Dr. Rod  Tataryn DDS, MS

Maxillary Sinus and Endodontic Considerations

Saturday, June 27, 2015 | Time: 11:00AM - 1:00PM PDT
CDE Credits: 2.00 Teaching Methods: Lecture; Live Online or Self-Instructional Video Length: 2 hours
PDL is an ADA CERP recognized provider. PDL designates this activity for 2.00 hours continuing dental education credit.
Register to View
  • Webinar Title: Maxillary Sinus and Endodontic Considerations
  • Presenter: Dr. Rod Tataryn
  • Date Recorded: June 27th, 2015
  • Duration: 2 hours
  • CDE Credits: 2 CDE credits will be issued by Pure Dental Learning



Differentiating maxillary sinus pain from pulpal etiology is one of the more difficult diagnostic challenges facing clinicians. In addition, the pathological extension of dental disease into the maxillary sinus and its sequelae often are unrecognized in clinical medical and dental practice. This lecture explains and illustrates the etiology and symptoms of acute and chronic rhinosinusitis and its similarities, distinguishing differences, and frequent inter-relationship with endodontic etiology. The goal is to help practitioners recognize a maxillary sinusitis of dental origin and relieve patient discomfort through accurate diagnosis, appropriate treatment, and communication with ENT specialists when necessary. Emphasis is also made on the enhanced diagnostic and treatment advantages of cone beam CT imaging. The increased sensitivity of CBCT in detecting canal anatomy, periapical lesions, root form and sinus mucosal changes has fundamentally transformed endodontic decision making and the delivery of care.

Course Outline

I. Paranasal Sinuses: Anatomy and Function

II. Rhinosinusitis: Etiology, Epidemiology, Symptoms and Treatment

III. Maxillary sinusitis as a source of dental pain

  • Anatomic considerations
  • Heterotropic pain

IV. Maxillary sinusitis of dental origin

  • Periapical osteoperiostitis
  • Periapical mucositis
  • Odontogenic rhinosinusitis


At conclusion, participants should be able to:

  1. Understand the anatomy and function of the paranasal sinuses as well as the etiology and current treatment of acute and chronic sinusitis.
  2. Recognize the distinguishing differences between pain of sinus origin and pain of pulpal origin and know when to render endodontic care or make an appropriate ENT referral.
  3. Describe a maxillary sinusitis of dental origin (MSDO) and how the extension of periradicular infection can directly cause a secondary sinus infection.

Course Evaluation

See Below

Resources and References

See Below

Supplementary Material

If provided, available when logged in.


Dr. Rod Tataryn has no relevant commercial relationships.

PDL Course Evaluation Survey

Please log in to complete the form for your self-instructional CDE credits exam.

Dr. Rod  Tataryn DDS, MS

Dr. Rod Tataryn

[javascript protected email address]
2700 S. Southeast Blvd. #201
Spokane, WA 99223
United States


Dr. Rod Tataryn received his DDS degree in 1989 and Master of Science degree in Endodontics in 1994 from Loma Linda University. In 1994 he established a private endodontic practice in Spokane, Washington where he continues to practice full-time. Dr. Tataryn has published scientific and clinical articles in endodontics and has served on the Clinical Practice Committee for the American Association of Endodontists. He is an assistant professor of graduate endodontics at Loma Linda University and is a contributing author for the Sixth Edition of Ingle’s Endodontics, the Second Edition of PDQ Endodontics, as well as the Seventh Edition of Ingle’s Endodontics due out later this year.

Resources and References

Shahbazian M, Vandewoude C, Wyatt J, Jacobs R. Comparative assessment of periapical radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Odontology 2013 Dec 28. [Epub]

Maillet M, Bowles WR, McClanahan, SL, Cone-Beam computed tomography evaluation of maxillary sinusitis. J Endod 2011;37:753-757.

Bomelli SR, Branstetter BF, Ferguson, BF, Frequency of a dental source for acute maxillary sinusitis, Laryngoscope 2009; 119(3): 580-584.

Longhini AB, Branstetter BF, Ferguson BJ. Otolaryngologists' perceptions of odontogenic maxillary sinusitis. Laryngoscope 2012 Sep;122(9):1910-4

Longhini AB, Ferguson BJ. Clinical aspects of odontogenic maxillary sinusitis: a case series. Int Forum Allergy Rhinol 2011;1:409–15.

Pokorny A, Tataryn R. Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin. Int Forum Allergy Rhinol 2013;3:973-9.


Original Release Date: June 27, 2015
Review Date: TBD
*Expiration Date: June 27, 2018

*Self-instructional activities are reviewed at least once every three years, or more frequently if indicated by new scientific developments, to ensure that content is current and accurate.

CDE Credits

PDL is an ADA CERP recognized provider
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
Concerns or complaints about a CDE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.