Maksiller Posterior Diş Köklerinin Maksiller Sinüs ile İlişkisinin Sinüs Lateral Duvar Kalınlığı Üzerine Etkisi: Retrospektif Bir Konik Işınlı Bilgisayarlı Tomografi Çalışması
Abstract
Amaç: Bu çalışmanın amacı, üst posterior dişlerin köklerinin maksiller sinüs (MS) ile ilişkisinin sinüs lateral duvar kalınlığı (SLDK) üzerine etkisini konik ışınlı bilgisayarlı tomografi (KIBT) taramalarında retrospektif olarak incelemektir.
Gereç ve Yöntemler: Mevcut retrospektif çalışma, 117 hastaya ait 234 MS konik ışınlı bilgisayarlı tomografi (KIBT) görüntüsü üzerinde gerçekleştirildi. Diş kökleri MS ile ilişkisine göre 4 grupta (Tip 1, Tip 2, Tip 3, Tip 4) incelendi. SLDK sinüs tabanından 5 mm uzaklıkta değerlendirildi.
Bulgular: 2. premolar (P2), 1. molar (M1), 2. molar (M2) diş hizasında; kadınlar ile erkekler arasında SLDK açısından istatistiksel olarak anlamlı farklılık bulunamadı (p>0.05). Sadece M1 diş hizasında; 60 yaş ve üzerindeki grubun SLDK’ları diğer yaş gruplarından anlamlı şekilde yüksek bulundu (p<0.05). P2 dişlerin hizasındaki SLDK diğer dişlerin hizasından anlamlı şekilde yüksek bulundu (p<0.05). P2 dişlerde Tip 1 sinüs ilişkisinin ve M2 dişlerde Tip 4 sinüs ilişkisinin görülme oranı diğer dişlerden anlamlı şekilde yüksek bulundu (p<0.05). Tip 1 sinüs ilişkisine sahip bölgelerdeki SLDK, diğer sinüs ilişkilerine sahip bölgelere göre anlamlı şekilde yüksek bulundu (p<0.05).
Sonuçlar: SLDK P2 dişlerden M2 dişlere doğru gidildikçe azalmaktadır. Tip 1 sinüs ilişkisi ile en sık P2 dişlerde, Tip 4 sinüs ilişkisi ile ise en sık M2 dişlerde rastlanmaktadır. Üst posterior dişlerin MS ile yakın teması arttıkça SLDK azalmaktadır.
Anahtar Kelimeler: konik ışınlı bilgisayarlı tomografi; maksiller sinüs; sinüs lateral duvar kalınlığı; üst posterior dişler
Keywords
konik ışınlı bilgisayarlı tomografi maksiller sinüs sinüs lateral duvar kalınlığı üst posterior dişler
Ethical Statement
Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçalarda belirtildiği beyan olunur.
Supporting Institution
Yoktur.
Project Number
There is no
Thanks
Yazarlar, CBCT arşivinin kullanımına izin verdiği için Alanya Ağız ve Diş Sağlığı Merkezi Başhekimi Dr. Ahmet Emre Uysal’a teşekkürlerini sunarlar.
References
- 1. Chatzopoulos GS, Wolff LF. Dental implant failure and factors associated with treatment outcome: A retrospective study. J Stomatol Oral Maxillofac Surg 2023;124:101314
- 2. Alshamrani AM, Mubarki M, Alsager AS, et al. Maxillary Sinus Lift Procedures: An Overview of Current Techniques, Presurgical Evaluation, and Complications. Cureus 2023;15:e49553
- 3. Nemati M, Khodaverdi N, Hosn Centenero SA, Tabrizi R. Which factors affect the risk of membrane perforation in lateral window maxillary sinus elevation? A prospective cohort study. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery 2023;51:427-432
- 4. Virnik S, Cueni L, Kloss-Brandstätter A. Is one-stage lateral sinus lift and implantation safe in severely atrophic maxillae? Results of a comparative pilot study. International journal of implant dentistry 2023;9:6
- 5. Altayar BA, Al-Tayar B, Lin WM, et al. Cone-beam computed tomographic analysis of maxillary sinus septa among Yemeni population: a cross-sectional study. Bmc Oral Health 2023;23
- 6. Shao Q, Li J, Pu R, et al. Risk factors for sinus membrane perforation during lateral window maxillary sinus floor elevation surgery: A retrospective study. Clin Implant Dent Relat Res 2021;23:812-820
- 7. Monje A, Catena A, Monje F, et al. Maxillary sinus lateral wall thickness and morphologic patterns in the atrophic posterior maxilla. J Periodontol 2014;85:676-682
- 8. Marin S, Kirnbauer B, Rugani P, Payer M, Jakse N. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clin Implant Dent Relat Res 2019;21:66-72
- 9. Basma H, Saleh I, Abou-Arraj R, et al. Association between lateral wall thickness and sinus membrane perforation during lateral sinus elevation: A retrospective study. Int J Oral Impl 2021;14:77-85
- 10. Danesh-Sani SA, Movahed A, ElChaar ES, Chong Chan K, Amintavakoli N. Radiographic Evaluation of Maxillary Sinus Lateral Wall and Posterior Superior Alveolar Artery Anatomy: A Cone-Beam Computed Tomographic Study. Clin Implant Dent Relat Res 2017;19:151-160
