Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography—influence of professional training

Dau, Michael; Marciak, Paul; Staedt, Henning; Alshiri, Abdulmonem; Frerich, Bernhard; Kämmerer, Peer W.

doi:10.1186/s40729-017-0075-5

Cited by 16 publications

(17 citation statements)

References 42 publications

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“…It included all articles published between the year 2000 and 2018. The keywords used were “odontogenic sinusitis,” “chronic maxillary sinusitis,” “sinusitis of dental origin,” “sinusitis of undetermined origin,” “chronic apical periodontitis,” “periapical pathology and sinusitis,” and “iatrogenic sinusitis.” All the articles including case reports, case series, review, retrospective, and prospective studies were sorted out to gather all descriptions regarding odontogenic cause of maxillary sinusitis, and the type of imaging modality used[8910111213141516171819202122232425262728293031] [Table 6].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of odontogenic maxillary sinusitis with cone beam computed tomography: A retrospective study with review of literature

Bajoria¹,

Sarkar²,

Sinha³

2019

J Int Soc Prevent Communit Dent

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Aim and Objectives: The purpose of this study was to describe the radiographic characteristics of odontogenic maxillary sinusitis as seen on cone beam computed tomography (CBCT) scans and determine whether any tooth or any tooth root, was more frequently associated with this disease. Materials and Methods: The present study included 500 CBCT images that included the entire maxillary sinus of both the sides in all the three planes. The modified classification of Abrahams and Glassberg was used to assess maxillary sinusitis of odontogenic origin. Furthermore, the proximity of the tooth root to the sinus floor, periapical pathology, and the septae within the maxillary sinus were also assessed. Results: In the present study, 1000 hemimaxillas were analyzed. Majority of the cases (74.9%) the apex of either tooth was touching the floor of the sinus. While 16.9% were in close relationship to the sinus while 8.2% of the cases, the apices were present within the sinus. Furthermore, in the present study, 38 of the total cases had an odontogenic cause of maxillary sinusitis, whereas 273 of them had a nonodontogenic cause, 96 have an undetermined cause, and the rest 593 cases had healthy sinus. Conclusion: The incidence of odontogenic sinusitis is likely under-reported in the available literature. The introduction of low-dose CBCT is particularly useful to establish a definitive diagnosis to augment in the treatment of chronic maxillary sinusitis of odontogenic origin.

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Section: Discussionmentioning

confidence: 99%

Evaluation of odontogenic maxillary sinusitis with cone beam computed tomography: A retrospective study with review of literature

Bajoria¹,

Sarkar²,

Sinha³

2019

J Int Soc Prevent Communit Dent

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“…Previous studies have compared the diagnostic ability of PR and CBCT for assessment of the maxillary sinus by clinical dental surgeons and specialists in dental radiology,3 surgery,8 and periodontics 5. According to Dau et al,8 professional ability directly influenced the performance of imaging tests for the diagnosis of abnormalities in the maxillary sinus. However, the literature is limited in terms of studies comparing the diagnostic ability of these exams when evaluated by dental students.…”

Section: Introductionmentioning

confidence: 99%

Dental students' ability to detect maxillary sinus abnormalities: A comparison between panoramic radiography and cone-beam computed tomography

Rosado

Barbosa²,

Aquino³

et al. 2019

Imaging Sci Dent

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PurposeTo compare the diagnostic ability of undergraduate dental students to detect maxillary sinus abnormalities in panoramic radiographs (PR) and cone-beam computed tomography (CBCT).Materials and MethodsThis was a retrospective study based on the evaluation of PR and CBCT images. A pilot study was conducted to determine the number of students eligible to participate in the study. The images were evaluated by 2 students, and 280 maxillary sinuses were assessed using the following categories: normal, mucosal thickening, sinus polyp, antral pseudocyst, nonspecific opacification, periostitis, antrolith, and antrolith associated with mucosal thickening. The reference standard was established by the consensus of 2 oral radiologists based on the CBCT images. The kappa test, receiver operating characteristic curves, and 1-way analysis of variance with the Tukey-Kramer post-hoc test were employed.ResultsIntraobserver and interobserver reliability showed agreement ranging from substantial (0.809) to almost perfect (0.922). The agreement between the students' evaluations and the reference standard was reasonable (0.258) for PR and substantial (0.692) for CBCT. Comparisons of values of sensitivity, specificity, and accuracy showed that CBCT was significantly better (P<0.05).ConclusionCBCT was better than PR for the detection of maxillary sinus abnormalities by dental students. However, CBCT should only be requested after a careful analysis of PR by students and more experienced professionals.

