The Maxillary Sinus: What the General Dental Team Need to Know Part 1: Paranasal Sinus Physiology, Infective Disease and Diagnosis of Pain. (2nd April 2020)

• Record Type: Journal Article
• Authors: Bell, Garmon W; MacLeod, Iain; Darcey, James C; Campbell, Collin
• Is Part Of: Dental update. Volume 47:Number 4(2020)
• Page Start: 314
• Page End: 325
• Publication Date: 2020-04-02
• Subjects: Dentistry -- Periodicals; 617.6
• DOI: 10.12968/denu.2020.47.4.314
• Languages: English
• ISSNs: 0305-5000

Abstract

Abstract : This first paper of a four-part series guides the dental team through paranasal sinus physiology and how muco-ciliary clearance is interrupted in disease, particularly infection. The role of acute rhinosinal infection is discussed in relation to orofacial pain and headache. The broad differential diagnosis of what many patients regard as sinus-related pain is discussed, emphasizing the importance of the patient history and clinical examination to reach a correct diagnosis and to avoid inappropriate antibiotic prescription or unnecessary surgery. CPD/Clinical Relevance: Many patients relate their chronic facial pain and headaches to disorders of their sinuses simply because the pain overlies the location of the paranasal sinuses. Following diagnostic criteria, and application of such to reach an accurate diagnosis, will improve patient care. Inter-specialty co-operation is essential in the management of chronic orofacial pain and headaches.