- 11. de Souza Fernandes AC, Barreto Nascimento GI, de Souza Pereira F, et al. Gingival Biotype and Its Relationship With the Maxillary Membrane and Lateral Wall Thickness. J Oral Implantol 2021;47:280-286
- 12. Belgin CA, Bayrak S, Atakan C. Determination of alveolar bone height according to the relationship between molar teeth and maxillary sinus. Oral Maxillofac Surg 2021;25:175-180
- 13. Wu XS, Cai QD, Huang D, Xiong PW, Shi LS. Cone-beam computed tomography-based analysis of maxillary sinus pneumatization extended into the alveolar process in different age groups. Bmc Oral Health 2022;22
- 14. Cheon KJ, Yang BE, Cho SW, Chung SM, Byun SH. Lateral Window Design for Maxillary Sinus Graft Based on the Implant Position. Int J Environ Res Public Health 2020;17
- 15. Testori T, Tavelli L, Yu SH, et al. Maxillary Sinus Elevation Difficulty Score with Lateral Wall Technique. Int J Oral Max Impl 2020;35:631-638
- 16. Topbas NK, Alpoz E. Evaluation of Maxillary Sinus Width and Lateral Wall Thickness Using Cone - Beam Computed Tomography. Meand Med Dent J 2021;22:50-61
- 17. Pizzini A, Basma HS, Li P, Geurs NC, Abou-Arraj RV. The impact of anatomic, patient and surgical factors on membrane perforation during lateral wall sinus floor elevation. Clin Oral Implants Res 2021;32:274-284
- 18. Alqhtani NR, Alqahtani AR, Alqahtani AM, et al. Study of Lateral Wall Thickness of the Maxillary Sinus in Left and Right Sides for Female and Male: A Cross Sectional Retrospective Study Using Cone Beam Computed Tomography. Curr Med Imaging 2022;18:855-861
- 19. Sun W, Liu A, Gong Y, Shu R, Xie Y. Evaluation of the Anastomosis Canal in Lateral Maxillary Sinus Wall With Cone Beam Computerized Tomography: A Clinical Study. J Oral Implantol 2018;44:5-13
- 20. Zhou Q, Qiao F, Zhu D. The Radiological Evaluation of the Anatomy of the Alveolar Antral Artery and the Lateral Wall Thickness Using Cone-Beam Computed Tomography: A Retrospective Study. Curr Med Imaging 2023
- 21. Lim EL, Ngeow WC, Lim D. The implications of different lateral wall thicknesses on surgical access to the maxillary sinus. Braz Oral Res 2017;31:e97
- 22. Kiakojori A, Nasab SPM, Abesi F, Gholinia H. Radiographic assessment of maxillary sinus lateral wall thickness in edentulous posterior maxilla. Electron Physician 2017;9:5948-5953
- 23. Ciftci R, Tasdemir R, Cihan OF. Anatomical Evaluation of the Alveolar Antral Artery in the Turkish Population: A Cone-Beam Computed Tomography Study. Cureus 2023;15:e44163
- 24. Li J, Zhou ZX, Yuan H, et al. [A study of maxillary sinus lateral wall thickness of Han population in Jiangsu region using cone-beam CT]. Shanghai Kou Qiang Yi Xue 2013;22:537-541
- 25. Yildirim TT, Güncü GN, Colak M, Tözüm TF. The Relationship between Maxillary Sinus Lateral Wall Thickness, Alveolar Bone Loss, and Demographic Variables: A Cross-Sectional Cone-Beam Computerized Tomography Study. Med Prin Pract 2019;28:109-114
- 26. Khajehahmadi S, Rahpeyma A, Zarch SHH. Association Between the Lateral Wall Thickness of the Maxillary Sinus and the Dental Status: Cone Beam Computed Tomography Evaluation. Iran J Radiol 2014;11
- 27. Makris LML, Devito KL, D'Addazio PSS, Lima CO, Campos CN. Relationship of maxillary posterior roots to the maxillary sinus and cortical bone: a cone beam computed tomographic study. Gen Dent 2020;68:e1-e4
- 28. Junqueira RB, Souza-Nunes LA, Scalioni FAR, et al. Anatomical evaluation of the relationship between the maxillary posterior teeth and maxillary sinus. Gen Dent 2020;68:66-71
- 29. Razumova S, Brago A, Howijieh A, et al. Evaluation of the relationship between the maxillary sinus floor and the root apices of the maxillary posterior teeth using cone-beam computed tomographic scanning. Journal of conservative dentistry : JCD 2019;22:139-143
Effect of the Relationship of Maxillary Posterior Tooth Roots with the Maxillary Sinus on Sinus Lateral Wall Thickness: A Retrospective Cone Beam Computed Tomography Study
Abstract
Background: This study aimed to retrospectively analyze the influence of the upper posterior teeth roots' interaction with the maxillary sinus (MS) on sinus lateral wall thickness (SLWT) as observed in cone beam computed tomography (CBCT) images.
