Evaluation of maxillary sinus anatomical variation and pathologies through cone-beam computed tomography in patients with impacted third molars in the maxilla
Evaluation of maxillary sinus anatomical variation and pathologies through cone-beam computed tomography in patients with impacted third molars in the maxilla
Aim: The aim of this study was to compare between the frequency of anatomical variation and pathology in the maxillary sinuseshaving the impacted third molars in the maxilla adjacent to the dental arch and the maxillary sinuses adjacent to the dental archhaving the erupted third molars.Material and Methods: A total of 284 cone beam computed tomography (CBCT) images of the maxillary sinuses, 141 of whichare adjacent to the impacted third molar teeth in the maxilla, and 143 of which are adjacent to the erupted third molar teeth, wereretrospectively evaluated. In the CBCT images, the pathology, septa, accessory ostium, overpneumatization, Haller cell and teeth rootrelation with sinus were evaluated in each maxillary sinus.Results: There were no statistically significant differences in the frequency of pathology (p = 0.402), septa (p = 0.904) andoverpneumatization (p = 0.798) between the maxillary sinuses adjacent to the impacted third molar dental arch and the eruptedthird molar dental arch. However, there was a statistically significant difference in the frequency of accessory ostium (p = 0.032) andHaller cells (p = 0.025) between the maxillary sinuses adjacent to the impacted third molar dental arch and the maxillary sinusesadjacent to the erupted third molar dental arch.Conclusion: In the present study, the frequency of accessory ostium and Haller cells in the maxillary sinuses adjacent to impactedthird molar dental arches of the maxilla was found to be lower than in the maxillary sinuses adjacent to erupted third molar dentalarches.
___
- 1. Misch CE. Contemporary implant dentistry, 2nd edition.
St.Louis: CV Mosby Co, 1999.
- 2. Kilic C, Kamburoglu K, Yuksel SP, et al. An assessment of
the relationship between the maxillary sinus floor and the
maxillary posterior teeth root tips using dental cone-beam
computerized tomography. Eur J Dent 2010;4:462-7.
- 3. Rothamel D, Wahl G, d’HoedtB, et al. Incidence and predictive
factors for perforation of the maxillary antrum in op-erations
to remove upper wisdom teeth: prospective multicentre
study. Br J Oral Maxillofac Surg 2007;45:387-91.
- 4. Killey HC, Kay LW. Possible sequelae when a tooth or root is
dislodged into the maxillary sinus. Br Dent J 1964;21:73-7.
- 5. Patel M, Down K. Accidental displacement of impacted
maxillary third molars. Br Dent J 1994;177:57-9.
- 6. Dedeoğlu N, Altun O, Bilge O, et al. Evaluation of anatomical
variations of nasal cavity and paranasal sinuseswıth cone
beam computed tomography. Nobel Med 2017;13:36-41.
- 7. Ali IK, Sansare K, Karjodkar F, et al. Cone-beam computed
tomography analysis of accessory maxillary ostium and
Haller cells: Prevalence and clinical significance. Imaging
Sci Dent 2017;47:33-7.
- 8. Yenigun A, Fazliogullari Z, Gun C, et al. The effect of the
presence of the accessory maxillary ostium on the maxillary
sinus.Eur Arch Otorhinolaryngol 2016;273 4315-9.
- 9. Mathew R, Omami G, Hand A, et al. Cone beam CT analysis
of Haller cells: prevalence and clinical significance. Dentomaxillofac
Radiol 2013;42:20130055.
- 10. Matthews BL, Burke AJ. Recirculation of mucus via
accessory ostia causing chronic maxillary sinus disease.
Oto-laryngol Head Neck Surg 1997;117:422-3
- 11. Sicher H, Dubrul EL. Oral Anatomy, 3rd edition. St Louis:CV
Mosby, 1975.
- 12. Kalavagunta S, Reddy KT. Extensive maxillary sinus
pneumatization. Rhinology 2003;41:113-7.
- 13. Kruger E, Thomson WM, Konthasinghe P. Third molar
outcomes from age 18 to 26: findings from a populationbased
New Zealand longitudinal study. 0Oral Surg Oral Med
Oral Pathol Oral Radiol Endod 2001;92:150-5.
