Radiographic Evaluation of the Effect of Initial Periodontal Therapy on Thickness of the Maxillary Sinus Mucosa

Engström, Hans; Chamberlain, Durwin; Kiger, Robert; Egelberg, Jan

doi:10.1902/jop.1988.59.9.604

Cited by 44 publications

(47 citation statements)

References 8 publications

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“…These findings were supported by histopathological observations that severe periodontitis of the maxillary molars was clearly related to a thickening of the mucous membrane in the maxillary sinus [17]. Several studies using conventional radiography (periapical X-ray, panorama) reported that periodontitis was related with the severity and prevalence of mucous abnormality in maxillary sinus [10-13]. Bomeli et al [18], who studied acute odontogenic inflammation of the maxillary sinus by CT, reported that oral maxillary sinus fistula and periodontitis were distinct causes of inflammation compared with that of caries or periapical abscess.…”

Section: Discussionmentioning

confidence: 76%

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Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

Yoo

Kim

et al. 2011

J Periodontal Implant Sci

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PurposeTo investigate the healing pattern of the mucous membrane after tooth extraction necessitated by periodontal disease in the maxillary sinus.MethodsOne hundred and three patients with 119 maxillary sinuses were investigated. Before implant placement, cone-beam computed tomography (CT) scanning was performed. The causes of extraction, the time elapsed since extraction, smoking, periodontal disease in adjacent teeth, and gender were recorded. In addition, the thickness of the mucous membrane of the maxillary sinus and the height of residual alveolar bone at the extracted area were calculated from CT images.ResultsThe thickness of the mucous membrane in the periodontal disease group (3.05±2.71 mm) was greater than that of the pulp disease group (1.92±1.78 mm) and the tooth fracture group (1.35±0.55 mm; P<0.05). The causes of extraction, the time elapsed since extraction, and gender had relationships with a thickening of the mucous membrane of the maxillary sinus (P<0.05). In contrast, the height of the residual alveolar bone at the extracted area, periodontal disease in adjacent teeth, and smoking did not show any relation to the thickening of the mucous membrane of the maxillary sinus.ConclusionsThe present study revealed distinct differences in healing patterns according to the causes of extraction in the maxillary sinus, especially periodontal disease, which resulted in more severe thickening of the mucous membrane.

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Section: Discussionmentioning

confidence: 76%

“…Many studies have been conducted on the relationship between periodontal disease and mucosal thickening in the sinus membrane [11-13]. However, these reports were usually made at a time when teeth were still present, and there have been no studies conducted on the changes in the mucous membrane after extraction.…”

Section: Introductionmentioning

confidence: 99%

Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

Yoo

Kim

et al. 2011

J Periodontal Implant Sci

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“…Sinus expansion following extraction can greatly decrease the amount of bone height available for implant placement 1. A periapical or periodontal infection of the upper premolars and molars may spread beyond the confines of the supporting dental tissue into the maxillary sinus, causing sinusitis 3,7,8. Endodontic therapy or extraction of these teeth can result in penetration,9 oroantral fistulae or root displacement into the sinus cavity 10.…”

Section: Introductionmentioning

confidence: 99%

An Assessment of the Relationship between the Maxillary Sinus Floor and the Maxillary Posterior Teeth Root Tips Using Dental Cone-beam Computerized Tomography

et al. 2010

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Objectives:The aim of the present study was to assess the relationship between the maxillary sinus floor and the maxillary posterior teeth root tips using dental cone-beam CT.Methods:A total of 87 right and 89 left maxillary sinus regions from 92 patients were examined using dental cone-beam CT. Images were analyzed by a specialist in oral and maxillofacial radiology. Perpendicular lines were drawn on the cross-sectional images between the deepest point of the maxillary sinus floor and the root tips of the maxillary first and second premolars and first, second and third molars, and the distances were measured using built-in measurement tools. Means, standard deviations and minimum and maximum values were calculated for all right and left premolars and molars. T-tests were used to compare measurements between left and right sides and between female and male patients.Results:The distance between sinus floor and root tip was longest for the first premolar root tip and shortest for the second molar buccodistal root tip for both right and left sides. No statistically significant differences were found between the right and left side measurements or between female and male patients (P>.05).Conclusions:Knowledge of the anatomical relationship between the maxillary sinus floor and the maxillary posterior teeth root tips is important for the preoperative treatment planning of maxillary posterior teeth.

