Association between Odontogenic Conditions and Maxillary Sinus Disease: A Study Using Cone-beam Computed Tomography

Nascimento, Eduarda Helena Leandro; Pontual, Maria Luiza Anjos; Pontual, Andréa Anjos; Freitas, Deborah Queiroz; Perez, Danyel Elias Cruz; Ramos‐Perez, Flávia Maria de Moraes

doi:10.1016/j.joen.2016.07.003

Cited by 71 publications

(141 citation statements)

References 31 publications

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“…In the study carried out by Nascimiento et al [2] in 400 patients, it was observed that SM thickening is associated with PL higher in men, while in this study with a sample of 976, it is corroborated that there is association between SM and PL, but to a low degree for both sexes equally.…”

Section: Discussionsupporting

confidence: 66%

“…On the other hand, some studies such as the one carried out by Nascimento et al [2] found that there was no statistically significant relationship between the thickening of the Schneider membrane and some periapical pathologies. Likewise, Bloque and Dastoury [4] in their study found that healthy teeth and teeth with some pathology did not show significant differences regarding Schneider membrane thickening.…”

Section: Introductionmentioning

confidence: 94%

“…Schneider's membrane involvement may be due to different factors; however, in several studies, periapical lesions have been identified as the main cause of this [1][2][3][4][5][6]. is can be observed by means of auxiliary examinations, such as conebeam tomography, in such a way that if we find periapical lesions (PL) adjacent to the maxillary sinus; in many cases, they produce some alteration directly to Schneider membrane (SM), and this relation can even be observed clinically in the patient as is the case of sinusitis as a result of an infectious complication of the periapex.…”

Section: Introductionmentioning

confidence: 99%

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Periapical Lesions and Their Relationship to Schneider’s Membrane in Cone-Beam Computed Tomography

Cayo-Rojas

Begazo-Jiménez

Romero-Solórzano

et al. 2020

International Journal of Dentistry

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Objective. To determine the relationship between the height of the periapical lesions adjacent to the maxillary sinus and the thickness of the Schneider membrane evaluated with cone-beam tomography. Materials and Methods. The universe was made up of 2432 tomography scans and a sample of 976, by systematic random sampling, and took into account those that presented any of the variables and/or both. For the relationship analysis, the sample was distributed according to sex, maxillary side, and age; it was formed between 18 and 86 years, in age groups of 18–36 years, 37–48 years, 49–59 years, and 60–86 years. The quantitative variables of the statistic descriptive analysis, hypothesis tests, and Spearman correlation were recorded. Results. A significantly low correlation (p<0.010) was observed between the periapical lesions and the thickness of the Schneider membrane in women (rho = 0.38) and men (rho = 0.32); in the same way, a significantly low correlation was observed in the age groups of 18–36 years (rho = 0.27) and 37–48 years (rho = 0.28), while a significantly moderate correlation was observed in the age groups of 49–59 years (rho = 0.45) and 60–86 years (rho = 0.44), and with respect to the sides, a significantly low correlation (rho = 0.28) was obtained for the right side and a significantly moderate correlation (rho = 0.45) was obtained on the left side. Conclusion. We found that the height of the periapical lesions and the thickness of the Schneider membrane are significantly related according to age, sex, and maxillary side, this relationship being accentuated at an older age and on the left side.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Periapical Lesions and Their Relationship to Schneider’s Membrane in Cone-Beam Computed Tomography

Cayo-Rojas

Begazo-Jiménez

Romero-Solórzano

et al. 2020

International Journal of Dentistry

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“…Studies evaluating the thickening of sinus mucosa in order to specify its severity level have agreed that mucosal thickening (MT) more than 2 mm is an important indicator of sinus disease (Rak et al 1991, Vallo et al 2010, Maillet et al 2011, Janner et al 2011, Lu et al 2012, Shanbhag et al 2013, Roque-Torres et al 2016, Capelli & Gatti 2016, Lathiya et al 2018, Aksoy & Orhan 2019. In addition to the thickness, the type of MT (flat or polypoid) has been considered as another important parameter for the diagnosis of OMS (Nascimento et al 2016). Nevertheless, most studies evaluated either the amount or the type of mucosal thickness but not both.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT

Gürhan¹,

Şener²,

Mert

et al. 2020

Int Endodontic J

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Aim To evaluate the effect of various parameters of periapical lesion(s) on the amount and type of mucosal thickening using cone beam CT images. Methodology CBCT scans of 1000 patients were evaluated retrospectively for the presence of apical lesions in maxillary posterior teeth associated with sinus mucosal thickening. The number of cases with pathological mucosal thickening was recorded and classified according to the amount and type of mucosal thickening. The parameters evaluated as the cause of mucosal thickening were the type and number of posterior teeth, number of root(s), diameter of the periapical lesion and distance between maxillary sinus and lesion. Descriptive statistics and multiple logistic regression was used for data analyses. Spearman's correlation coefficient was used for pair‐wise comparisons. Intrarater reliability was tested by Cohen’s kappa. Results Mucosal thickening associated with periapical lesions was determined in 48% of 202 cases. The most frequently detected extent of mucosal thickening was type 3 (42%), whereas flat type thickening (59%) was the most frequent type. The tooth most frequently associated with mucosal thickening was the maxillary first molar (44%). Parameters significantly affecting the extent of mucosal thickening were gender, number of roots, number of teeth with periapical lesions and diameter of periapical lesions (P < 0.05). The single parameter with an association with the type of mucosal thickening was the number of roots with an apical lesion (P < 0.05). Conclusion Mucosal thickening associated with periapical lesions was observed in almost 50% of all mucosal thickening cases. Therefore, collaboration amongst endodontists and otolaryngologists is mandatory to provide successful treatment and prevent recurrence of maxillary sinusitis.

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“…Furthermore, the severity and incidence of maxillary sinus mucosal thickness were positively correlated with the degree of apical periodontitis (Lu et al., ) and with the degree of periodontal bone loss (Goller‐Bulut et al., ). There is evidence to the effect that there is a greater prevalence of mucosal thickening in teeth with periapical pathology and proximity to the sinus floor (Goller‐Bulut et al., ; Lu et al., ; Nascimento et al., ). Overall, the above evidence and the data in the present study showcase the close interplay between oral cavity pathology and its impact on maxillary sinus structure.…”

Section: Discussionmentioning

confidence: 99%

Association of dental and maxillary sinus pathologies with ear, nose, and throat symptoms

et al. 2017

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Association between Odontogenic Conditions and Maxillary Sinus Disease: A Study Using Cone-beam Computed Tomography

Cited by 71 publications

References 31 publications

Periapical Lesions and Their Relationship to Schneider’s Membrane in Cone-Beam Computed Tomography

Periapical Lesions and Their Relationship to Schneider’s Membrane in Cone-Beam Computed Tomography

Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT

Association of dental and maxillary sinus pathologies with ear, nose, and throat symptoms

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