- 14. Demirtas O, Harorli A. Evaluation of the maxillary third molar
position and its relationship with the maxillary sinus: a
CBCT study. Oral Radiol 2016;32:173-9.
- 15. Lim AAT, Wong CW, Allen JC. Maxillary third molar: patterns
of impaction and their relation to oroantral perfora-tion. J
Oral Maxillofac Surg 2012;70:1035-9.
- 16. Pelinsari LJ, Moura Rodrigues CP, deCarvalho M, et al.
Anatomic variations and lesions of the maxillary sinus
detect-ed in cone beam computed tomography for dental
implants. Clin Oral Implants Res 2011;23:1398-03.
- 17. White SC, Pharoah MJ. Oral Radiology– Principles and
Interpretation, 5th edition. St. Louis: MO Mosby, 2004.
- 18. Pruna X, Ibanez JM, Serres X, et al. Antrochoanal polyps in
children: CT findings and differential diagnosis. Europe-an
Radiology 2000;10 849-51.
- 19. Maestre-Ferrín L, Galán-Gil S, Rubio-Serrano M, et al.
Maxillary sinus septa: a systematic review. Med Oral Patol
Oral Cir Bucal 2010;15:383-6.
- 20. Na Y, Kim K, Kim SK, et al. The quantitative effect of an
accessory ostium on ventilation of the maxillary si-nus.
Respir Physiol Neurobiol 2012;181:62-73.
- 21. Lang J. Clinical Anatomy of the Nose, Nasal Cavity and
Paranasal Sinuses , New York:Thieme Medical Publishers
Inc 1989.
- 22. Durmus E, Dolanmaz D, Kucukkolbsi H, et al. Accidental
displacement of impacted maxillary and mandibular third
molars. Quintessence Int 2004;35:375-7
- 23. Ludlow JB, Ivanovic M. Comparative dosimetry of dental
CBCT devices and 64-slice CT for oral and maxillofacial
radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2008;106:106-14.
- 24. Som PM. CT of paranasal sinus. Neuro Radiol 1985;27:189-
201.
- 25. Ritter L, Lutz J, Neugebauer J, et al. Prevalence of pathologic
findings in the maxillary sinus in cone-beam computer-ized
tomography. Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 2011;111:634-40.
- 26. Vogiatzi T, Kloukos D, Scarfe WC, et al. Incidence of
anatomical variations and disease of the maxillary sinuses
as identified by cone beam computed tomography within
the field of dental medicine. A systematic review Int J Oral
Maxillofac Implants 2014:29:1301-14.
- 27. Abrahams JJ, Hayt MW, Rock R. Sinus lift procedure of the
maxilla in patients with inadequate bone for dental implants.
Radiographic appearance AJR Am J Roentgenol
2000;174:1289-92.
- 28. Becker ST, Terheyden H, Steinriede A, et al. Pro-spective
observation of 41 perforations of theSchneiderian membrane
during sinus floor elevation. Clin Oral Implants
Research 2008;19:1285-9.
- 29. Zijderveld SA, van den Bergh JP, Schulten EA, et al.
Anatomical and surgical findings and complicationsin 100
con-secutive maxillary sinus floor eleva-tion procedures.
Journal of Oral and Maxillofa-cial Surgery 2008;66:1426-38.
- 30. Genc S, Ozcan M, Titiz A, et al. Development of maxillary
accessory ostium following sinusitis in rabbits. Rhinology
2008;46:121-4.
- 31. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony
anatomic variations and mucosal abnormalities: CT analysis
for endoscopic sinus surgery. Laryngoscope 1991;101:56-64.
- 32. Kennedy DW, Zinreich SJ. The functional endoscopic
approach to inflammatory sinus disease: current perspective
and technique modifications. Am J Rhinol 1988;2:89-96.
- 33. Stackpole SA, Edelstein DR. The anatomic relevance of the
Haller cell in sinusitis. Am J Rhinol 1997;11:219-23.
- 34. Capelli M, Gatti P. Radiological Study of Maxillary Sinus
using CBCT: Relationship between Mucosal Thickening
and Common Anatomic Variants in Chronic Rhinosinusitis.
Journal of Clinical and Diagnostic Research : JCDR
2016;10:07-10.