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Evaluation of the relationship between maxillary sinus floor position and maxillary sinusitis using cone beam computed tomography

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Abstract

Objectives

The aim of this study was to evaluate the effect of the relationship between the horizontal position of the maxillary sinus floor and the tooth roots on maxillary sinus pathologies using cone beam computed tomography.

Methods

The patients’ age, sex, presence or absence of apical abscesses, and horizontal relationship between the maxillary sinuses and tooth roots were recorded. In total, 228 maxillary sinuses of 114 patients were divided into case and control groups according to whether pathology was present. The horizontal relationship between the tooth roots and the lower wall of the maxillary sinus was categorized into three types. The variables were analyzed using the Chi-square test.

Results

Of 42 apical abscesses, 13 (31 %) were present in the control group and 29 (69 %) were present in the case group. This difference was statistically significant (p = 0.003). Each of the 228 maxillary sinuses was classified according to its horizontal relationship to the tooth root. The most frequently seen relationship was Type II, followed by Type I and III, respectively. Although the control and case groups showed equilibrium in the distribution of Type II and III relationships, maxillary sinus pathologies were significantly less common in Type I (p < 0.001).

Conclusions

This study shows that positioning of the maxillary sinus toward the buccal side (Type I) poses an obstacle to the spread of odontogenic infection to the sinus and that the presence of apical abscesses is correlated with maxillary sinusitis.

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Authors and Affiliations

  1. Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Kirikkale, Yahsihan, Pk:71450, Kirikkale, Turkey

    Eren Yildirim

  2. Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Akdeniz, Döşemealtı, Pk:07190, Antalya, Turkey

    Mehmet Ertuğrul Ciftci

  3. Department of Periodontology, Faculty of Dentistry, University of Kirikkale, Yahsihan, Pk:71450, Kirikkale, Turkey

    Gulen Kamak

  4. Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Gaziantep, Sehitkamil, Pk:27310, Gaziantep, Turkey

    Ali Murat Aktan

Authors
  1. Eren Yildirim
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  2. Mehmet Ertuğrul Ciftci
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  3. Gulen Kamak
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  4. Ali Murat Aktan
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Correspondence to Eren Yildirim.

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Conflict of interest

Eren Yildirim, Mehmet Ertugrul Ciftci, Gulen Kamak and Ali Murat Aktan declare that they have no conflict of interest.

Human rights statement and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent was obtained from all patients for being included in the study.

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Yildirim, E., Ciftci, M.E., Kamak, G. et al. Evaluation of the relationship between maxillary sinus floor position and maxillary sinusitis using cone beam computed tomography. Oral Radiol 33, 16–22 (2017). https://doi.org/10.1007/s11282-016-0241-0

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  • DOI: https://doi.org/10.1007/s11282-016-0241-0

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