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“…(7). Also CBCT scans provide a considerably valuable diagnostic and clinical tool for maxillary sinus pathologies as well as for anatomical variations (8).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Relationship Between Maxillary Sinus Pathologies and Ostium Dimension: A Retrospective Cone Beam Computed Tomography Study

Bayrak¹,

Ustaoğlu²,

Çakmak³

et al. 2018

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Objective: Maxillary sinus ostium is the top section of the medial wall the and is hence poorly placed from the point of view of free drainage; it opens into the narrow ethmoidal infundibulum, inflammation of which can further break drainage, so this may cause in the development of chronic maxillary sinusitis. This study aims to evaluate maxillary sinus pathologies (MSP) and their possible relation with maxillary sinus ostium dimensions. Material and Methods: Cone Beam Computed Tomography (CBCT) scans which belong to 139 patients (52 male and 87 female) were retrospectively evaluated with regard to ostium dimensions and the presence of MSP including retention cyst and mucosal thickening. Independent Samples t-test and Pearson Chi-Square were used to for statistical analysis. Results: No statistically significant difference was observed between patients with and without MSP in terms of ostium width (p=0.13). While the mean ostium width was 2.08 mm in the patient with MSP it was measured as 2.14 mm in patients without MSP. For all patients examined, right and left ostiums mean widths were 1.97 mm (Range 0.67-4.25) and 2.26 mm (Range 0.67-5.25), respectively. No significant difference was observed in ostium width according to gender (p≥0.05). Among all patients, 18.7% (n=26) had MSP; of these 10 were bilateral and 16 were unilateral. Conclusion: MSP is the common finding in CBCT examinations and the results of this study showed that MSP does not seem to be associated with the ostium width. Amaç: Maksiller sinüs ostiumu sinüs medial duvarının en üst kısmıdır ve bundan dolayı yerleşimi drenaj açısından zayıftır. Bununla birlikte nazal fossaya direk açılmayıp, dar etmoidal infindibuluma açılır ki drenajı kesintiye uğratan enflamasyon kronik maksiller sinüzit gelişiminde rol oynar. Bu çalışmanın amacı maksiller sinüs patolojilerini (MSP) ve bu patolojilerin maksiller sinüs ostium boyutlarıyla olası ilişkilerini araştırmaktır. Gereç ve Yöntemler: 139 hastaya ait (52 erkek ve 87 kadın) Konik Işınlı Bilgisayarlı Tomografi (KIBT) görüntüleri ostium boyutları ve retansiyon kisti ile mukozal kalınlaşmayı içeren MSP varlığı açısından retrospektif olarak değerlendirildi. Bağımsız Örneklem T-Testi ve Pearson Ki-Kare testi istatistiksel analiz aşamasında kullanıldı. Bulgular: MSP olan ve olmayan hastalar arasında ostium genişliği açısından istatistiksel bir farklılık görülmedi (p=0.13). MSP olan hastalarda ortalama ostium genişliği 2.08 mm iken, MSP olmayanlarda ortalama genişlik 2.14 mm olarak ölçüldü. İncelenen tüm hastalarda sağ ve sol ostium genişlik ortalamaları sırasıyla 1.97 mm (Aralık 0.67-4.25) ve 2.26 mm (Aralık 0.67-5.25) olarak bulundu. Cinsiyete göre ostium genişliği açısından istatistiksel farklılık görülmedi (p≥0.05). Tüm hastalar arasında %18.7 (n=26) hastada MSP izlenirken, bunlardan 10 tanesi çift taraflı, 16 tanesi ise tek taraflıdır. Sonuç: MSP, KIBT araştırmalarında en yaygın bulgu olup, bu çalışmanın sonuçları göstermektedir ki MSP ile ostium genişliği ilişkili bulunmamıştır.

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Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography—influence of professional training

Cited by 16 publications

References 42 publications

Evaluation of odontogenic maxillary sinusitis with cone beam computed tomography: A retrospective study with review of literature

Evaluation of odontogenic maxillary sinusitis with cone beam computed tomography: A retrospective study with review of literature

Dental students' ability to detect maxillary sinus abnormalities: A comparison between panoramic radiography and cone-beam computed tomography

Evaluation of Relationship Between Maxillary Sinus Pathologies and Ostium Dimension: A Retrospective Cone Beam Computed Tomography Study

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