Keywords
Maxillary sinusitis
Cone-beam computed tomography
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Abstract
Objective: To analyze the occurrence of veiling and thickening of the sinus mucosa with healthy and partially healthy dental elements up to 1/3 of dentin, using Cone Beam Computed Tomography (CBCT). Methods: Quantitative observational-descriptive study. The sample consisted of 239 CBCT images, between 2020 and 2023, analyzed by two evaluators using the Dental Slice software, using an image bank from a dental clinic at an educational institution. To analyze the variables, the Chi-square and Fisher's Exact Tests were used. A significance level of 5% (p-value≤0.05) was applied. The Study was approved by the Research Ethics Committee (opinion:6.513.598). Results: The presence of thickening and veiling was similar between healthy and partially healthy elements with 1/3 of dentin involved with the same value (p= 0.547). Furthermore, the proximity of the root apices to the sinus pathologies mentioned above was evaluated, but without statistical significance (p=0.691). Conclusion: The aforementioned sinus changes did not show a direct correlation with healthy teeth and partially healthy teeth up to 1/3 of the dentin. However, there is a need for more research combining quantitative and qualitative data.
References
ARACENA D et al. Distancia entre la raíz palatina del primer molar superior permanente y el piso del seno maxilar, obtenida mediante tomografía computarizada cone beam. International Journal of Morphology; 2018, 36(4): 1394-1397.
ATA-ALI J et al. 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 Patología Oral y Cirugia Bucal; 2017, 22(4): e400-409.
AUKŠTAKALNIS R, et al. Treatment options for odontogenic maxillary sinusitis: a review. Stomatologia, Baltic Dental and Maxillofacial Journal; 2018, 20(1): 22-26.
BRAÑAS GV, et al. Relation between periapical lesions and sinus membrane thickening assessed by Cone Beam Computed Tomography. Acta Odontológica Latinoamericana; 2018, 31(3): 164-169.
CAROSI MJ, et al. Evaluación de la Distancia Entre los Ápices de los Primeros Premolares Superiores y el Piso del Seno Maxilar. Revista de la Facultad de Odontológia de la Universidad de Buenos Aires; 2021, 36(83): 49-56.
ESTRELA C, et al. Study of Anatomical Relationship between Posterior Teeth and Maxillary Sinus Floor in a Subpopulation of the Brazilian Central Region Using Cone-Beam Computed Tomography - Part 2. Brazilian Dental Journal; 2016, 27(1): 9-15.
FAGUNDES LC, et al. Achados patológicos em seio maxilar em radiografias panorâmicas e tomografia computadorizada: revisão de literatura. Brazilian Journal of Surgery and Clinical Research; 2018, 24(2): 148-153.
FERRARI CH, HASNA AA. Panoramic radiography and cone-beam computed tomography to measure distances between root apexes and anatomical structures. Journal Oral Research; 2022, 11(5): 1-10.
FISCHBORN AR, et al. Prevalência tomográfica de variações anatômicas no complexo nasossinusal em pacientes com sinusite não odontogênica. Arquivos em Odontologia; 2024, 60(2): 10-18.
FUENTES R, et al. Assessment of Maxillary Premolar Region in Relation to Maxillary Sinus Floor and Buccal Bone Plate: A Cone Beam Computed Tomography Study. International Journal of Morphology; 2019, 37(3): 1079-1084.
KIRKHAM-ALI K, et al. Comparison of cone-beam computed tomography and panoramic imaging in assessing the relationship between posterior maxillary tooth roots and the maxillary sinus: A systematic review. Investigative and Clinical Dentistry; 2019, 10(3): e12402.
LIMA CO, et al. Sinusite odontogênica: uma revisão de literatura. Revista Brasileira de Odontologia; 2017, 74(1): 40-44.
LITTLE RE, et al. Odontogenic sinusitis: A review of the current literature. Laryngoscope Investig Otolaryngol, 2018; 3(2): 110-114.
MUNCKHOF TVD, et al. Schneiderian membrane thickness variation following endodontic procedures: a retrospective cone beam computed tomography study. BMC Oral Health; 2020, 20(1): 133.
NOVOA RR, et al. Evaluation of clinical and imaging results in patients with chronic odontogenic rhinosinusitis. Revista de otorrinolaringologia y cirurgía cabeza cuello; 2020, 80(2): 147-156.
PEÑARROCHA-OLTRA S, et al. Association between maxillary sinus pathology and odontogenic lesions in patients evaluated by cone beam computed tomography. A systematic review and meta-analysis. Medicina Oral Patología Oral y Cirugia Bucal; 2020, 25(1): 34-48.
RAJ G, et al. Pathophysiology and clinical presentation of odontogenic maxillary sinusitis. Dentistry Review, 2022, 2(2): 100044.
RODRÍGUEZ M, et al. Relación entre el seno maxilar y ápices de dientes posterosuperiores con tomografía computarizada de haz cónico. International Journal of Morphology; 2023, 41(2): 618-624.
ROQUE-TORRES GD et al. Association between maxillary sinus pathologies and healthy teeth. Brazilian Journal of Otorhinolaryngology; 2016, 82(1): 33-38.
SOUZA, KLM et al. Infecções odontogênicas – patogênese e repercussões sistêmicas: revisão de literatura. International Journal Of Science Dentistry; 2023, 2(61): 175-191.
VOGIATZI, T et al. Incidence of Anatomical Variations and Disease of the Maxillary Sinuses as Identified by Cone Beam Computed Tomography: A Systematic Review. The International Journal of Oral & Maxillofacial Implants; 2014, 29(6): 1301-1314.
ZIRK, M et al. Sinusite maxilar odontogênica: estudo retrospectivo de 121 casos com intervenção cirúrgica. Revista de Cirurgia Crânio-Maxilo-Facial; 2017, 45(4): 520-525.