Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of Sexual Dimorphism in Schneider Membrane Thickness Using Cone-Beam Computed Tomography (CBCT) for its Clinical and Forensic Implications

  • Original Article
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Introduction

Sinus augmentation requires careful manipulation of the Schneider membrane. Perforation of the membrane can be a challenging complication.

Objectives

The objective of this study is to evaluate the sexual dimorphism of Schneider membrane (sinus membrane) using cone-beam computed tomography (CBCT) imaging modality and discuss its clinical applications vis-à-vis the sinus lift procedure for dental implants and also its forensic implications.

Materials and methods

One hundred CBCT scans in the maxillary first molar region of fifty men and fifty women in the age group of 25–50 years were examined at two standardized points on the floor and lateral wall of maxillary sinus, and its mean was obtained. Measurements were taken for thickness of sinus membrane at most prominent antero-posterior and mesio-distal dimensions. The mean sinus membrane thickness and correlation in age groups (25–35 and 36–50 years) of both the genders were evaluated statistically.

Results

The results showed a thicker sinus membrane in women, especially in 36–50 age group than that of men.

Conclusion

This study correlates the thickness of the sinus membrane with gender dimorphism and delves on its association with the risk of perforation during sinus lift procedures and also its forensic implications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Humphrey S (2006) Implant maintenance. Dent Clin North Am 50(3):463–478

    Article  Google Scholar 

  2. Ritter FN, Lee D (1978) The para nasal sinuses, anatomy and surgical technique, 6–16. The Mosby Company, St Louis, MO

    Google Scholar 

  3. McGowan DA, Baxter PW, James J (1993) The maxillary sinus and its dental implications, chapter 1, 1–125. Wright, Butterworth-Heinemann Ltd, Oxford

    Google Scholar 

  4. Stamberger H (1986) Nasal and paranasal sinus endoscopy. Endoscopy 6:213–218

    Article  Google Scholar 

  5. May M, Sobol SM, Korzec K (1990) The location of the maxillary os and its importance to the endoscopic sinus surgeon. Laryngoscope 100:1037–1042

    Article  CAS  Google Scholar 

  6. Eckert-Mobius A (1954) Die Kieferho¨ hlenentzu ¨ ndung im Kindersalter. Deutsche Stomatologie 00:170–177

    CAS  Google Scholar 

  7. Van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB (2000) Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 11:256–265

    Article  Google Scholar 

  8. Rapani M, rapaniRicci CL (2016) Scheider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation retrospective analysis of 200 patients. BJ Oral Maxillofac Aug 28(54):1106–1110

    Google Scholar 

  9. Hegde R, Prasad K, Shroff K (2016) Maxillary sinus augmentation using sinus membrane elevation without grafts- A systemic Review. J Indian Prosthodont Soc OCT-Dec 16(4):317–322

    Article  Google Scholar 

  10. Pal US, Sharma N, Mandhyan D (2012) Direct vs. Indirect sinus lift procedure: a comparison. Natl J maxillofac Surg 3(1):31–37

    Article  CAS  Google Scholar 

  11. Vijaykumar B, pavaniRaviraj MJ et al (2015) comparison of panoramic radiograph with cone-beam computed tomography in assessment of maxillary sinus floor and nasal floor. J Indian Acad Oral Med Radiol 27(2):194–197

    Article  Google Scholar 

  12. Suresh Sharma J, Massarat Anil, kumar. (2014) Measurements of maxillary sinus volume and dimensions by computed tomography scan for gender determination. J Anat Soc India 63(1):36–42

    Article  Google Scholar 

  13. Al-Salman WT, Almas K (2015) Maxillary sinus and success of dental implants: an update. Gen Dent. 63(4):47–54

    PubMed  Google Scholar 

  14. Rehman Hamdy N, Wahed et al (2014) Three-dimensional linear and volumetric analysis of maxillary sinus pneumatisation. J Adv Res 5(3):387–395

    Article  Google Scholar 

  15. Aimetti M, G massei, Morra M, et al (2008) Correlation between gingival phenotype and Schneider membrane thickness. Int J Oral Maxillofac Implants 23(6):1128–1132