Methods: This retrospective study analyzed 234 MS cone beam computed tomography (CBCT) images from 117 patients. Tooth roots were examined in 4 groups (Type 1, Type 2, Type 3, Type 4) according to their relationship with MS. SLWT was evaluated at a distance of 5 mm from the sinus floor.
Results: In the 2nd premolar (P2), 1st molar (M1), 2nd molar (M2) tooth alignment; no statistically significant difference was found between women and men in terms of SLDK (p>0.05). Only in the M1 tooth alignment; SLWT of the 60 years old and over group was found to be significantly higher than the other age groups (p<0.05). SLWT at the alignment of P2 teeth was found to be significantly higher than the alignment of other teeth (p<0.05). The incidence of Type 1 sinus relationship in P2 teeth and Type 4 sinus relationship in M2 teeth was found to be significantly higher than the other teeth (p<0.05). SLWT in regions with Type 1 sinus relationship was found to be significantly higher than in regions with other sinus relationships (p<0.05).
Conclusion: SLWT decreases from P2 teeth to M2 teeth. Type 1 sinus relationship is most common in P2 teeth, and Type 4 sinus relationship is most common in M2 teeth. SLDK decreases as the close contact of the upper posterior teeth with the MS increases.
Keywords: cone beam computed tomography; maxillary sinus; sinus lateral wall thickness; upper posterior teeth
Keywords
cone beam computed tomography maxillary sinus sinus lateral wall thickness upper posterior teeth
Ethical Statement
It is declared that scientific and ethical principles were followed during the preparation of this study and all studies utilized were indicated in the references.
Supporting Institution
There is no
Project Number
There is no
Thanks
The authors would like to thank Dr. Ahmet Emre Uysal, Chief Physician of Alanya Oral and Dental Health Center, for allowing the use of the CBCT archive.
References
- 1. Chatzopoulos GS, Wolff LF. Dental implant failure and factors associated with treatment outcome: A retrospective study. J Stomatol Oral Maxillofac Surg 2023;124:101314
- 2. Alshamrani AM, Mubarki M, Alsager AS, et al. Maxillary Sinus Lift Procedures: An Overview of Current Techniques, Presurgical Evaluation, and Complications. Cureus 2023;15:e49553
- 3. Nemati M, Khodaverdi N, Hosn Centenero SA, Tabrizi R. Which factors affect the risk of membrane perforation in lateral window maxillary sinus elevation? A prospective cohort study. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery 2023;51:427-432
- 4. Virnik S, Cueni L, Kloss-Brandstätter A. Is one-stage lateral sinus lift and implantation safe in severely atrophic maxillae? Results of a comparative pilot study. International journal of implant dentistry 2023;9:6
- 5. Altayar BA, Al-Tayar B, Lin WM, et al. Cone-beam computed tomographic analysis of maxillary sinus septa among Yemeni population: a cross-sectional study. Bmc Oral Health 2023;23
- 6. Shao Q, Li J, Pu R, et al. Risk factors for sinus membrane perforation during lateral window maxillary sinus floor elevation surgery: A retrospective study. Clin Implant Dent Relat Res 2021;23:812-820
- 7. Monje A, Catena A, Monje F, et al. Maxillary sinus lateral wall thickness and morphologic patterns in the atrophic posterior maxilla. J Periodontol 2014;85:676-682
- 8. Marin S, Kirnbauer B, Rugani P, Payer M, Jakse N. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clin Implant Dent Relat Res 2019;21:66-72
- 9. Basma H, Saleh I, Abou-Arraj R, et al. Association between lateral wall thickness and sinus membrane perforation during lateral sinus elevation: A retrospective study. Int J Oral Impl 2021;14:77-85
- 10. Danesh-Sani SA, Movahed A, ElChaar ES, Chong Chan K, Amintavakoli N. Radiographic Evaluation of Maxillary Sinus Lateral Wall and Posterior Superior Alveolar Artery Anatomy: A Cone-Beam Computed Tomographic Study. Clin Implant Dent Relat Res 2017;19:151-160
- 11. de Souza Fernandes AC, Barreto Nascimento GI, de Souza Pereira F, et al. Gingival Biotype and Its Relationship With the Maxillary Membrane and Lateral Wall Thickness. J Oral Implantol 2021;47:280-286
