scholarly journals Evaluation of the antral pseudocysts and maxillary sinus septas by using cone-beam computed tomography

2020 ◽  
Vol 10 (2) ◽  
pp. 30-35
Author(s):  
Mustafa Yalçın ◽  
Nihat Laçin

Purpose: The aim of this study was to evaluate the prevalence of antral pseudocysts(AP), maxillary sinus septas(MSS) and the relationship between AP and MSS by using cone-beam computed tomography(CBCT).Methodology: The CBCT scans of 466 patients (237 male, 229 female ranging in age between 13 and 83) were included in our study. The presence or absence of AP and MSS were confirmed at axial, sagittal, and coronal sections of CBCT images by considering gender and localization. For statistical analysis, Pearson chi-square and Spearman correlation tests were used.Results: One hundred-ninety eight out of 466 (42.49%) patients had AP in the right and left maxillary sinus. There was a significant difference in the prevalence of AP between men and women (p≤0.001). The prevalence of AP was higher in men than in women. Twenty-eight out of 237 patients in men(11.81%) and 35 out of 229 patients in women(15.28%) had MSS in the right and left maxillary sinus. Conclusion: The prevalence of AP and MSS was 42.49% and 13.52%, respectively and the prevalence of MSS was lower in our study than other studies. We did not determine the relationship between AP and MSS in the maxillary sinuses.   How to cite this article: Yalçın M, Laçin N. Evaluation of the antral pseudocysts and maxillary sinus septas by using cone-beam computed tomography. Int Dent Res 2020;10(2):30-35. https://doi.org/10.5577/intdentres.2020.vol10.no2.1   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

2019 ◽  
Vol 9 (2) ◽  
pp. 41-45
Author(s):  
Nihat Laçin ◽  
Bozan Serhat İzol

Aim: The aim of the study was to examine the prevalence of maxillary sinus septa (MSS) in a Turkish population, using cone-beam computed tomography (CBCT).
  Methodology: The CBCT images of 350 untreated patients (178 male, 172 female ranging in age between 18 and 65) were included in this study. The presence or absence of MSS was determined in axial, sagittal, and coronal planes by considering gender and side. For statistical evaluation, a chi‐square test was used to determine any differences in the prevalence of MSS with significance set at 5%.  Results: MSSs were observed in 201 out of 700 sides (28.71%) and 141 out of 350 patients (40.28%), of which, 70 were in males and 71 in females. MSS were also observed in a higher prevalence on the bilateral side. (17.14%). Female patients showed higher prevalence (41.27%) than the male patients (39.32%). Conclusion: MSS was observed in 40.28% of examined Turkish subjects and detected more frequently in females and on the bilateral side.   How to cite this article: Laçin N, İzol BS. Evaluation of septas in maxillary sinus with cone-beam computed tomography. Int Dent Res 2019;9(2):41-5.   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2019 ◽  
Vol 48 ◽  
Author(s):  
Camila Furtado de SOUZA ◽  
Adriano de Oliveira LOURES ◽  
Daniella Guedes de Figueiredo LOPES ◽  
Karina Lopes DEVITO

Abstract Introduction Pneumatization of the maxillary sinus may make it impossible to insert implants directly in the posterior region of the maxilla, and in these cases, the solution is to submit the patient to maxillary sinus floor augmentation surgery. The most common complication of this surgery is sinus membrane perforation. Anatomical variations of the internal space of the sinus, such as the bone septa, may further hamper detachment of this membrane. Objective To evaluate the prevalence and characteristics of sinus septa in patients from the Zona da Mata Mineira (Minas Gerais, Brazil), to offer relevant information for a safer planning of surgeries involving this region. Material and method A total of 120 patients (240 sinuses) were analyzed using cone-beam computed tomography (CBCT) images, verifying the presence of sinus septa and classifying them for size and anteroposterior location. Result Of the 120 patients analyzed, 45 (37.50%) had sinus septa, 66 septa in total. Of these, 33 (50%) were present in the middle region of the maxillary sinus and the mean septum size was 7.23 mm. There was no significant difference in the septum size between the genders or between the right and left sides. Conclusion The high rates of incidence of sinus septa justify their study, which should be based mainly on accurate exams, such as CBCT, since they represent one of the most relevant anatomical variations for the cases of sinus surgeries.


2014 ◽  
Vol 15 (5) ◽  
pp. 618-622 ◽  
Author(s):  
Abbas Shokri ◽  
Sima Lari ◽  
Faezeh Yousefi ◽  
Laya Hashemi

ABSTRACT Aim This study was conducted to assess the vertical and horizontal relationship between the maxillary sinus floor and maxillary posterior teeth roots using cone beam computed tomography. Materials and methods In this cross-sectional study, the CBCT images presented in the radiology department of Hamadan dental school was used. From 450 observed CBCT, 340 of them did not have the inclusion criteria of the study and ultimately 110 CBCT were selected. Totally 214 first premolars, 217-second premolars, 220 first molars and 220-second molars were included. For evaluating the relationship between the maxillary sinus floor and the posterior maxillary teeth, the classification implemented in the study of Jung in 2009 was used. The relation was evaluated by two radiologists twice with a 2-week time interval. Results One hundred and ten patients with a mean age of 31.06 ± 9.7 years were assessed. Type 0 relationship (the maxillary sinus floor is located above the root tip) was most frequently observed with the first and second premolars. The most common type observed in the first and second molars was type 3 (apical protrusion is seen over the maxillary sinus floor). The relation between different types and gender was statistically meaningful, while no statistically significant difference was found between the right and left side assessments. Conclusion This study showed that although most of the teeth did not have contact with the sinus floor, but the more posterior the maxillary teeth, the more probability for root protruding into the maxillary sinus. It also confirmed that protrusion of teeth roots into the maxillary sinus is more common in male than female. Clinical significance Knowing the anatomical relation between the posterior teeth and the maxillary sinus, help the clinician in preoperative treatment planning of the posterior maxillary teeth and avoid problems that may occur during dental practice. How to cite this article Shokri A, Lari S, Yousefi F, Hashemi L. Assessment of the Relationship between the Maxillary Sinus Floor and Maxillary Posterior Teeth Roots using Cone Beam Computed Tomography. J Contemp Dent Pract 2014;15(5): 618-622.


