scholarly journals Intrusion of maxillary molar roots into the maxillary sinus in a sample of the Egyptian population using cone beam computed tomography

Author(s):  
Esraa Ahmed Eid ◽  
Fatma Mostafa El-Badawy ◽  
Walaa Mohamed Hamed

Abstract Background The proximity of the maxillary sinus floor to the maxillary molar roots increases the probability of oroantral communication on conducting any surgical or endodontic procedure in the involved area. The aim of this study is to evaluate the relationship between each maxillary molar root and maxillary sinus floor using cone beam computed tomography. Predicting the probability of protrusion of each root into the sinus will consequently predict the probability of occurrence of the oroantral fistula in a sample of the Egyptian population. Results The total number of roots located outside the sinus was 121 (35.3%), while those contacting the sinus floor were 80 (23.3%) and those intruded the sinus were 141 (41.2%). The percentage of root intrusion into the sinus in males (56.9%) was significantly (p = 0.01) higher than females (42.9%). The probability of root intrusion in the left molars (54.2%) was non-significantly (p = 0.067) higher than that of the right side (44.3%). As for the type of tooth, the second molar showed the highest probability of root intrusion into the sinus (55.3%) followed by the third molars (52.6%) then the first molars (40.9). According to the type of root, the mesiobuccal root showed the highest probability of intrusion into the sinus (50.9%) followed by the palatal root (49.1%) then the distobuccal root (47.4%). However, the difference in both type of tooth and type of root was statistically non-significant (p = 0.051 and 0.869 respectively). As for the individual root with the highest probability of intrusion, the mesio-buccal root of the right third molar is the most frequent root to intrude the sinus (71.4%) and the mesio-buccal root of the right first molar is the least frequent (22.7%). Conclusions In a sample of the Egyptian population, males exhibit higher probability of root protrusion into the sinus than females. The side and type of tooth are of higher impact on the probability of its intrusion into the sinus compared to the type of root. Left second molars are at a higher risk of oroantral communications on surgical or endodontic procedures compared to other molars due to its highest probability of intrusion into the sinus.

2020 ◽  
Vol 30 (3) ◽  
pp. 11-19
Author(s):  
Cecilia González ◽  
◽  
Mario Sezin ◽  
Juan C Ibañez

Objective: To evaluate the thickness of the maxillary sinus mucosa before and after performing the elevation of the maxillary sinus floor in partially and very edentulous patients in the posterior sector using cone beam computed tomography images. Methods: Pre and postsurgical tomographic images of 31 cases were included; 24 of which were a unilateral maxillary sinus floor elevation procedure, while 7 cases involved both pneumatic cavities. Measurements were taken at the sagittal and coronal planes. All of them, perpendicular to the sinus mucosa. A retrospective analysis of cone beam computed tomography was performed and the groups were compared with the Wilcoxon test for related samples and the variables graft size, preoperative membrane thickness, age and gender with multivariate analysis. Setting the level of statistical significance p <0.05. Results: A great variability of the thickness of the sinus membrane was confirmed, both in the pre-operative and in the post-operative. It was observed that the mean values in millimeters obtained in the pre-op were 1.45 and 1.12 in the post-op. The medians showed that the membrane thickness values are more atypical and more extreme in the preoperative values (0.79) than in the postoperative values (0.94), which are more normal and uniform. Conclusion: Under the conditions analyzed, there was an absence of changes in the dimensions of the sinus mucosa in the pre and postoperative period of the tomographic images, highlighting evidence of great inter-individual variability.


2017 ◽  
Vol 6 (3) ◽  
pp. 49-60
Author(s):  
Mahdieh Dehghani ◽  
Elham Motallebi ◽  
Alireza Navabazam ◽  
Hadi Montazerlotfelahi ◽  
Fatemeh Ezoddini ◽  
...  

2016 ◽  
Vol 27 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Carlos Estrela ◽  
Carla A. B. C. M. Nunes ◽  
Orlando Aguirre Guedes ◽  
Ana Helena G. Alencar ◽  
Cynthia R. A. Estrela ◽  
...  

Abstract This study evaluated the anatomical relationship between posterior teeth root apices and maxillary sinus floor (MSF) on 202 cone beam computed tomography (CBCT) exams. The distance between the root apices and the MSF, as well as the MSF thickness of the cortical bone closest to root apices and furcation regions were measured. The vertical and horizontal relationships of the MSF with the molar roots were classified into categories adapted from the criteria proposed by Kwak et al. (14). The shortest distances between MSF and the root apices were observed in the mesiobuccal root of the second molar (0.36±1.17 mm) and the palatal root of the first molar (0.45±1.10 mm) and the widest in buccal roots of the first premolars (5.47±4.43 mm). Significant differences were observed between the distance of MSF to the root apices of single-rooted first and second premolars. The cortical thickness ranged from 0.65±0.41 mm over the mesiobuccal root of the second molar to 1.28±0.42 mm over the buccal root of the first premolar. The most observed vertical and horizontal relationships were type II and 2H, respectively. The maxillary molar roots showed greater proximity to the MSF. The thickness of the MSF cortical bone closest to the apices and furcation regions was found to be similar only for premolars.


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