Retrospective Evaluation the Health and Pathology of Maxillary Sinus by Cone Beam Computed Tomography
Keywords:
Maxillary sinus, CBCT, Dental pathology, SinusitisAbstract
Background: Pathological findings in the maxillary sinus are unexpected or unintended discoveries that are not directly related to the primary reason for conducting a cone beam computed tomography (CBCT) scan for dental imaging. In this study, we aimed to analyze the prevalence of maxillary sinus pathologies and its relation with dental pathology and implant position using CBCT.
Material and methods:150 maxillary sinuses of 75 patients with CBCT image includes in this study for evaluation the pathology of sinus as related to dental pathology of 30 patients who have posterior implant was evaluated for sinus pathology as related to implant position to floor of sinus. Each image investigates in coronal, sagittal and axial section. Images were evaluated for presence of mucosal thickening, polypoid and opacification in maxillary sinus.
Result: In the present study 67 of the total cases had an odontogenic cause of maxillary sinus and the rest 83 cases had healthy sinus. The most common sinus pathology was opacification 26.6% followed by polypoidal thickening 10.6%, mucosal thickening 7.3%. There is relation between sinus pathology and age with increase the frequency of sinus pathology with aging. There is relation between sinus pathology and implant position.
Conclusion: CBCT, a three-dimensional method, can be used to evaluate anatomical and pathological changes in the maxillofacial region. Sinus pathologies were particularly associated with dental pathology and implant position.
References
1. Martu, C., Martu, M. A., Maftei, G. A., Diaconu-Popa, D. A., & Radulescu, L. (2022). Odontogenic sinusitis: from diagnosis to treatment possibilities—a narrative review of recent data. Diagnostics, 12(7), 1600.
2. Radman, W. P. (1983). The maxillary sinus—revisited by an endodontist. Journal of Endodontics, 9(9), 382-383.
3. Maloney, P. L., & Doku, H. C. (1968). Maxillary sinusitis of odontogenic origin. Journal of the Canadian Dental Association, 34(11), 591-603.
4. Kim, S. M. (2019). Definition and management of odontogenic maxillary sinusitis. Maxillofacial plastic and reconstructive surgery, 41, 1-11.
5. Djorić, I., Trivić, A., Barna, M., Milić, I., Marković, B., Valjarević, S., & Marinković, S. (2022). Multidetector CT of the nasal cavity and paranasal sinuses variations in 73 patients. Indian Journal of Otolaryngology and Head & Neck Surgery, 1-13.
6. Ata-Ali, J., Diago-Vilalta, J. V., Melo, M., Bagán, L., Soldini, M. C., Di-Nardo, C., ... & Mañes-Ferrer, J. F. (2017). What is the frequency of anatomical variations and pathological findings in maxillary sinuses among patients subjected to maxillofacial cone beam computed tomography? A systematic review. Medicina oral, patologia oral y cirugia bucal, 22(4), e400.
7. Vallo, J., Suominen-Taipale, L., Huumonen, S., Soikkonen, K., & Norblad, A. (2010). Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health Examination Survey. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 109(3), e80-e87.
8. Lu, Y., Liu, Z., Zhang, L., Zhou, X., Zheng, Q., Duan, X., ... & Huang, D. (2012). Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. Journal of endodontics, 38(8), 1069-1074.
9. Sharan, A., & Madjar, D. (2006). Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 102(3), 375-381.
10. Maloney, P. L., & Doku, H. C. (1968). Maxillary sinusitis of odontogenic origin. Journal of the Canadian Dental Association, 34(11), 591-603.
11. Thunthy, K. H. (1998). Diseases of the maxillary sinus. General dentistry, 46(2), 160-5.
12. Maillet, M., Bowles, W. R., McClanahan, S. L., John, M. T., & Ahmad, M. (2011). Cone-beam computed tomography evaluation of maxillary sinusitis. Journal of endodontics, 37(6), 753-757.
13. Kuligowski, P., Jaroń, A., Preuss, O., Gabrysz-Trybek, E., Bladowska, J., & Trybek, G. (2021). Association between odontogenic and maxillary sinus conditions: A retrospective cone-beam computed tomographic study. Journal of Clinical Medicine, 10(13), 2849.
14. Nascimento, E. H. L., Pontual, M. L. A., Pontual, A. A., Freitas, D. Q., Perez, D. E. C., & Ramos-Perez, F. M. (2016). Association between odontogenic conditions and maxillary sinus disease: a study using cone-beam computed tomography. Journal of endodontics, 42(10), 1509-1515.
15. Sánchez-Pérez, A., Boracchia, A. C., López-Jornet, P., & Boix-García, P. (2016). Characterization of the maxillary sinus using cone beam computed tomography. A retrospective radiographic study. Implant dentistry, 25(6), 762-769.
