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Evaluation of the relationship between the maxillary posterior teeth and the sinus floor using cone-beam computed tomography

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Abstract

Aim

The aim of this study was to evaluate the relationship between each root of maxillary premolars and molars and the maxillary sinus floor according to sex, sinus position, and age by decade in a Turkish population by using cone-beam computed tomography (CBCT) scanning.

Methodology

We evaluated a database of 5,166 (2,680 maxillary premolars and 2,486 maxillary molars) CBCT scans obtained from 849 patients. The vertical relationship between each root of the molar and premolar teeth to the sinus floor was classified into three types: type 1, the roots penetrated into the sinus floor; type 2, the roots contacted the sinus floor; and type 3, the roots extended below the sinus floor.

Results

The results of the classification of each root in relationship to the sinus floor were as follows: type 3 occurred most frequently in the first (92.4 %) and second (71.6 %) premolar teeth, type 1 (34.2 %) occurred most frequently in the palatinal roots of the first molar teeth, type 3 occurred most frequently in the mesiobuccal (39.9 %) and distobuccal (39.7 %) roots of the first molar teeth, and type 2 (36.7 %) occurred most frequently in the mesiobuccal roots of the second molar teeth. No significant differences were found between the left and right sides, but several differences were found between males and females. The relationship between the posterior teeth and the sinus floor differed according to the age decade interval (p < 0.05).

Conclusions

The maxillary first premolars have no relationship with the maxillary sinus floor, but the maxillary second molars are closer to the sinus floor. Also the second decade and males were most susceptible to undesirable results.

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Conflict of interest

The authors deny any conflicts of interest. I affirm that I/We have no financial affiliation (e.g., employment, direct payment, stock holdings, retainers, consultantships, patent licensing arrangements or honoraria), or involvement with any commercial organization with direct financial interest in the subject or materials discussed in this manuscript, nor have any such arrangements existed in the past 3 years.

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Authors and Affiliations

  1. Department of Endodontics, Faculty of Dentistry, Sifa University, Izmir, Turkey

    Evren Ok

  2. Department of Oral and Maxillo-Facial Radiology, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey

    Enes Güngör & Mehmet Çolak

  3. Department of Pedodontics, Faculty of Dentistry, Sifa University, Izmir, Turkey

    Mustafa Altunsoy & Bilge Gülsüm Nur

  4. Department of Oral and Maxillo-Facial Radiology, Faculty of Dentistry, Sifa University, Izmir, Turkey

    Osman Sami Ağlarci

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  1. Evren Ok
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  2. Enes Güngör
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  3. Mehmet Çolak
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  4. Mustafa Altunsoy
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  5. Bilge Gülsüm Nur
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Correspondence to Evren Ok.

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Ok, E., Güngör, E., Çolak, M. et al. Evaluation of the relationship between the maxillary posterior teeth and the sinus floor using cone-beam computed tomography. Surg Radiol Anat 36, 907–914 (2014). https://doi.org/10.1007/s00276-014-1317-3

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  • DOI: https://doi.org/10.1007/s00276-014-1317-3

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