Dental Evaluation: Endodontic and Periodontal

Otolaryngol Clin North Am. 2024 Dec;57(6):1069-1082. doi: 10.1016/j.otc.2024.06.004. Epub 2024 Sep 6.

Abstract

Endodontic and periodontal disease are distinct etiologies that can lead to odontogenic sinusitis (ODS). Apical periodontitis and periodontitis are both polymicrobial infections but with different pathogens affecting different parts of the tooth and alveolar bone. Diagnosing both conditions requires specific clinical examination in addition to radiographic assessment. Understanding the terminology and pathophysiology of these conditions and how they are identified should improve diagnostic and therapeutic outcomes, as well as future ODS research.

Keywords: Apical abscess; Apical periodontitis; Endo-perio; Endodontic; Periodontal; Periodontitis; Pulpitis; Vertical root fracture.

Publication types

  • Review

MeSH terms

  • Humans
  • Periapical Periodontitis / diagnostic imaging
  • Periapical Periodontitis / therapy
  • Periodontal Diseases* / diagnosis
  • Sinusitis / diagnosis
  • Sinusitis / therapy