www.sbdmj.com - Stomatologija - Baltic Dental and Maxillofacial Journal

Stomatologija 2013; 15 (4): 119-122 109 KB

Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography

Ilze Dobele, Ligija Kise, Peteris Apse, Gints Kragis, Andris Bigestans

Summary

Objectives. To assess the presence of anatomic variations and pathology of the maxillary sinus using cone beam computed tomography (CBCT) of the maxilla where pre- implant surgery is planned.

Material and methods. This retrospective study evaluates a sample CBCT scans of 34 dental patients (68 sinuses). CBCT is used to assess maxillary sinus mucosa and outflow and prevalence of septa. The mucosal thickening was measured and the sinus outflow was classified as open or obstructed.

Results. Mucosal thickening was found in 48.5%, septa in 20.6% and total opacity in 2.9% of the sinuses. Maxillary sinus outflow was blocked in 26.5% of the scans. Strong association between radiological signs of maxillary sinus ostium blockage and thickened mucosa was observed.

Conclusions. Anatomic variations and lesions of the maxillary sinus were common findings in CBCT examinations of the maxilla required for dental preprosthetic planning. Routine CBCT scans, including maxillary sinus ostium are recommended for risk assessment prior to surgery.

Key words: cone beam computed tomography, maxillary sinus, mucosal thickening, dental implants, and sinus floor elevation.

Received: 02 04 2012

Accepted for publishing: 23 12 2013

¹Department of Otolaryngology, Riga Stradins University, Latvia

²Department of Prosthetic Dentistry, Riga Stradins University, Latvia

³Department of Oral and Maxillofacial Surgery, Riga Stradins University, Latvia

Ilze Dobele¹ – M.D., Dip Otolaryngologist

Ligija Kise¹ – M.D., PhD, assoc. prof.

Peteris Apse² – D.D.S., MSc, Dip Prosthodontics (Toronto), Dr. Habil. Med., prof.

Gints Kragis² – M.D., D.D.S., Dip Prosthodontics, assist.

Andris Bigestans³ – M.D., D.D.S., MRCSEd, assist.

Address correspondence to Ilze Dobele, Department of Otolaryngology, Riga Stradins University, Pilsonu 13, LV- 1002, Riga, Latvia.

E-mail address: Ilze.Dobele@rsu.lv



	Baltic Dental and Maxillofacial Journal

December, 2013, Vol. 15, No. 4 CONTENTS SCIENTIFIC ARTICLES Expression of growth factors and growth factor receptors in human cleft-affected tissue Benita Krivicka, Mara Pilmane, Ilze Akota 115-118 Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography Ilze Dobele, Ligija Kise, Peteris Apse, Gints Kragis, Andris Bigestans 119-122 Influence of restorative techniques on fracture load of endodontically treated premolars Ana Amélia Bianchi e Silva, Paula Cristine Ghiggi, Eduardo Gonçalves Mota, Gilberto Antonio Borges, Luiz Henrique Burnett Júnior, Ana Maria Spohr 123-128 Apoptosis and MMP-2, TIMP-2 expression in cleft lip and palate Liene Smane, Mara Pilmane, Ilze Akota 129-134 Toothache among dental patients attending a Nigerian secondary healthcare setting Clement Chinedu Azodo, Oritseweyemi Ololo 135-140 © 2014 Stomatologija		Stomatologija 2013; 15 (4): 119-122 109 KB Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography Ilze Dobele, Ligija Kise, Peteris Apse, Gints Kragis, Andris Bigestans Summary Objectives. To assess the presence of anatomic variations and pathology of the maxillary sinus using cone beam computed tomography (CBCT) of the maxilla where pre- implant surgery is planned. Material and methods. This retrospective study evaluates a sample CBCT scans of 34 dental patients (68 sinuses). CBCT is used to assess maxillary sinus mucosa and outflow and prevalence of septa. The mucosal thickening was measured and the sinus outflow was classified as open or obstructed. Results. Mucosal thickening was found in 48.5%, septa in 20.6% and total opacity in 2.9% of the sinuses. Maxillary sinus outflow was blocked in 26.5% of the scans. Strong association between radiological signs of maxillary sinus ostium blockage and thickened mucosa was observed. Conclusions. Anatomic variations and lesions of the maxillary sinus were common findings in CBCT examinations of the maxilla required for dental preprosthetic planning. Routine CBCT scans, including maxillary sinus ostium are recommended for risk assessment prior to surgery. Key words: cone beam computed tomography, maxillary sinus, mucosal thickening, dental implants, and sinus floor elevation. Received: 02 04 2012 Accepted for publishing: 23 12 2013 ¹Department of Otolaryngology, Riga Stradins University, Latvia ²Department of Prosthetic Dentistry, Riga Stradins University, Latvia ³Department of Oral and Maxillofacial Surgery, Riga Stradins University, Latvia Ilze Dobele¹ – M.D., Dip Otolaryngologist Ligija Kise¹ – M.D., PhD, assoc. prof. Peteris Apse² – D.D.S., MSc, Dip Prosthodontics (Toronto), Dr. Habil. Med., prof. Gints Kragis² – M.D., D.D.S., Dip Prosthodontics, assist. Andris Bigestans³ – M.D., D.D.S., MRCSEd, assist. Address correspondence to Ilze Dobele, Department of Otolaryngology, Riga Stradins University, Pilsonu 13, LV- 1002, Riga, Latvia. E-mail address: Ilze.Dobele@rsu.lv