Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study

Bisla, Suman; Gupta, Ambika; Singh, Harpreet; Sehrawat, Ankita; Shukla, Shubhangi

doi:10.1016/j.jobcr.2022.08.001

Cited by 7 publications

(4 citation statements)

References 36 publications

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“…Previous research has produced controversial results on the relationship between PBL and MS abnormalities. Some studies found an association between periodontal health and maxillary sinusitis (17,24,30,31,34,35), whereas others found no such relationship (18,21,25). These differences are due to different definitions of 'periodontitis' from one study to another, with some including all and others only severe periodontitis.…”

Section: Discussionmentioning

confidence: 99%

Association between odontogenic conditions and maxillary sinus abnormalities: a retrospective cone-beam computed-tomographic study

Liu¹,

Chen²,

Wang³

et al. 2023

Ann Palliat Med

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Background: In this study, we investigated the correlation between odontogenic conditions and the presence of maxillary sinus (MS) abnormalities using cone-beam computed tomography (CBCT) imaging. Methods:The study unit was defined as the ipsilateral MS, maxillary alveolar bone, and posterior teeth.The study included 1,140 study units from 570 patients visualized with CBCT. MS abnormalities, MS septal walls, the anatomical relationship between the MS and the teeth, and missing teeth were recorded. Adjacent odontogenic infections, including periapical lesions, periodontal bone loss, and combined periodontalendodontic lesions, were documented, and the shortest distance between the infection and the MS floor was measured. The possible correlations between odontogenic conditions and MS abnormalities were analyzed. Whether the anatomical relationship between the MS and the teeth was related to age or sex was analyzed. The chi-squared test, Fisher's exact test, Mann-Whitney U test, Kruskal-Wallis H test, and logistic regression were used for the statistical analyses.Results: MS abnormalities were detected in 57.54% of patients and 42.89% of MSs. Male sex (OR =1.653; P<0.001) and a MS adjacent to teeth with periapical lesions (OR =5.771; P<0.001), periodontal bone loss (OR =2.778; P<0.001), or combined periodontal-endodontic lesions (OR =13.818; P<0.001) increased the probability of MS abnormalities. In MSs with a single infected tooth, male sex (OR =2.413; P=0.045), infected molar (OR =3.431; P=0.008), and a smaller distance between the infection and the MS floor (OR =0.871; P=0.021) increased the probability of MS abnormality. The maxillary root apices of older subjects tended to be farther from the MS (P<0.001).Conclusions: Adjacent odontogenic infection increased the probability of MS abnormalities. The likelihood of MS abnormality was related to the distance between the infection and the MS, not to the type of infection.

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Section: Discussionmentioning

confidence: 99%

Association between odontogenic conditions and maxillary sinus abnormalities: a retrospective cone-beam computed-tomographic study

Liu¹,

Chen²,

Wang³

et al. 2023

Ann Palliat Med

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“…Members of Group A had no postoperative abnormalities, either clinically or radiographically, and members of Group B had postoperative swelling of the maxillary mucosa or an air-fluid level in a Waters view. The sinus mucosa is not typically imaged radiographically, but in cases of inflammation the mucosa appears as a non-corticated radiopaque band along the floor and wall of the sinus 8 . Vertical position and tooth angle were evaluated on a preoperative panorama.…”

Section: Methodsmentioning

confidence: 99%

Radiographic evaluation before surgical extraction of impacted third molar to reduce the maxillary sinus related complication

Seo,

Sodnom-Ish,

et al. 2023

JKAOMS

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Objectives Surgical extraction of maxillary third molars is routine in departments devoted to oral and maxillofacial surgery. Because maxillary third molars are anatomically adjacent to the maxillary sinus, complications such as oroantral fistula and maxillary sinusitis can occur. Here we explore the factors that can cause radiographic postoperative swelling of the maxillary sinus mucosa after surgical extraction. Materials and Methods This retrospective study reviewed the clinical records and radiographs of patients who underwent maxillary third-molar extraction. Preoperative panoramas, Waters views, and cone-beam computed tomography were performed for all patients. The patients were divided into two groups; those with and those without swelling of the sinus mucosa swelling or air-fluid level in a postoperative Waters view. We analyzed the age and sex of patients, vertical position, angulation, number of roots, and relation to the maxillary sinus between groups. Statistical analysis used logistic regression and P <0.05 was considered statistically significant. Results A total of 91 patients with 153 maxillary third molars were enrolled in the study. Variables significantly related to swelling of the maxillary sinus mucosa after surgical extraction were the age and the distance between the palatal cementoenamel junction (CEJ) and the maxillary sinus floor ( P <0.05). Results of the analysis show that the relationship between the CEJ and sinus floor was likely to affect postoperative swelling of the maxillary sinus mucosa. Conclusion Maxillary third molars are anatomically adjacent to the maxillary sinus and require careful handling when the maxillary sinus is pneumatized to the CEJ of teeth.

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“…Oleg et al, Goyal et al, Kim et al (42)(43)(44) stated in their study that the principal radiographic signs of odontogenic sinusitis were: thickened mucosa, unilateral maxillary sinus opacification, with or without other sinus involvement, and presence of fluid levels. Moreover, Bisla et al (45) added an extra finding: sinus polyps in 7.2%. Oleg et al and Don Ly & Johan (42,46) mentioned that through the use of CT and its combination with an oral clinical exam, they obtained an accurate diagnosis of odontogenic sinusitis.…”

Section: Marta Kwiatkowsk Et Al Cristian Martu Et Al and Allevi Et Almentioning

confidence: 99%

Odontogenic sinusitis, a differential diagnosis: Literature review

Micaela¹,

Paula²,

David³

2023

World J. Adv. Res. Rev.

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Objective: To analyze the importance of making a good diagnosis of odontogenic sinusitis through searching in different digital databases. Methodology: A bibliography was carried out in the Pubmed and Scopus databases of studies published between 2017-2022 using keywords. In addition, the Boolean AND operator was used to connect these descriptors and the inquiries were made based on the PICO abbreviation. Results: 1270 studies were obtained from the two digital databases; from these, 50 were selected after applying exclusion and inclusion criteria. Conclusion: Odontogenic sinusitis must have a multidisciplinary diagnosis made by joint efforts on behalf of dentists and otolaryngologists. The most frequent odontogenic foci are periapical pathologies, previous surgeries, and molars that are close to the floor of the maxillary sinus. Symptoms and radiographic studies, such as CBCT, should be taken into account.

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Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study

Cited by 7 publications

References 36 publications

Association between odontogenic conditions and maxillary sinus abnormalities: a retrospective cone-beam computed-tomographic study

Association between odontogenic conditions and maxillary sinus abnormalities: a retrospective cone-beam computed-tomographic study

Radiographic evaluation before surgical extraction of impacted third molar to reduce the maxillary sinus related complication

Odontogenic sinusitis, a differential diagnosis: Literature review

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