Is There a Relationship Between Maxillary Sinus Findings and Skeletal Malocclusion?

Abstract Background The maxillary sinus has been considered as an important factor that affects the development of craniomaxillofacial bone. However, the correlation between the maxillary sinus and skeletal malocclusion is controversial. This study aimed to compare the dimensions of the maxillary sinus in patients with different vertical growth patterns and investigated the correlation between the maxillary sinus and craniofacial parameters.Methods This descriptive study included 90 patients from age 15 to 20 years old. According to the vertical growth patterns that were classified by MP-FH (angle between the mandibular plane and Frankfort horizontal plane), they were equally divided into three groups: high-, low- and normal-angle, and the gender ratio was 1:1. Cephalometric tracings were conducted from CBCT images, which were also used to measure the dimensions and volume of the maxillary sinus. Data were analyzed with one-way ANOVA, Pearson’s correlation coefficient, and multiple comparison LSD.Results The variables of the maxillary sinus, including the volume, length, and width, among different groups, were significant(p<0.05). The variables of mandibular body length were significantly correlated with the volume of the maxillary sinus (p<0.01), and the coefficient was 0.425.Conclusions The maxillary sinus volume, length, and width were larger in low-angle patients. The mandibular body length had a significantly positive correlation with the maxillary sinus volume.

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Correlation Between the Extension of the Maxillary Sinus Floor and Malocclusion in Adolescent Patients Using a Cone-Beam Computed Tomography

10.21203/rs.3.rs-24047/v1 ◽

2020 ◽

Author(s):

min xu ◽

xiaoxiao zhang ◽

jiacai he ◽

xinxing guo ◽

yuanyuan sang ◽

...

Keyword(s):

Computed Tomography ◽

Maxillary Sinus ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

High Angle ◽

Root Tips ◽

Second Molar ◽

Skeletal Malocclusion ◽

Sinus Floor ◽

Average Angle

Abstract Background: The correlation between extension of the maxillary sinus floor and vertical facial skeletal patterns is important for designing orthodontic treatment plans. We correlated the extension of the maxillary sinus (MS) floor with different facial skeletal malocclusion in adolescent patients aged 10-19 years old using a cone-beam computed tomography. Methods: The relationship between the root tips of upper posterior teeth and the sinus floor was typed and scored (0-4) using cone-beam computed tomography (CBCT) images. Scores of each tooth and each patient were formulated.The cephalometric radiographs were analyzed with Dolphin software to diagnose patients' facial skeletal types into three groups according to Frankfort mandibular plane angle (FMA) as high-angle, average-angle and low-angle groups and ANB angle as Class I, Class II and Class III groups separately. The influences caused by age, sex, and facial skeletal malocclusion on the tooth and patient score were analyzed. Results: In high-angle group, the first molar (FM) score was significantly higher than that in the average-angle and low-angle groups (P = 0.018). Age has a positive effect on the patient score and some of the tooth scores, such as the second premolar (SPM) score, FM score, and the second molar (SM) score, and in the skeletal facial malocclusion. With increasing age, SM score increased along with the Frankfort mandibular plane angle (FMA). No significant difference was found in the distribution of patient and tooth scores by ANB angles. Conclusion: The relationship between the maxillary posterior roots and the sinus floor is correlated with facial skeletal malocclusion in 10- to 19-year-old adolescents. More first molar root tips were inside the sinus in the high-angle group compared with the average-angle and low-angle skeletal patterns. With advancing age, more second molar root tips were more close to contact the sinus floor in the high-angle group. Consideration of the root-sinus position in the posterior maxillary area before establishing an orthodontic treatment plan is recommended.

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Correlation Between the Extension of the Maxillary Sinus Floor and Malocclusion in Adolescent Patients Using a Cone-beam Computed Tomography

10.21203/rs.3.rs-66905/v1 ◽

2020 ◽

Author(s):

Min Xu ◽

Xiaoxiao Zhang ◽

Jiacai He ◽

Xinxing Guo ◽

Yuanyuan Sang ◽

...

Keyword(s):

Computed Tomography ◽

Maxillary Sinus ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

High Angle ◽

Root Tips ◽

Second Molar ◽

Skeletal Malocclusion ◽

Sinus Floor ◽

Average Angle

Abstract Background: The correlation between extension of the maxillary sinus floor and vertical facial skeletal patterns is important for designing orthodontic treatment plans. We correlated the extension of the maxillary sinus (MS) floor with different facial skeletal malocclusion in adolescent patients aged 10-19 years old using a cone-beam computed tomography. Methods: The relationship between the root tips of upper posterior teeth and the sinus floor was typed and scored (0-4) using cone-beam computed tomography (CBCT) images. Scores of each tooth and each patient were formulated. The cephalometric radiographs were analyzed with Dolphin software to diagnose patients' facial skeletal types into three groups according to Frankfort mandibular plane angle (FMA) as high-angle, average-angle and low-angle groups and ANB angle as Class I, Class II and Class III groups separately. The influences caused by age, sex, and facial skeletal malocclusion on the tooth and patient score were analyzed. Results: In high-angle group, the first molar (FM) score was significantly higher than that in the average-angle and low-angle groups (P = 0.018). Age has a positive effect on the patient score and some of the tooth scores, such as the second premolar (SPM) score, FM score, and the second molar (SM) score, and in the skeletal facial malocclusion. With increasing age, SM score increased along with FMA angles. No significant difference was found in the distribution of patient and tooth scores by ANB angles. Conclusion: The relationship between the maxillary posterior roots and the sinus floor is correlated with facial skeletal malocclusion in 10- to 19-year-old adolescents. More first molar root tips were inside the sinus in the high-angle group compared with the average-angle and low-angle skeletal patterns. With advancing age, more second molar root tips were more close to contact the sinus floor in the high-angle group. Consideration of the root-sinus position of the posterior maxillary area in different skeletal malocclusion before establishing an orthodontic treatment plan is recommended.

