Effect of Vertical Growth Pattern on Maxillary and Frontal Sinus Sizes

Göymen, Merve; Buyuknacar, Guzin Bilgin; Güleç, Ayşegül

doi:10.5152/eurjther.2018.743

Cited by 5 publications

(9 citation statements)

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“…However, Goymen et al claimed that the size of the frontal sinuses are not affected by a varied vertical growth pattern. This result conflicts with the theory that the size of the frontal sinus is altered by stresses forced by a harmonized occlusion [ 41 ].…”

Section: Discussioncontrasting

confidence: 82%

The relationship between the dimensions of frontal air sinus and skeletal malocclusions: A systematic review and meta-analysis

Algahefi,

Al-Ak’hali,

Halboub

et al. 2024

Heliyon

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Section: Discussioncontrasting

confidence: 82%

The relationship between the dimensions of frontal air sinus and skeletal malocclusions: A systematic review and meta-analysis

Algahefi,

Al-Ak’hali,

Halboub

et al. 2024

Heliyon

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“…The increased frontal sinus size was associated with a reduced inclination of the anterior cranial base, increased anterior facial height, and gonial angle [ 14 - 16 ]. Goymen et al [ 17 ] could not find any relevance between the growth pattern and the size of the sinuses.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Dimensional Changes in Maxillary and Frontal Sinus in Adult Patients With Anterior Open Bite and Normal Overbite: A Retrospective Cone Beam Computed Tomography (CBCT) Study

R S S,

Khan,

Parameswaran

et al. 2024

Cureus

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Introduction: An anterior open bite is a form of vertical discrepancy that presents as a lack of contact between maxillary and mandibular segments. The treatment modalities usually involve either intrusion of posterior teeth or extrusion of anterior or a combination of both. The anatomical relationship between the apex of the maxillary molar roots to the inferior wall of the maxillary sinus floor is crucial in planning posterior intrusion. The paranasal sinuses influence the growth of the facial structures that eventually get altered in various malocclusions. Studies have proven that the height of the sinus gets modified in anterior open bite owing to pneumatization. This study aims to evaluate the distance from the root apex of maxillary first molars (mesiobuccal, distobuccal, and palatal roots) to the maxillary sinus floor to evaluate the significance of the vertical pneumatization of the sinus on planning for true intrusion in anterior open bite and to assess the correlation between frontal and maxillary sinuses in an anterior open bite. Methods: This retrospective study evaluated 30 pre-treatment cone beam computed tomographies (CBCTs) of patients out of which 15 were with anterior open bite and 15 with ideal overbite. Linear measurements were carried out using care stream software in CBCTs. Results: There was a significant correlation between the distance of the palatal root and the distobuccal root of the maxillary first molar to the maxillary sinus floor bilaterally in the anterior open bite (p<0.04). A significant moderate positive correlation of the maxillary and frontal sinus height in anterior open bite (p<0.006). A significant moderate negative correlation between the distance from the palatal root to the maxillary sinus floor and maxillary sinus height in anterior open bite (p<0.001). Conclusion: Vertical pneumatisation of the maxillary sinus has caused a significant negative correlation between the apex of the palatal root of the maxillary first molar tooth and the maxillary sinus floor in the anterior open bite. The palatal root being the closest to the sinus floor, and the distobuccal root being second nearest. There is a significant correlation between the height of the sinuses in the anterior open bite.

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“…For example, Endo et al found that maxillary sinus length, maxillary sinus height, and total maxillary sinus area showed significant positive correlations with upper anterior facial height by evaluating the lateral cephalometric images [ 9 ]; Ryu et al also found that the patients with an anterior open bite have greater maxillary sinus height and more vertical pneumatization of the maxillary sinus floor in the posterior tooth root region than the patients without anterior open bite [ 10 ]. On the other hand, Göymen et al stated there was no difference in maxillary sinus sizes among patients with different vertical patterns [ 11 ]; Kosumarl et al also did not find a significant difference in the distance from the maxillary root apices of posterior teeth to the floor of the maxillary sinus between subjects with a skeletal open bite or skeletal normal bite [ 12 ]. However, Oksayan et al concluded that patients with a low-angle vertical facial pattern have larger maxillary sinus dimensions than patients with a high-angle vertical facial pattern [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Maxillary Sinus Dimensions in Skeletal Class I Chinese Population with Different Vertical Skeletal Patterns: A Cone-Beam Computed Tomography Study

et al. 2022

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Due to the close relationship between the maxillary posterior teeth roots and the maxillary sinus floor, the maxillary sinus can significantly impact various dental treatments, including endodontic procedures and surgical apicectomy, periodontal flap surgery, surgical tooth extraction, dental implantation, and orthognathic surgeries. Specifically, in orthodontics, the location of the maxillary sinus floor may affect tooth movement and insertion of temporary anchorage devices (TADs). This study aims to evaluate the dimensions and location of the maxillary sinus in the Chinese orthodontic patient population with skeletal class I. Using cone-beam computed tomography (CBCT), the volumetric size, height, width, and depth of the sinus and the amount of alveolar bone below the sinus floor and buccal/palatal to the sinus wall were compared between patients of different genders and different vertical skeletal patterns. Unlike the previously reported skeletal class II population, the skeletal class I patients with different vertical patterns do not have significantly different size sinuses. On the other hand, males have larger maxillary sinuses in all parameters than females in the testing population. In addition, no significant correlation was noticed between the SN-MP angle and sinus dimensions or between the ANB angle and sinus dimensions. Nevertheless, the distance from the sinus floor to the alveolar bone crest is not correlated with skeletally sagittal or vertical parameters in females but negatively correlated with the skeletal sagittal parameter in males. In summary, different from the skeletal class II population, there is no significant difference in maxillary sinus size and location among different vertical skeletal patterns in the skeletal class I population. Compared to the skeletal class II population, a higher percentage of the skeletal class I population has an alveolar bone with less than 5 mm thickness, representing a narrowed safe zone of TADs placements.

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Effect of Vertical Growth Pattern on Maxillary and Frontal Sinus Sizes

Cited by 5 publications

References 0 publications

The relationship between the dimensions of frontal air sinus and skeletal malocclusions: A systematic review and meta-analysis

The relationship between the dimensions of frontal air sinus and skeletal malocclusions: A systematic review and meta-analysis

Evaluation of Dimensional Changes in Maxillary and Frontal Sinus in Adult Patients With Anterior Open Bite and Normal Overbite: A Retrospective Cone Beam Computed Tomography (CBCT) Study

Maxillary Sinus Dimensions in Skeletal Class I Chinese Population with Different Vertical Skeletal Patterns: A Cone-Beam Computed Tomography Study

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