Anatomical Relationship between the Roots of Erupted Maxillary Posterior Teeth and Maxillary Sinus using CBCT in Sulaimani City (A Retrospective Study)

Volume 10 , Issue 2 , August 2023 , Pages 1-7

Authors

Mohammed A. Mahmood 1 ; Tavga M. Faris 2 ; Rukhosh H. Abdalrahim 1 ; Ranj A. Jalal 3

1 Dental Basic Sciences Department, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.

2 Conservative Department, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.

3 Oral Diagnosis Department, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.

DOI logo 10.17656/sdj.10168

Keywords

Abstract

Objective: Cone beam computed tomography (CBCT) may be recommended as a dose-sparing technique and 3D imaging that provides the clinician more details for examining the maxillary sinus and its relation to the root apices of upper posterior teeth, as compared with standard medical computed tomography.
Methods: A total of (340) CBCT images were examined, images were analyzed by using (Galileos Viewer Software Version 1.9, Dentsply). The distance was measured from the molar and premolar teeth; the closest tooth to the sinus was considered for both sides using the software measuring tool.
Results: A total of 340 CBCTs were examined. One hundred and forty-seven CBCTs were included that matched the criteria. After examination of the CBCTs, the most common relation between the roots of the upper posterior teeth with the maxillary sinus was Type 2: the apices of the upper posterior teeth touching the sinus floor. The result shows no statistical difference between the age groups (p value = 0.135); also, the relationship between sex and the relation of the teeth with the maxillary sinus was not significant (p value = 0.075).
Conclusions: The most common relation between the apices of maxillary posterior teeth and the maxillary sinus was close contact. We also concluded that the use of CBCT is essential in diagnosing the type of relation, especially during procedures where oro-antral communication and trauma to the maxillary sinus is possible.

References

  1. Kao DW. Clinical Maxillary Sinus Elevation Surgery: Wiley Online Library; 2014.
  2. Sánchez-Pérez A, Boracchia AC, López-Jornet P. Boix-García P. Characterization of the Maxillary Sinus Using Cone Beam Computed Tomography. A Retrospective Radiographic Study. Implant Dent. 2016;25(6):762-9.
  3. Kilic C, Kamburoglu K, Yuksel SP, Ozen T. An Assessment of the Relationship between the Maxillary Sinus Floor and the Maxillary Posterior Teeth Root Tips Using Dental Cone-beam Computerized Tomography. Eur J Dent. 2010;4(4):462-7.
  4. Rothamel D, Wahl G, d'Hoedt B. Nentwig GH, Schwarz F, Becker J. Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J Oral Maxillofac Surg. 2007;45(5):387-91.
  5. Ohba T, Katayama H. Panoramic roentgen anatomy of the maxillary sinus. Oral Surg Oral Med Oral Pathol. 1975;39(4):658-64.
  6. Ilgüy D. Ilgüy M, Dolekoglu S, Fisekcioglu E. Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT. Braz Oral Res. 2013 27(5):431-7.
  7. Plotino G, Tocci L, Grande NM, Testarelli L. Messineo D, Ciotti M, et al. Symmetry of root and root canal morphology of maxillary and mandibular molars in a white population: a cone-beam computed tomography study in vivo. J Endod. 2013;39(12):1545-8.
  8. Orhan K, Kusakci Seker B, Aksoy S, Bayindir H, Berberoğlu A, Seker E. Cone beam CT evaluation of maxillary sinus septa prevalence, height, location and morphology in children and an adult population. Med Princ Pract. 2013;22(1):47-53.
  9. Jung Y-H, Cho B-H. Comparison of panoramic radiography and cone beam computed tomography for assessing the relationship between the maxillary sinus floor and maxillary molars. Imaging Science in Dentistry. 2009;39(2):69-73.
  10. Wallace JA. Transantral endodontic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82(1):80-3.
  11. Shokri A, Lari S. Yousef F. Hashemi L. Assessment of the relationship between the maxillary sinus floor and maxillary posterior teeth roots using cone beam computed tomography. J Contemp Dent Pract. 2014;15(5):618-22.
  12. Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol. 2004;50(3):296-302.
  13. Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Sci Dentistry. 2012;42(4):219-24.
  14. Koch F, Breil P, Marroquin BB, Gawehn J, Kunkel M. Abscess of the orbit arising 48 h after root canal treatment of a maxillary first molar. Intl Endod J. 2006;39(8):657-64.
  15. Oberli K, Bornstein MM, von Arx T. Periapical surgery and the maxillary sinus: radiographic parameters for clinical outcome. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2007;103(6):848-53.
  16. Fry RR, Patidar DC, Goyal S, Malhotra A. Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using Denta scan®. Ind J Dent. 2016 7(3):126-30.
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