The Hidden Culprit Behind Persistent Sinusitis: Your Teeth Might Be to Blame.

The Hidden Culprit Behind Persistent Sinusitis: Could It Be Your Teeth?

Today, we’re shedding light on a surprisingly common yet often overlooked issue: Odontogenic Maxillary Sinusitis — sinus infections that originate from dental problems.

Have you been experiencing a lingering sinus infection or a constant feeling of pressure in your face? What if we told you that your teeth might be the real cause?

A comprehensive review of 38 scientific studies reveals some striking findings:
Up to 50% of maxillary sinusitis cases in adults may be linked to underlying dental issues. In other words, 1 in 2 cases could be dental in origin.

Why Is This Often Missed?

Because the symptoms typically mimic those of classic sinusitis: nasal congestion, discharge, fullness, and sometimes mild facial pain.
There may be no obvious toothache, so the connection is easily overlooked. Additionally, standard 2D dental X-rays (panoramic imaging) often fail to reveal the root cause.

This is where 3D imaging techniques, like Cone Beam Computed Tomography (CBCT), become crucial.

If You Have Chronic, Treatment-Resistant Sinusitis:

• Inform your ENT specialist or dentist about your symptoms,

• Request a 3D scan (CT or CBCT) for a more detailed evaluation — this could be key to accurate diagnosis and effective treatment.

If a dental issue is the underlying cause and remains undetected, conventional sinusitis treatments may fail, or the problem may keep recurring.

Scientific Evidence Indicates:

• If there is an infection at the tip of a tooth root (apical lesion), the risk of sinusitis in the adjacent sinus increases 4-fold.

• In cases of gum disease (periodontitis), this risk jumps to 5.5 times.

• When there is severe bone loss around the teeth, the likelihood may be up to 13.8 times higher.

While further long-term studies are needed for more precise insights, existing data already serve as a strong warning signal for both doctors and patients.

If you suffer from one-sided, chronic, and treatment-resistant maxillary sinusitis, always keep this question in mind:
“Could my teeth be the real cause?”

Remember: Accurate diagnosis prevents unnecessary medication use and leads to lasting solutions.

Reference:
Vitali, F. C., Santos, P. S., Massignan, C., Maia, L. C., Cardoso, M., & Teixeira, C. da S. (2023). Global prevalence of maxillary sinusitis of odontogenic origin and associated factors: A systematic review and meta-analysis. Journal of Endodontics, 49(4), 369–381. https://doi.org/10.1016/j.joen.2023.01.010

Author: Dr. Abdullah ÖZCEYLAN
Editor-in-Chief: İsmet Serhat KAHYA

All content of this article belongs to Dr. Abdullah ÖZCEYLAN, Endodontics Specialist. It may not be copied, reproduced, or published on other platforms without permission.