Dental CT Images Of Maxillary Sinuses In Asymptomatic Patients
Article Sidebar
Main Article Content
Abstract
Objectives : The purpose of this study was to evaluate the Dental CT image findings of the maxillary sinuses of the Thai asymptomatic patients at the Department of Radiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand. Materials and methods : Dental CT images of 210 Thai patients without any signs and symptoms of the sinuses defects seeking for the dental implant placement during 2007-2010 were collected retrospectively and evaluated. All images were taken by P-mode imaging procedure and assessed by three observers in axial, coronal and sagittal planes. SPSS program and Chi-square Test were used for the statistic analysis. Results : The abnormal image findings of the maxillary sinuses were found in 158 sinuses of 104 patients. Thickening or mucositis of sinuses mucosa was the most frequent findings in 34.04%, fluid in the sinuses 1.67%, and mucous pseudocysts 1.43% respectively. An embedded tooth of the third upper molar and a fragment of bone grafting were found in one patient each. Gender was significantly associated with these abnormal image findings as male more than female (p≤0.05). Conclusion : About one-third of those asymptomatic patients in this study have shown the abnormal Dental CT image findings of the maxillary sinuses. Most of the findings were not seriously effected for the patients seeking implantations. Dental CT imaging is one of the most valuable diagnostic tools to help the clinicians diagnose and suggest the patients to the receive appropriate care.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of TCI is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence, unless otherwise stated. Please read our Policies page for more information.
References
Armstrong R, Mucous retention cyst of the maxillary sinus. J Endod 1977 : 435-436.
Barone A, Santini S, Sbordone L, Crespi R,Covani, U. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int Oral Maxillofac Impl 2006; 21:81–85.
Barsley RE, Thunthy KH, Weir JC. Maxillary sinus mucoceles:report of an unusual case. Oral Surg Oral Med Oral Pathol 1984; 58:499-505.
Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfanf J. Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Impl Res 2008; 19:1285–1289.
Beriat GK, Beriat NÇ, Yalçınkaya E. Ectopic molar tooth in the maxillary sinus-A case report. Clin Dent Res 2011; 35:35-40.
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.
Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral Computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function. Clin Oral Impl Res 2011; 22:78–82.
Carter L, Farman AG, Geist J, Scarfe WC, Angelopoulos C, Nair MK, et al.American Academy of Oral and Maxillofacial Radiology Executive Opinion Statement on Performing and Interpreting Diagnostic Cone Beam Computed Tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106:561–562.
Cha J-Y, Mah J, Sinclair P. Incidental findings in the maxillofacial area with3-dimensional cone-beam imaging. Am J Orthod Dentofacial Orthop 2007,132:7–14.
Chen L-C, Huang J-L, Wang C-R, Yeh K-W, Lin-SJ. Use of standard radiography to diagnose paranasal sinus disease of asthmatic children in Taiwan: coparison with computed tomography. Asian Pacific J Allergy Immunol 1999;17:69-76
Chong VHF, Fan YF. Comparison of CT and MRI features in sinusitis. Eur J Radiol 1998; 29:47-54.
Conner SEJ, Chavda SV, Pahor AL. Computed tomography evidence of the dental restorations etiological factor for maxillary sinusitis. J Laryngol Otol 2000,;114:510-513.
Diament MJ, Senac MOJR, Gilsanz V, Baker S, Gillespie T, Larsson S. Prevalence of incidental paranasal sinuses opacification in pediatric patients: A CT study. J Comput Assist Tomogr. 1987; 11:426–431.
Engstrom H, Chamberlain D, Kiger R, Egelberg J. Radiographic evaluation of the effect of initial periodontal therapy on thickness of maxillary sinus mucosa. J Periodontol 1988; 59:604-608.
Falk H, Ericsson S, Hugoson A. The effect of periodontal–treatment on mucous membrane thickening in the maxillary sinus. J Clin Periodontol 1986;13:217-222.
Felice RD, Lombardi T. Ectopic third molar in the maxillary sinus. Case Report. Aust Dent J 1995; 40:236-237.
Gardner DG. Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1984; 58:561-567.
Gardner DG, Gullane PJ. Mucoceles of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986; 62:538-543.
Gordts F, Clement PAR, Destryker B, Desprechins B, Kaufman L. Prevalenceof sinusitis signs on MRI in a non-ENT paediatric population. Rhinology1997; 35:154–157.