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Perbedaan ukuran sinus maksilaris pada maloklusi kelas I, II, dan III skeletal ditinjau dari radiografi sefalometriThe difference in the maxillary sinus size of skeletal class I, II, and III malocclusions in terms of cephalometric radiographs

Jurnal Kedokteran Gigi Universitas Padjadjaran ◽

10.24198/jkg.v33i1.30240 ◽

2021 ◽

Vol 33 (1) ◽

pp. 53

Author(s):

Brandon Thamran ◽

Mimi Marina Lubis

Keyword(s):

Maxillary Sinus ◽

Class Ii ◽

Class I ◽

Class Iii ◽

Skeletal Class ◽

Skeletal Malocclusion ◽

Skeletal Class Ii ◽

Significant Difference ◽

Males And Females ◽

The Mean

Pendahuluan: Ukuran sinus maksilaris dapat dipengaruhi maloklusi skeletal, oleh karena itu pengetahuan dalam perkembangan dan ukuran sinus maksilaris penting dalam diagnosa dan menentukan rencana perawatan kasus maloklusi. Tujuan penelitian untuk menganalisis perbedaan rerata ukuran sinus maksilaris pada maloklusi kelas I, II, dan III skeletal pada laki-laki dan perempuan. Metode: Jenis penelitian Penelitian deskriptif analitik dilakukan pada 96 pasien RSGM USU usia 18-35 tahun dengan Teknik purposive sampling, terdiri dari 27 relasi rahang Kelas I, 31 Kelas II dan 22 Kelas III. Subjek diperoleh melalui pengukuran metode Steiner. Hasil tracing dipindahkan melalui scanner dan pengukuran luas Sinus Maksilaris dengan program AutoCAD. Hasil: Rerata sinus maksilaris Kelas I skeletal adalah 1492,18268,44 mm2 untuk laki-laki dan 1614,80259,13 mm2 untuk perempuan p=0,275, maka tidak ada perbedaan signifikan antara rerata sinus maksilaris Kelas I skeletal pada laki-laki dan perempuan, Kelas II skeletal adalah 1879,75 mm2 untuk laki-laki dan 1544,41239,47 mm2 untuk perempuan diperoleh p=0,016, maka terdapat perbedaan signifikan antara rerata sinus maksilaris Kelas II skeletal pada laki-laki dan perempuan, dan Kelas III skeletal adalah 1619,36 mm2 untuk laki-laki dan 1489,92 mm2 untuk perempuan diperoleh p=0,239, maka tidak ada perbedaan signifikan antara rerata sinus maksilaris Kelas III skeletal pada laki-laki dan perempuan. Rerata ukuran antar kelompok didapatkan 1572,93 263,72 mm2 untuk Kelas I skeletal, 1609,32 mm2 untuk Kelas II skeletal, dan 1531,11 mm2 untuk Kelas III skeletal dengan p=0,600, Hasil ini menunjukkan tidak ada perbedaan rerata sinus maksilaris pada maloklusi Kelas I, Kelas II dan Kelas III skeletal. Simpulan: Tidak ada perbedaan pada rerata ukuran sinus maksilaris pada maloklusi Kelas I, Kelas II dan Kelas III skeletal.Kata kunci: Ukuran sinus maksilaris, maloklusi skeletal, analisa Steiner, radiogram sefalometri. ABSTRACTIntroduction: Maxillary sinus size can be affected by skeletal malocclusion. Therefore knowledge of maxillary sinus development and size is essential in diagnosing and determining the treatment plan for malocclusion cases. This study was aimed to analyse the mean difference in maxillary sinus size in skeletal class I, II, and III malocclusions in males and females. Methods: This type of study was a descriptive-analytic study conducted on 96 patients at Universitas Sumatera Utara Dental Hospital aged 18-35 years with a purposive sampling technique, consisting of 27 Class I, 31 Class II and 22 Class III jaw relations. Subjects were obtained by measuring the Steiner method. The tracing results were transferred through a scanner and measuring the maxillary sinus area using the AutoCAD program. Results: The mean skeletal Class I maxillary sinus was 1492.18268.44 mm2 for men and 1614,80259.13 mm2 for women p = 0.275, so there was no significant difference between the mean skeletal Class I maxillary sinus in males and females. Class II skeletal is 1879.75 mm2 for men and 1544.41239.47 mm2 for women obtained p = 0.016. Hence, there is a significant difference between the mean skeletal Class II maxillary sinus in males and females, and skeletal Class III is 1619.36 mm2 for men and 1489.92 mm2 for women obtained p = 0.239, so there was no significant difference between the mean skeletal Class III maxillary sinus in males and females. The mean size between groups was 1572.93 263.72 mm2 for skeletal Class I, 1609.32 mm2 for skeletal Class II, and 1531.11 mm2 for skeletal Class III with p = 0.600. skeletal Class I, Class II and Class III malocclusions. Conclusion: There was no difference in mean maxillary sinus size in skeletal Class I, Class II and Class III malocclusions.Keywords: Maxillary sinus size, skeletal malocclusion, Steiner analysis, cephalometric radiograph.

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