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“…O conhecimento da relação dos ápices radiculares com o SM é importante para o diagnóstico e, consequente prevenção de infecções na cavidade sinusal, originadas de lesões periapicais e periodontais (ENGSTROM et al, 1988;HAUMAN;CHANDLER;TONG, 2002).…”

Section: Resultsunclassified

“…As alterações fisiológicas da membrana sinusal podem estar relacionadas com infecções dentárias, como periodontite, granuloma periapical e com maior frequência, com a infecção das vias aéreas superiores (ENGSTROM et al, 1988).…”

Section: Resultsunclassified

Avaliação do seio maxilar por meio de tomografia computadorizada de feixe cônico

Pagin¹

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A Deus, por me fazer forte em momentos difíceis e me abençoar com saúde, paz, com a companhia das pessoas que amo, não importando o quão longe elas estejam e com as oportunidades oferecidas durante toda a minha vida.Aos meus pais, Luís Cláudio Pagin e Jocimar Freitas Pagin, por nunca deixarem de acreditar em meus sonhos, por me incentivarem e apoiarem na continuidade de meus estudos, sempre com muito carinho, amor e dedicação. A conclusão de mais essa etapa tem muito de seus esforços, que são imprescindíveis na minha formação pessoal e profissional! Ao meu irmão Marcelo, por estar sempre ao meu lado oferecendo seu apoio e companheirismo! Sei que em você tenho mais do que um irmão, mas também um verdadeiro amigo! Aos meus avôs Benedita de Freitas, João de Freitas, Marina Pagin e Luiz Pagin, por todo carinho e cuidado oferecidos durante todos esses anos de minha vida.À Bruna Stuchi Centurion, minha namorada, pessoa carinhosa, meiga, sincera e sempre atenciosa, de fundamental importância para a realização desse trabalho e para minha vida! Obrigado. Amo muito você! À Elisabete e Paulo Centurion, por todo o incentivo, apoio e confiança. relação entre cúpulas alveolares e extensões alveolares para a raiz palatina do dente 26, a presença de septos no teto dos seios maxilares de mulheres e da relação da média da região desdentada do dente 26 para os homens, com os valores de p < 0,05. Diversos fatores relacionados à morfologia do osso maxilar, a ausência de dentes e a própria conformação da cavidade sinusal podem resultar em diferentes formatos entre indivíduos e variações até no mesmo indivíduo. O exame por Tomografia Computadorizada de Feixe Cônico (TCFC) dos seios maxilares permite uma avaliação tridimensional e sua relação com as estruturas adjacentes, ou seja, uma perfeita reprodução da região dentomaxilofacial, auxiliando de maneira precisa os profissionais que irão intervir junto ou próximo a essa estrutura anatômica.Palavras-chave: Seio Maxilar. Tomografia Computadorizada de Feixe Cônico.Imagem Tridimensional. ABSTRACT Maxillary sinus evaluation through Cone Beam Computed TomographyDentistry professionals are required to analyze, in many cases, images associated to important structures where a great knowledge of the dentomaxillofacial anatomy is vital for an accurate diagnostic. The maxillary sinus is an anatomical structure that occupies the upper 2/3s of the maxillary bone and it is very important because the proximity with the posterior dental structures, it must be well known by dentists in the several specialties. In this study, 50 Cone Beam Computed Tomography (CBCT) exams in which the maxillary sinus could be evaluated, showed a total of 78 extension toward different regions were achieved, 17 subjects displayed a mucosal thickening, 14 evidenced a compatible imaging of mucous retention cysts and 6 presented a partially or completely filled maxillary sinus. A total of 64 maxillary sinus septa were identified, 86 different roots were localized inside de sinus, 126roots were found to be in proximity with the...

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Radiographic Evaluation of the Effect of Initial Periodontal Therapy on Thickness of the Maxillary Sinus Mucosa

Cited by 44 publications

References 8 publications

Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

An Assessment of the Relationship between the Maxillary Sinus Floor and the Maxillary Posterior Teeth Root Tips Using Dental Cone-beam Computerized Tomography

Avaliação do seio maxilar por meio de tomografia computadorizada de feixe cônico

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