Elektrovozoremontnij teeth at maxillary sinusitis

As for the defeat of the top alveolar nerves, they are usually associated with pathological processes in the maxillary sinus. Complaining of numbness in the upper teeth in diseases of the maxillary sinus, and especially after radical surgery on her dentists have to deal fairly often. Sometimes they are joined by complaints of pain in these teeth, which sometimes leads to an unfortunate error in diagnosis and therapy.
Already in the beginning of this century some authors noted that radical surgery on the maxillary sinuses can cause damage to the teeth in the upper jaw. This gave rise to a number of authors to study the influence of surgical treatment of diseases of the sinuses to elektrovozoremontnij teeth in the upper jaw. Obtained by different authors data appeared to be contradictory. So, for example, Ammersbach (1926), who investigated the teeth of patients in the different periods (up to 5 years) after surgical intervention on the maxillary sinus, came to the conclusion that the violation of elektrovozoremontnij noted in lateral incisor, canine and both premolars. By I. Century Korsakov, most often affected Fang and second premolar and to a lesser extent - the first premolar. L. A. Zhukovsky, and X. Kornilov (1934) found both the lower and the complete absence of excitability in both incisors and canines, and rarely in the premolars. According to their observations, the violation of elektrovozoremontnij occurs not only on the side of the operation, but on the opposite side. P. D. Buoys and I. N. Utrobin (1929) argue that after radical surgery on the maxillary sinus comes only a temporary reduction of elektrovozoremontnij teeth.
A. Shargorodsky, (1969) studied 109 patients after radical surgery on the bosom (of which 107 about sinusitis, 2 about cysts) . According to its data, the greatest violations of elektrovozoremontnij observed in premolars and molars. Restoration of normal elektrovozoremontnij in most cases occurs. These data are in full agreement with the results of the research Martensson (1950), who in the late periods after surgery histologically examined 20 teeth with no excitability and found them to partial or complete loss of nerve fibers.
A. Shargorodsky, examined the teeth, and on the opposite, healthy, hand and found in some cases a decrease in excitability in the incisors and canines (within 15-40 ICA).
Obtained by different authors sometimes very contradictory data is largely due to the fact that the majority of them were used for the study of elektrovozoremontnij very imperfect equipment and extremely primitive methods, which forces with great caution to the received results.
According to the research we I. Ya Marttel (1971), reducing elektrovozoremontnij the premolars and molars there is very often not only when purulent, but also in other forms of inflammation and other diseases of the maxillary sinus. The presence or absence of violations of elektrovozoremontnij depends, I think, from the location and nature of the pathological process. The decrease in excitability is defined and on the opposite side, but not always, and to a much lesser degree.
Held a few days after the surgical intervention research elektrovozoremontnij showed that radical surgery on the bosom leads to violations (even lack) of elektrovozoremontnij on the patient's side, and sometimes suffer even all teeth.
Exploring elektrovozoremontnij upper teeth in patients with diseases of the sinuses to and through various periods of time after surgery, S. A. Fisher (1967) showed that the operation of Caldwell-Luc accompanied by severe damage to the upper alveolar nerves with all the ensuing consequences. In contrast endonasal hamartoma not only does not lead to violation of elektrovozoremontnij teeth in the upper jaw, but, on the contrary, stimulates its recovery where the decrease was due to a pathological process in the sinus.
Electroodontodiagnosis allows you to monitor the effectiveness of therapeutic measures and the dynamics of the pathological process. Studying the clinic sinus tumors, A. 3. Shargorodsky (1967) showed that violations of elektrovozoremontnij teeth in the upper jaw in some cases are one of the earliest symptoms of a growing tumor.
Based on the data of electroodontodiagnosis I. Ya Marttel found that if polypotomy sometimes injured front alveolar nerves, which is manifested by a decrease in excitability of the Central incisors.