- 12. Belgin CA, Bayrak S, Atakan C. Determination of alveolar bone height according to the relationship between molar teeth and maxillary sinus. Oral Maxillofac Surg 2021;25:175-180
- 13. Wu XS, Cai QD, Huang D, Xiong PW, Shi LS. Cone-beam computed tomography-based analysis of maxillary sinus pneumatization extended into the alveolar process in different age groups. Bmc Oral Health 2022;22
- 14. Cheon KJ, Yang BE, Cho SW, Chung SM, Byun SH. Lateral Window Design for Maxillary Sinus Graft Based on the Implant Position. Int J Environ Res Public Health 2020;17
- 15. Testori T, Tavelli L, Yu SH, et al. Maxillary Sinus Elevation Difficulty Score with Lateral Wall Technique. Int J Oral Max Impl 2020;35:631-638
- 16. Topbas NK, Alpoz E. Evaluation of Maxillary Sinus Width and Lateral Wall Thickness Using Cone - Beam Computed Tomography. Meand Med Dent J 2021;22:50-61
- 17. Pizzini A, Basma HS, Li P, Geurs NC, Abou-Arraj RV. The impact of anatomic, patient and surgical factors on membrane perforation during lateral wall sinus floor elevation. Clin Oral Implants Res 2021;32:274-284
- 18. Alqhtani NR, Alqahtani AR, Alqahtani AM, et al. Study of Lateral Wall Thickness of the Maxillary Sinus in Left and Right Sides for Female and Male: A Cross Sectional Retrospective Study Using Cone Beam Computed Tomography. Curr Med Imaging 2022;18:855-861
- 19. Sun W, Liu A, Gong Y, Shu R, Xie Y. Evaluation of the Anastomosis Canal in Lateral Maxillary Sinus Wall With Cone Beam Computerized Tomography: A Clinical Study. J Oral Implantol 2018;44:5-13
- 20. Zhou Q, Qiao F, Zhu D. The Radiological Evaluation of the Anatomy of the Alveolar Antral Artery and the Lateral Wall Thickness Using Cone-Beam Computed Tomography: A Retrospective Study. Curr Med Imaging 2023
- 21. Lim EL, Ngeow WC, Lim D. The implications of different lateral wall thicknesses on surgical access to the maxillary sinus. Braz Oral Res 2017;31:e97
- 22. Kiakojori A, Nasab SPM, Abesi F, Gholinia H. Radiographic assessment of maxillary sinus lateral wall thickness in edentulous posterior maxilla. Electron Physician 2017;9:5948-5953
- 23. Ciftci R, Tasdemir R, Cihan OF. Anatomical Evaluation of the Alveolar Antral Artery in the Turkish Population: A Cone-Beam Computed Tomography Study. Cureus 2023;15:e44163
- 24. Li J, Zhou ZX, Yuan H, et al. [A study of maxillary sinus lateral wall thickness of Han population in Jiangsu region using cone-beam CT]. Shanghai Kou Qiang Yi Xue 2013;22:537-541
- 25. Yildirim TT, Güncü GN, Colak M, Tözüm TF. The Relationship between Maxillary Sinus Lateral Wall Thickness, Alveolar Bone Loss, and Demographic Variables: A Cross-Sectional Cone-Beam Computerized Tomography Study. Med Prin Pract 2019;28:109-114
- 26. Khajehahmadi S, Rahpeyma A, Zarch SHH. Association Between the Lateral Wall Thickness of the Maxillary Sinus and the Dental Status: Cone Beam Computed Tomography Evaluation. Iran J Radiol 2014;11
- 27. Makris LML, Devito KL, D'Addazio PSS, Lima CO, Campos CN. Relationship of maxillary posterior roots to the maxillary sinus and cortical bone: a cone beam computed tomographic study. Gen Dent 2020;68:e1-e4
- 28. Junqueira RB, Souza-Nunes LA, Scalioni FAR, et al. Anatomical evaluation of the relationship between the maxillary posterior teeth and maxillary sinus. Gen Dent 2020;68:66-71
- 29. Razumova S, Brago A, Howijieh A, et al. Evaluation of the relationship between the maxillary sinus floor and the root apices of the maxillary posterior teeth using cone-beam computed tomographic scanning. Journal of conservative dentistry : JCD 2019;22:139-143
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Periodontics |
| Journal Section | Research |
| Authors | |
| Project Number | There is no |
| Publication Date | April 21, 2025 |
| Submission Date | January 23, 2025 |
| Acceptance Date | March 13, 2025 |
| Published in Issue | Year 2025 Volume: 12 Issue: 1 |
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