Maksiller Sinüs Patolojilerinin ve Schneider Membran Değişikliklerinin Odontojenik Faktörlerle İlişkisinin Konik Işınlı Bilgisayarlı Tomografi Kullanılarak Değerlendirilmesi

Amaç: Bu kesitsel çalışmada Konik Işınlı Bilgisayarlı Tomografik görüntülerde posterior maksilladaki odontojenik faktörler ile Schneiderian membran değişikliklerinin kontrol ve vaka gruplarında karşılaştırmalı araştırılması ve farklı derecedeki mukoza hiperplazilerinin ilişkili olduğu dental bulguların ortaya konması amaçlandı. Yöntem: Çalışmada 16-68 yaş aralığındaki 63 hastanın 126 Konik Işın Bilgisayarlı tomografi görüntüsü retrospektif olarak değerlendirildi. Maksiller sinüs (MS) lezyonları enfeksiyoz değişiklikler (mukozal hiperplazi, psödokist), retansiyon kisti, polip ve inferior MS pnömatizasyonu olarak ayrıldı. Odontojen faktörler apikal peridontitis, kanal tedavisi, periodontal kemik kaybı, diş köklerinin MS içine protrüzyonu ve oro-antral fistül olarak kaydedildi. Cinsiyet ve yaş grupları ile patolojik bulgular arasındaki korelasyon hesaplandı. Veriler SPSS programı ile incelendi. Grup karşılaştırmalarında Ki-kare testi ve Mann Whitney-U test kullanıldı. Bulgular: Patolojide saptanan MS prevelansı %49,3’idi. En sık karşılaşılan lezyon enfeksiyöz değişikliklerdi (%39,7) ve en sık periodontal kemik kaybı ile ilişkiliydi (%34,9). MS duvarı ile temasta en çok maksiller ikinci molar diş bulundu. Diş köklerinin protrüzyonu en çok birinci ve ikinci maksiller molar dişlerde izlendi. Apikal peridontitis ve kanal tedavisi gruplar arası farklılık göstermedi. Sonuç: Cinsiyet, asemptomatik hastalarda mukozal hiperplaziyi etkileyen önemli bir parametre olabilir. Periodontal durum, MS mukozasında hiperplazi gelişiminde tetikleyici risk faktörü olabilir.

Anahtar Kelimeler:

Schneider membran, Patoloji, KIBT, Odontojenik faktörler

Evaluation of Maxillary Sinus Pathologies and Schneider Membrane Changes in Relation to Odontogenic Factors Using Cone Beam Computed Tomography

Objective: In this cross-sectional study, it was aimed to comparatively investigate the relationship between Schneiderian membrane changes and odontogenic factors in the posterior maxilla in the control and case groups in Cone Beam Computed tomographic images, and to reveal the dental findings associated with different degrees of mucosal hyperplasia. Methods: A total of 126 maxillary sinuses of 63 patients (aged 16-68 years) were evaluated retrospectively. Maxillary sinus (MS) findings were identified as infectious changes (mucosal hyperplasia, pseudocyst), retention cyst, polyp and inferior maxillary sinus pneumatisation. Odontogenic parameters were recorded as apical lesion, periodontal bone loss, root canal treatment, root-protrusion into the sinus and oro-antral fistula. Correlations for pathologic findings and the factors of age and gender were calculated. The variables were analysed using SPSS program. In-group comparisons, chi-square test and Mann Whitney-U test were used. Results: The prevelance of MS lesions was 49.3%. The most common lesion was infectious changes (39.7%) and most often associated with periodontal bone loss (34.9%). The tooth most frequently in contact to the maxillary sinus floor was the the second molar. The protrusion of tooth roots was seen most often in second maxillary molars. Apical lesion and endodontic treatment did not differ between groups. Conclusion: Gender may be an important parameter affecting mucosal hyperplasia in asymptomatic patients. Periodontal status may be a trigger risk factor for the development of hyperplasia in the maxillary sinus mucosa.

Keywords:

Schneiderian membrane, Pathology, CBCT, Odontogenic factors,

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