Skip to main content

Advertisement

Log in

Quantitative and qualitative bone analysis in the maxillary lateral region

  • Anatomic Bases of Medical, Radiological and Surgical Techniques
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Purposes

The present study was conducted to assess the amount of bone present between root apices and the maxillary sinus floor in the maxillary lateral region, to compare the evaluations on cone beam computed tomography (CBCT) and orthopantomography (OPG), and to evaluate the bone density of the same region using three-dimensional images on CBCT.

Methods

Fifty-one dental patients were recruited for the study. All subjects were partially edentulous. The distances from the maxillary premolars and molars apices to the maxillary sinus floor were assessed using CBCT and OPG. Color codes were assigned to the bone density of edentulous loci. Parametric and non-parametric tests were used for statistical analyses. A p value <0.05 was considered statistically significant.

Results

The maxillary first and second molars recorded the shortest mean distances to the sinus floor, in contrast to the maxillary first premolar. The bone density of the maxillary lateral area increased from the maxillary first premolar to the second molar. No statistical significant differences were found between the evaluated sites.

Conclusions

Our results provide estimates of the minimal and maximal distances between teeth and sinus, as well as the average bone density in the maxillary lateral region. It is important that evaluation of a specific patient be performed during the preoperative planning of implants.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Aamodt A, Kvistad KA, Andersen E, Lund-Larsen J, Eine J, Benum P, Husby OS (1999) Determination of Hounsfield value for CT-based design of custom femoral stems. J Bone Jt Surg Br 81:143–147

    Article  CAS  Google Scholar 

  2. Abubaker A (1999) Applied anatomy of the maxillary sinus. Oral Maxillofac Surg Clin North Am 11:1–13

    Google Scholar 

  3. Aranyarachkul P, Caruso J, Gantes B, Schulz E, Riggs M, Dus I, Yamada JM, Crigger M (2005) Bone density assessments of dental implant sites: 2. Quantitative cone-beam computerized tomography. Int J Oral Maxillofac Implants 20:416–424

    PubMed  Google Scholar 

  4. Arman C, Ergür I, Atabey A, Güvencer M, Kiray A, Korman E, Tetik S (2006) The thickness and the lengths of the anterior wall of adult maxilla of the West Anatolian Turkish people. Surg Radiol Anat 28:553–558

    Article  PubMed  Google Scholar 

  5. Asaumi R, Sato I, Miwa Y, Imura K, Sunohara M, Kawai T, Yosue T (2010) Understanding the formation of maxillary sinus in Japanese human foetuses using cone beam CT. Surg Radiol Anat 32:745–751

    Article  PubMed  Google Scholar 

  6. Brook I (2006) Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 135:349–355

    Article  PubMed  Google Scholar 

  7. D’Andrea E, Barbaix E (2006) Anatomic research on the perioral muscles, functional matrix of the maxillary and mandibular bones. Surg Radiol Anat 28:261–266

    Article  PubMed  Google Scholar 

  8. Dimitrakopoulos I, Papadaki M (2008) Foreign body in the maxillary sinus: report of an unusual case. Quintessence Int 39:698–701

    PubMed  Google Scholar 

  9. Eberhardt JA, Torabinejad M, Christiansen EL (1992) A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surg Oral Med Oral Pathol 73:345–346

    Article  PubMed  CAS  Google Scholar 

  10. Kalender WA, Seissler W, Klotz E, Vock P (1990) Spiral volumetric CT with single-breath-hold technique, continuous transport, and continuous scanner rotation. Radiology 176:181–183

    PubMed  CAS  Google Scholar 

  11. Kiessling F, Greschus S, Lichy MP, Bock M, Fink C, Vosseler S, Moll J, Mueller MM, Fusenig NE, Traupe H, Semmler W (2004) Volumetric computed tomography (VCT): a new technology for noninvasive, high-resolution monitoring of tumor angiogenesis. Nat Med 10:1133–1138

    Article  PubMed  CAS  Google Scholar 

  12. Kim IH, Mupparapu M (2009) Dental radiographic guidelines: a review. Quintessence Int 40:389–398

    PubMed  Google Scholar 

  13. Kwak HH, Park HD, Yoon HR, Kang MK, Koh KS, Kim HJ (2004) Topographic anatomy of the inferior wall of the maxillary sinus in Koreans. Int J Oral Maxillofac Surg 33:382–388

    Article  PubMed  CAS  Google Scholar 

  14. Laine F (1999) Diagnostic imaging of the maxillary sinus. Oral Maxillofac Surg Clin North Am 11:45–67

    Google Scholar 

  15. Mupparapu M, Singer SR (2011) Dose reduction and cone beam CT: perception is reality. Quintessence Int 42:279

    PubMed  Google Scholar 

  16. Nedbalski TR, Laskin DM (2008) Use of panoramic radiography to predict possible maxillary sinus membrane perforation during dental extraction. Quintessence Int 39:661–664

    PubMed  Google Scholar 

  17. Nikolaou K, Flohr T, Stierstorfer K, Becker CR, Reiser MF (2005) Flat panel computed tomography of human ex vivo heart and bone specimens: initial experience. Eur Radiol 15:329–333

    Article  PubMed  Google Scholar 

  18. Obayashi N, Ariji Y, Goto M, Izumi M, Naitoh M, Kurita K, Shimozato K, Ariji E (2004) Spread of odontogenic infection originating in the maxillary teeth: computerized tomographic assessment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:223–231

    Article  PubMed  Google Scholar 

  19. Oberli K, Bornstein MM, von Arx T (2007) Periapical surgery and the maxillary sinus: radiographic parameters for clinical outcome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:848–853

    Article  PubMed  Google Scholar 

  20. Ozan O, Turkyilmaz I, Yilmaz B (2007) A preliminary report of patients treated with early loaded implants using computerized tomography-guided surgical stents: flapless versus conventional flapped surgery. J Oral Rehabil 34:835–840

    Article  PubMed  CAS  Google Scholar 

  21. Schropp L, Wenzel A, Kostopoulos L (2001) Impact of conventional tomography on prediction of the appropriate implant size. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 92:458–463

    Article  PubMed  CAS  Google Scholar 

  22. Shapurian T, Damoulis PD, Reiser GM, Griffin TJ, Rand WM (2006) Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants 21:290–297

    PubMed  Google Scholar 

  23. Sharan A, Madjar D (2006) Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:375–381

    Article  PubMed  Google Scholar 

  24. Teke HY, Duran S, Canturk N, Canturk G (2007) Determination of gender by measuring the size of the maxillary sinuses in computerized tomography scans. Surg Radiol Anat 29:9–13

    Article  PubMed  Google Scholar 

  25. Turkyilmaz I, Tözüm TF, Tumer C (2007) Bone density assessments of oral implant sites using computerized tomography. J Oral Rehabil 34:267–272

    Article  PubMed  CAS  Google Scholar 

  26. Wehrbein H, Diedrich P (1992) Progressive pneumatization of the basal maxillary sinus after extraction and space closure. Fortschr Kieferorthop 53:77–83

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carmen Elena Georgescu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Georgescu, C.E., Rusu, M.C., Sandulescu, M. et al. Quantitative and qualitative bone analysis in the maxillary lateral region. Surg Radiol Anat 34, 551–558 (2012). https://doi.org/10.1007/s00276-012-0955-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-012-0955-6

Keywords

Navigation