Association between endodontic conditions and the relationship of upper posterior teeth and thickening of the maxillary sinus mucosa. A study with cone beam computerized tomography
Published 2024-12-20
Keywords
- Maxillary sinus,
- Cone beam computed tomography,
- Anatomy,
- Radiography,
- Imaging
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Copyright (c) 2024 Brazilian Journal of Health and Biomedical Sciences
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Abstract
Introduction: Sinus mucosal thickness and maxillary sinusitis can be caused by several predisposing factors. Some studies indicate that sinusitis may be of odontogenic origin and correspond to 10 to 12% of maxillary sinusitis. Objective: To assess the odontogenic conditions of the maxillary posterior teeth and their proximity to the maxillary sinus (SM) and correlate them with mucosal thickness of the SM, using cone beam computed tomography images. Methodology and resources: CBCT images of 393 patients aged between 18 and 75 years were analyzed, observing aspects such as the presence of root canal fillings, periapical lesions, and the contact of the roots of the maxillary posterior teeth with the floor of the SM. Results and discussion: All results are presented as odds ratios (OR) and 95% confidence intervals (CIs). It is observed that there are statistically significant differences (p<0.001) between the variables studied, and the chance of thickness of the MS mucosa is greater in men (1.73%), 7.27% when there are the presence periapical lesions and 2.03% in the presence of endodontic treatment. Conclusion: It is concluded that periapical lesions, root canal filling and proximity of the dental roots with the floor of the maxillary sinus, interfere in the appearance of sinus mucosal thickness.
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References
- Sérgio Batista P, Do Rosário Junior AF, Wichnieski C. Contribuição para o estudo do seio maxilar. Revista Portuguesa de Estomatología, Medicina Dentária e Cirugia Maxilofacial. 2011 Oct;52(4):235–9.
- Kasikcioglu A, Gulsahi A. Relationship between maxillary sinus pathologies and maxillary posterior tooth periapical pathologies. Oral Radiol. 2016 Sep 28;32(3):180–6.
- Shanbhag S, Karnik P, Shirke P, Shanbhag V. Association between Periapical Lesions and Maxillary Sinus Mucosal Thickening: A Retrospective Cone-beam Computed Tomographic Study. J Endod. 2013 Jul;39(7):853–7.
- Aksoy U, Kermeoğlu F, Kalender A, Eren H, Kolsuz ME, Orhan K. Cone-beam computed tomography evaluation of palatogingival grooves: a retrospective study with literature review. Oral Radiol. 2017 Sep 3;33(3):193–8.
- Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. 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. 2010 Mar;109(3):e80–7.
- Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, et al. Associations between Maxillary Sinus Mucosal Thickening and Apical Periodontitis Using Cone-Beam Computed Tomography Scanning: A Retrospective Study. J Endod. 2012 Aug;38(8):1069–74.
- Melén I, Lindahl L, Andréasson L, Rundcrantz H. Chronic Maxillary Sinusitis: Definition, Diagnosis and Relation to Dental Infections and Nasal Polyposis. Acta Otolaryngol. 1986 Jan 8;101(3–4):320–7.
- Aksoy U, Orhan K. Association between odontogenic conditions and maxillary sinus mucosal thickening: a retrospective CBCT study. Clin Oral Investig. 2019 Jan 17;23(1):123–31.
- De Lima CO, Devito KL, Vasconcelos LRB, Prado M Do, Campos CN. Sinusite odontogênica: uma revisão de literatura. Rev Bras Odontol. 2017 Mar 31;74(1):40.
- Phothikhun S, Suphanantachat S, Chuenchompoonut V, Nisapakultorn K. Cone-Beam Computed Tomographic Evidence of the Association Between Periodontal Bone Loss and Mucosal Thickening of the Maxillary Sinus. J Periodontol. 2012 May;83(5):557–64.
- Janner SFM, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011 Dec;22(12):1446–53.
- Rege ICC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health. 2012 Dec 10;12(1):30.
- Eberhardt JA, Torabinejad M, Christiansen EL. A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surgery, Oral Medicine, Oral Pathology. 1992 Mar;73(3):345–7.
- Kang SH, Kim BS, Kim Y. Proximity of Posterior Teeth to the Maxillary Sinus and Buccal Bone Thickness: A Biometric Assessment Using Cone-beam Computed Tomography. J Endod. 2015 Nov;41(11):1839–46.
- Tian X mei, Qian L, Xin X zhen, Wei B, Gong Y. An Analysis of the Proximity of Maxillary Posterior Teeth to the Maxillary Sinus Using Cone-beam Computed Tomography. J Endod. 2016 Mar;42(3):371–7.
- Aksoy U, Aksoy S, Orhan K. A cone-beam computed tomography study of the anatomical relationships between mandibular teeth and the mandibular canal, with a review of the current literature. Microsc Res Tech. 2018 Mar;81(3):308–14.
- Camargo MBJ, Dumith SC, Barros AJD. Uso regular de serviços odontológicos entre adultos: padrões de utilização e tipos de serviços. Cad Saude Publica. 2009 Sep;25(9):1894–906.
- Bornstein MM, Wasmer J, Sendi P, Janner SFM, Buser D, von Arx T. Characteristics and Dimensions of the Schneiderian Membrane and Apical Bone in Maxillary Molars Referred for Apical Surgery: A Comparative Radiographic Analysis Using Limited Cone Beam Computed Tomography. J Endod. 2012 Jan;38(1):51–7.
- Goller-Bulut D, Sekerci AE, Kose E, Sisman Y. Cone beam computed tomographic analysis of maxillary premolars and molars to detect the relationship between periapical and marginal bone loss and mucosal thickness of maxillary sinus. Med Oral Patol Oral Cir Bucal. 2015;e572–9.
- Nunes CABCM, Guedes OA, Alencar AHG, Peters OA, Estrela CRA, Estrela C. Evaluation of Periapical Lesions and Their Association with Maxillary Sinus Abnormalities on Cone-beam Computed Tomographic Images. J Endod. 2016 Jan;42(1):42–6.
- Yildirim E, Ciftci ME, Kamak G, Aktan AM. Evaluation of the relationship between maxillary sinus floor position and maxillary sinusitis using cone beam computed tomography. Oral Radiol. 2017 Jan 11;33(1):16–22.
- Hauman CHJ, Chandler NP, Tong DC. Endodontic implications of the maxillary sinus: a review. Int Endod J. 2002 Feb;35(2):127–41.
- Longhini AB, Ferguson BJ. Clinical aspects of odontogenic maxillary sinusitis: a case series. Int Forum Allergy Rhinol. 2011 Sep;1(5):409–15.
- Nurbakhsh B, Friedman S, Kulkarni G V., Basrani B, Lam E. Resolution of Maxillary Sinus Mucositis after Endodontic Treatment of Maxillary Teeth with Apical Periodontitis: A Cone-Beam Computed Tomography Pilot Study. J Endod. 2011 Nov;37(11):1504–11.
- Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam Computed Tomography Evaluation of Maxillary Sinusitis. J Endod. 2011 Jun;37(6):753–7.
- Baracat ECE, Araújo-Neto SA de. Clinical progression of incidental tomographic findings in paranasal sinuses of asymptomatic individuals: cohort study. J Pediatr (Rio J). 2011 Sep 30;