İbrahim DAMLAR, Burcu Keleş EVLİCE, Şule Nur KURT

Maksiller sinüs septumunun konumu ve yaygınlığının dental volümetrik tomografik değerlendirilmesi

Amaç: Bu çalışmanın amacı, dental volümetrik tomografi yardımıyla maksiller sinüs septa konumlarını ve yaygınlığını saptamaktır. Metot: Maksiller sinüslerde septum tespit etmek amacıyla 760 hastada 1520 maksiller sinüs dental volümetrik tomografi ile değerlendirildi. Maksiller sinüsler, sinüs septumlarının konumu belirlenirken 3 bölgeye ayrıldı (ön, orta ve arka bölgeler). Sonuçlar: Maksiller sinüs septumlarından 47 tanesi (% 24.7) ön bölgede, 35 tanesi (% 18.4) orta bölgede ve 108 tanesi (% 56.8) arka bölgedeydi. Tartışma: Maksiller sinüste septum oluşumu dişlerin varlığı ya da kaybedilmesinden etkilenmektedir. Sinüs lifting ve dental implant cerrahisi işlemlerinden önce maksiller sinüslerde septum varlığının doğru tespit edilmesi önemlidir. Doğru teşhis ve tedavi planlaması açısından maksiller sinüslerde septum varlığının dental volümetrik tomografi ile değerlendirilmesi oldukça kullanışlıdır.

Anahtar Kelimeler:

Maksiller sinüs septumu, sinüs lifting, dental volümetrik tomografi

Dental volumetric tomographical evaluation of location and prevalence of maxillary sinus septa

Purpose: The aim of this study was to determine the prevalence and location of maxillary sinus septa with the help of dental volumetric tomography. Methods: 760 patients" 1520 maxillary sinus were evaluated by dental volumetric tomography for detecting maxillary sinus septa. Maxillary sinus was divided into 3 zones (anterior, middle and posterior zones) while location of the maxillary sinus septa. Results: 47 of maxillary sinus septa existed in the anterior zone (24.7%), 35 of them in the middle zone (18.4%) and 108 of them in the posterior region (56.8%). Conclusion: The formation of the maxillary sinus septa was affected by the existence or lack of the teeth. Correct detection of the presence of maxillary sinus septa was important prior to sinus lifting and dental implant surgery. Dental volumetric tomographical evaluation of maxillary sinus septa was more useful for a correct diagnosis and treatment planning.

Keywords:

Maxillary sinus septa, sinus lifting, dental volumetric tomography,

PDF

___

Boyne P, James RA: Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980; 38:613-6.
Underwood AS: An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol. 1910; 44:354-69.
Lee WJ, Lee SJ, Kim HS. Analysis of location and prevalence of maxillary sinus septa J Periodontal Implant Sci. 2010; 40:56-60.
Chanavaz M: Maxillary sinus: Anatomy, physiology, surgery, and bone grafting related to implantology— Eleven years of surgical experience (1979-1990). J Oral Implantol. 1990;16:199-209.
Krennmair G, Ulm C, Lugmayr H: Maxillary sinus septa: Incidence morphology and clinical implications. J Craniomaxillofac Surg. 1997; 25:261
Velásquez-Plata D, Hovey LR, Peach CC, et al: Maxillary sinus septa: A 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants. 2002; 17:854-60.
González-Santana H, Peñarrocha-Diago M, Guarinos-Carbó J, et al: A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol. 2007; 33:340-3.
Shibli JA, Faveri M, Ferrari DS, et al: Prevalence of maxillary sinus septa in 1024 subjects with edentulous upper jaws: A retrospective study. J Oral Implantol. 2007; 33:293-6.
Van den Bergh JP, ten Bruggenkate CM, Disch FJ, et al: Anatomical aspects of sinus floor elevations. Clin Oral Implants Res. 2000; 11:256-65.
Betts NJ, Miloro M: Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg. 1994; 52:332-3.
Gaia BF, Sales MAO, Perrella A, Fenyo-Pereira M, Cavalcanti MGP. Comparison between cone-beam and multislice computed tomography for identification of simulated bone lesions. Braz Oral Res. 2011; 25:362-8.
Guerrero ME, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D. State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Investig. 2006; 10:1-7.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006; 72:75-80.
Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, et al. Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol. 2006; 77:903-8.
Krennmair G, Ulm GW, Lugmayr H, et al. The incidence, location, and height of maxillary sinus in the edentulous and dentate maxilla. J Oral Maxillofac Surg. 1999; 57:667-71.
Hashimoto K, Kawashima S, Kameoka S, Akiyama Y, Honjoya T, Ejima K, et al. Comparison of image validity between cone beam computed tomography for dental use and multidetector row helical computed tomography. Dentomaxillofac Radiol. 2007; 36:465–
Loubele M, Guerrero ME, Jacobs R, Suetens P, Van Steenberghe D. Comparison of jawdimensional and quality assessments of bone characteristics with cone beam CT, spiral tomography and multi-slice spiral spiral CT. Int J Oral Maxillofac Implants. 2007; 22:446–54.
Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB MercuRay. New Tom 3G and i-CAT. Dentomaxillofac Radiol. 2006; 35:219–26.
Araki K, Maki K, Seki K, Sakamaki K, Harata Y, Sakaino R, et al. Characteristics of anewly developed dentomaxillofacial X-ray cone beam CT scanner (CB MercuRay): System configuration and physical properties. Dentomaxillofac Radiol. 2004; 33:51–9.
Yazışma Adresi / Address for Correspondence: Dr. Burcu Keleş Evlice Cukurova University ,Faculty of Dentistry Department of Oral and Maxillofacial Radiology Surgery, ADANA e-mail: burcukeles@yahoo.com geliş tarihi/received :11.01.2013 kabul tarihi/accepted:18.01.2013