Clin Exp Otorhinolaryngol.  2010 Sep;3(3):136-140.

Endodontic Treatment: A Significant Risk Factor for the Development of Maxillary Fungal Ball

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. siamkhy@skku.edu
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract


OBJECTIVES
The risk factors for maxillary fungal ball are largely unknown. The aim of this study was to determine whether endodontic treatment of maxillary teeth is a risk factor for fungal ball development in the maxillary sinus, and to identify other possible risk factors.
METHODS
One hundred and twelve case patients diagnosed with maxillary fungal ball (FB group) and age and gender matched control patients diagnosed with chronic paranasal rhinosinusitis (PNS group) were included to determine associations between previous endodontic treatment and maxillary fungal ball. In addition, we reviewed the dental extraction status of maxillary teeth and the underlying disease in both groups to analyze the other risk factors for maxillary fungal ball.
RESULTS
There were 36.3% of patients in the FB group and 16.1% in the PNS group showed evidence of endodontic treatment on the maxillary teeth (P<0.001). Even after correction for possible confounding factor - the frequency of dental extractions - the rate of endodontic treatment remained higher in the FB group. The mean number of endodontically treated maxillary teeth in the FB group and PNS group were 0.63 and 0.27, respectively (P=0.001). In addition, 20.5% of the patients in the FB group and 13.4% in the PNS group has diabetes mellitus (P=0.154).
CONCLUSION
Endodontic treatment on maxillary teeth was a significant risk factor for the development of fungal balls in the maxillary sinus.

Keyword

Fungal sinusitis; Fungal ball; Endodontics; Endodontic treatment; Maxillary sinus

MeSH Terms

Diabetes Mellitus
Endodontics
Humans
Maxillary Sinus
Risk Factors
Tooth

Figure

  • Fig. 1 Evaluation of the maxillary teeth on the axial cut of the osteomeatal unit computed tomography: root filling material used in endodontic treatment showed hyperdense spots along the tooth root in the right first molar, second molar and left first molar (arrows, A); the right first premolar was extracted (arrows, B).


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