-5596, https://doi.org/10.1016/j.dentre.2022.100035. (https://www.sciencedirect.com/science/article/pii/S2772559622000037)
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