    PubMed  Google Scholar 

  16. Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM (2011) Characteristics and dimensions of the Schneider membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res 22(12):1446–1453. https://doi.org/10.1111/j.1600-0501.2010.02140.x

    Article  PubMed  Google Scholar 

  17. Shahnaz tambawala, Frenykarjodkar, KaustubhSansare et al. Sexual dimorphism of maxillary sinus using cone beam computed tomography. Egypt J Forens Sci 2016(6): 120-125

  18. Ruhi Sidhu S, Chandra Parvathi Devi et al (2014) forensic importance of maxillary sinus in gender determination: a morphometric analysis from Western Uttar Pradesh, India. Eur J General Dent 3(1):53–56

    Article  Google Scholar 

  19. Bayrak S, Ustaoğlu G, Demiralp KÖ, Kurşun Çakmak EŞ (2018) Evaluation of the characteristics and association between Schneider membrane thickness and nasal septum deviation. J Craniofac Surg 29(3):683–687. https://doi.org/10.1097/SCS.0000000000004254

    Article  PubMed  Google Scholar 

  20. Kalyvas D, Kapsalas A, Paikou S, Tsiklakis K (2018) Thickness of the Schneider membrane and its correlation with anatomical structures and demographic parameters using CBCT tomography: a retrospective study. Int J Implant Dent 4(1):32. https://doi.org/10.1186/s40729-018-0143-5

    Article  PubMed  PubMed Central  Google Scholar 

  21. Çakur B, Sümbüllü MA, Durna D (2013) Relationship among Schneider membrane, underwood’s septa, and the maxillary sinus inferior border. Clin Implant Dent Related Res 15:83–87. https://doi.org/10.1111/j.1708-8208.2011.00336.x

    Article  Google Scholar 

  22. Huang Yen-Ting, Suh-Woan Hu, Huang Jing-Yang, Chang Yu-Chao (2020) Assessment of relationship between maxillary sinus membrane thickening and the adjacent teeth health by cone-beam computed tomography. J Dental Sci. https://doi.org/10.1016/j.jds.2020.05.002

    Article  Google Scholar 

  23. Van Den Munckhof T, Patel S, Koller G, Berkhout E, Mannocci F, Foschi F (2020) Schneider membrane thickness variation following endodontic procedures: a retrospective cone beam computed tomography study. BMC Oral Health 20(1):133. https://doi.org/10.1186/s12903-020-01122-6

    Article  Google Scholar 

  24. Dr. Chandulal D. Dhalkari, Dr. Maya S. Indurkar, Dr. Onkar A. Bagade and Dr. Jaishri S. Pagare (2019) Relationship between thickness of the Schneider membrane and dental findings. A retrospective CBCT study International journal of current research. 11(07): 5206-5212 https://doi.org/10.24941/ijcr.35715.07.2019

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial surgery, School of Dentistry, D. Y. Patil University, Nerul, Navi Mumbai, India

    Sayali Takalkar, Charu Girotra, Yogesh Kini, Mukul Padhye, Gaurav Tomar & Maina Gite

  2. Department of Preventive and Community Dentistry, School of Dentistry, D. Y. Patil University, Nerul, Navi Mumbai, India

    Siddharth Acharya

Authors
  1. Sayali Takalkar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Charu Girotra
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yogesh Kini
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mukul Padhye
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gaurav Tomar
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Siddharth Acharya
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Maina Gite
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sayali Takalkar.

Ethics declarations

Conflict of interest

The authors have no conflict of interest

Ethics Approval

No ethics approval or patients’ consent was required for this paper, though the patients gave written consent to use their CBCT scans and participate for the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file 1 (DOCX 17KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Takalkar, S., Girotra, C., Kini, Y. et al. Evaluation of Sexual Dimorphism in Schneider Membrane Thickness Using Cone-Beam Computed Tomography (CBCT) for its Clinical and Forensic Implications. J. Maxillofac. Oral Surg. (2021). https://doi.org/10.1007/s12663-021-01531-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12663-021-01531-2

Keywords

Search

Navigation