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.


Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 840
Author(s):  
Alexandra Dumitrescu ◽  
Maria-Alexandra Martu ◽  
Alexandru Nemtoi ◽  
Ana Sirghe ◽  
Liliana Chelaru ◽  
...  

Background and Objectives: Odontogenic sinusitis is a frequently underestimated pathology with fewer symptoms in patients with periapical lesions, periodontal disease, or iatrogenic foreign bodies in the maxillary sinus. The aim of our study was to determine the correlation between maxillary sinusitis and periapical lesions using cone-beam computed tomography (CBCT) imaging and histological and immunohistochemical investigations. Materials and Methods: A total of 1450 initial patients diagnosed with maxillary sinusitis in the Ear-Nose-Throat (ENT) Department, University of Medicine and Pharmacy “Grigore T. Popa” Iasi, Romania, were treated with anti-inflammatory drugs. Of these, 629 still had unresolved symptomatology and were later referred to the Dental Medicine departments for further investigations. Only 50 subjects with periapical lesions in the premolar/molar maxillary area were included in the present study. All the periapical lesions were observed on CBCT and classified using the Periapical Status Index (PSI) and the mean maxillary sinus mucosa thicknesses (MSMT). The enrolled patients underwent surgical procedures with the excision of periapical lesions. The excised samples were submitted to the histological and immunohistochemical investigations. Results: The 50 patients presented periapical lesions of their maxillary teeth in 328 dental units. There was a higher prevalence of periapical lesions in men than in women (chi-square test). We observed a significant difference between the mean MSMT of individuals with periapical lesions compared to those without (p < 0.01). Mean MSMT was 1.23 mm for teeth without periapical lesions and 3.95 mm for teeth with periapical lesions. The histopathological study identified 50% cases with periapical granulomas, 10% cases with periapical granulomas with cystic potential, and 40% cases as periapical cysts. Immunohistochemical stainings showed that CD4+ helper and CD8+ cytotoxic T lymphocytes, along with CD20+ B lymphocytes and CD68+ macrophages, were diffusely distributed in all periapical cysts and in some periapical granulomas, but CD79α+ plasma cells characterized especially periapical granulomas. Conclusions: The current study observed a significant correlation between CBCT maxillary mucosa thickness and type of periapical lesion. Chronic inflammatory lympho-histiocytic infiltrate predominates in periapical lesions, supporting the idea that lesion progression is determined by a humoral-type (CD20+ and CD79α+ B lymphocytes) but also by a cellular-type (CD4+ and CD8+ T lymphocyte population) immune mechanism.


2017 ◽  
Vol 7 (2) ◽  
pp. 20
Author(s):  
Seda Falakaloglu ◽  
Artemisa Veis

Aim: Knowledge of the position of the mental foramen is important to prepare strategy when administering regional anesthesia, performing dental surgical procedures, endodontic treatments. Also, it is critical to analyze diameter of mental foramen in sagittal, coronal, and axial images.  The aim of this retrospective study was to determine the diameter of the MF in different planes from CBCT images. Methodology: This study was designed at Department of Endodontics, Dicle University, Diyarbakır, Turkey. One hundred twenty three (67 female, 56 male) CBCT scans that met the study criteria were obtained. All images were obtained from i-CAT (Imaging Sciences International, Hatfield, PA). Data were analyzed using Student’s t-tests and Tukey HSD tests. Results: For the analysis of age, data were divided into four groups: 12–17, 18–29, 30–49, and ≥50 years. The data were also divided into two groups by gender. Axial and coronal image measurements were also divided into right and left. There was a statistical difference compared with females and males (p<0.05). In the coronal plane, the right region showed significant differences in measurements between the groups (p<0.05). In the axial plane, there was no statistically significant difference between them (p>0.05). The differences between the groups in the left region in the axial plane measurements were significant (p<0.05). Conclusions: Using CBCT imaging superimposition of anatomical structures can be eliminated. It is important that determine that the size of the mental foramen. This study is a retrospective study using CBCT from patient and find that the size of the mental foramen. How to cite this article: Falakaloglu S, Veis A. Determining the size of the mental foramen: A cone-beam computed tomography study. Int Dent Res 2017;7:20-25. 


2018 ◽  
Vol 8 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Nihat Laçin ◽  
Emre Aytuğar ◽  
İlknur Veli

Aim: The aim of the study was to examine the prevalence of bifid mandibular canals (BMC) in a Turkish population, using cone-beam computed tomography (CBCT). Methodology: The CBCT images of 350 untreated patients (178 male, 172 female ranging in age between 18 and 65,) were included in this study. The presence or absence of BMC was determined in axial, sagittal, and coronal planes by considering gender and side. For statistical evaluation, a chi‑square test was used to determine any differences in the prevalence of BMC with significance set at 5%. Results: BMCs were observed in 129 out of 700 sides (18.42%) and 97 out of 350 patients (27.71%), of which, 55 were in males and 42 in females. Regardless of gender, the right side was more frequently affected (73%). Male patients showed higher prevalence (15.71%) than the female patients (12%). Conclusion: BMC was observed in 27.71% of examined Turkish subjects and detected more frequently in males and on the right side.


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