Gracco A, Parenti IS, Ioele C, Bonetti GA, Stellini E. Prevalence of incidental maxillary sinus findings in Italian orthodontic patients: a retrospective cone-beam computed tomography study. Korean J Orthod 2012; 42:329-34.
Hadar T, Shvero J, Nageris BI, Yaniv E. Mucous retention cyst of the maxillary sinus:the endoscopic approach. Br J Oral Maxilofac Surg 2000; 38:227-229.
Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paransal sinuses. Arch Otolaryngol Head Neck Surg. 1988; 114:856–859.
Hernandez-Alfaro F, Torradefolt MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus lift procedures. Clin Oral Impl Res 2008; 19:91–98.
Julian RS. Maxillary sinusitis-Medical and surgical treatment rationale. In Laskin DM, Dierks EJ (eds). Oral and maxillofacial surgery clinics of North America, WB Saunders:Philadelphia, 1999 ; 11:69-81.
Jung J-H, Choi B-H, Jeong S-M, Li J, Lee S-H, Lee-HJ.A retrospective study of the effect on sinus complicatios of exposing dental implants to the maxillary sinus cavity. Oral Surg Oral Med Oral Pathol Oral radiol Endod 2007;103:623-625.
Kasat VO, Karjodkar FR, Laddha RS. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A case report and review of literature. Contemp Clin Dent 2012; 3:373-376.
Lyon HE. Reliability of panoramic radiography in the diagnosis of maxillary sinus pathosis. Oral Surg Oral Med Oral Pathol 1973;35:124-128.
Madani G, Beale TJ. Sinonasal inflammatory disease. Semin Ultrasound CT MRI. 2009; 30:17–24.
Mardinger O, Manor I, Mijiritsky E, Hirshberg A. Maxillary sinusaugmentation in the presence of antral pseudocyst: a clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103:180-184.
Mohan S, Kankariya H, Harjani B, Sharma H. Ectopic third molar in the maxillary sinus. Nat J Maxillofac Surg. 2011; 2:222-224.
Moskow BS. A histomorphologic study of the effects of periodontal inflammation on the maxillary sinus mucosa. J Periodontol 1992;63:674- 681.
Obayashi N, Ariji Y, Goto M, Izumi M, Naitoh M, Kurita K, et al. Spread of odontogenic infection originating in the maxillary teeth: computerized tomographic assessment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98:223–231.
Patle BK, Umarji H. CT Scan Evaluation of Maxillary Sinus Pathologies: Intrinsic and extrinsic. J Indian Acad Oral Med Radiol 2010; 22:4-9.
Rege ICC, Soasa TO, Leles CR, Mendonoa EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 2012;12:30.
Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, Rothamel D, Mischkowski RA. Prevalence of pathologic findings in the Maxillary nsinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:634–340.
Rodrigues CD, Freire GF, Silva LB, Fonseca da Silveira MM, Estrela C. Prevalence and risk factors of mucous retention cysts in a Brazilian population. Dentomaxillofac Radiol. 2009; 38:480–483.
Ruprecht A, Lam EWN. Paranasal sinuses. In White SC, Pharoah MJ (eds).Oral radiology- Principle and Interpretation, Mosby-Elsevier:New Delhi 2009:567-596.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beamcomputed tomography in dental practice. J Can Dent Assoc 2006;72:75–79.
Soikkonen K, Ainamo. Radiographic maxillary sinus findings in the elderly.Oral Surg Oral Med Oral Pathol Oral radiol Endod 1995; 80:487-491. the effect on sinus complicatios of exposing dental implants to the maxillary sinus cavity. Oral Surg Oral Med Oral Pathol Oral radiol Endod 2007; 103:623-625.
Tang ZH, Wu MJ, Xu W. Implant placed simultaneously with maxillary sinus augmentation in the presence of antral pseudocysts :a case report. Int J Oral Maxillofac Surg 2011; 40:908-1001.
Vallo J, Taipale LS, Huumonen S, Soikkonen K, Norblad A: Prevalence ofmucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Hearth Examination Survery. Oral Surg Oral Med Oral Pahtol Oral Radiol Endod 2010;109:180–187.
Wang C-J, Huang P-H, Wang Y-L, Shyng Y-C, Kao W-B. Dentigerous Cyst Over Maxillary Sinus:A Case Report and Literature Review. Taiwan J Oral Maxillofac Surg 2009; 20:116-124.
Ziccardi VB, Betts NJ. Complications of maxillary sinus augmentation. In Jensen OT (ed). The sinus bone graft.Quintessence Publishing: IL, 1999:201-208.