Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (3): 302-307.doi: 10.7518/gjkq.2023027

• Original Articles • Previous Articles     Next Articles

Evaluation of maxillary sinusitis with cone beam computed tomography

Yang Yunan1(),Liu Peng1,Wang Hu2(),You Meng2   

  1. 1.Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences & Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education & Dept. of Radiology, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
    2.State Key Laboratory of Oral Disea-ses & National Clinical Research Center for Oral Diseases & Dept. of Radiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-11-20 Revised:2023-02-11 Online:2023-05-01 Published:2023-05-16
  • Contact: Hu Wang E-mail:yangyn@hospital.cqmu.edu.cn;1328548883@qq.com

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Abstract:

Objective The present study aimed to analyze the influence of odontogenic factors on maxillary sinus mucosal thickening using cone beam computed tomography (CBCT). Simultaneously, this study evaluated the effect of dental treatment on maxillary sinus mucosal thickening through the follow-up. Methods This study retrospectively reviewed patients with mucosal thickness thickened more than 2 mm in the maxillary sinus selected by CBCT in West China Hospital of Stomatology, Sichuan University from August 2017 to December 2017. Herein, the relationship between the floor of the maxillary sinus and the affected teeth was evaluated while the affected teeth and relevant dental treatment were recorded, and the changes in maxillary sinus mucosal thickening were observed. Results A very weak negative correlation was found between the mucosal thickness and the distance from the inflammation to the sinus floor (P<0.05, r=-0.154), whereas the distance from the root apex to the sinus floor had no direct correlation with the mucosal thickness (P>0.05). In the treatment group, the change of mucosal thickness in the sinus floor destruction group was larger than that in the continuous sinus floor group. In addition, the change in mucosal thickness was weakly negatively correlated with the distance from the root apex to the sinus floor (P<0.01, r=-0.382), meanwhile the change in mucosal thickness was moderately negatively correlated with the distance from inflammation to sinus floor (P<0.001, r=-0.524). Conclusion The severity of maxillary sinusitis may be more dependent on the distance of the periapical inflammatory margin from the sinus floor rather than the simple apical position. On the contrary, the closer the inflammation is to the maxillary sinus, the larger destruction of the maxillary sinus floor. Furthermore, the greater the influence of odontogenic factors on maxillary sinusitis, the better the effect of the oral treatment.

Key words: maxillary sinus, mucosal thickening, odontogenic maxillary sinusitis, cone beam computed tomography

CLC Number: 

  • R 781.34

TrendMD: 

Fig 1

Measure maximum mucosal thickness of maxillary sinus in sagittal and coronal CBCTimagings"

Fig 2

Measure the shortest distance from the sagittal and coronal position"

Tab 1

Basic data of different groups"

分组例数年龄/岁男/女
无患牙16021.70±10.3475/85
有患牙未治疗13744.07±14.1273/64
有患牙且治疗9342.33±12.0448/45

Fig 3

Correlation between the mucosal thickness and the distance from the inflammation to the sinus floor"

Fig 4

Differences of mucosal thickness in different groups"

Tab 2

Effect of sinus floor continuity on mucosal thick-ness in treatment group and untreated group Mean±SD"

分组窦底连续组黏膜厚度变化/mm窦底破坏组黏膜厚度变化/mmP值
治疗组0.75±4.525.06±6.22<0.001
未治疗组0.27±2.761.80±2.93>0.05

Fig 5

Correlation between the change of mucosal thickness with the distance from the root apex to the sinus floor"

Fig 6

Correlation between the change of mucosal thickness with the distance from inflammation to the sinus floor"

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