|Baltic Dental and Maxillofacial Journal|
December, 2013, Vol. 15, No. 4
Influence of restorative techniques on fracture load of endodontically treated premolars
© 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
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