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Maksiller Sinüs Patolojilerinin Odontojenik Faktörlerle İlişkisinin Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi

Yıl 2023, Cilt: 2 Sayı: 2, 61 - 68, 31.08.2023

Öz

Amaç: Bu çalışmanın amacı maksiller sinüs patolojilerine sebep olabilen odontojen faktörlerin belirlenmesi ve bu amaçla konik ışınlı bilgisayarlı tomografinin kullanılabilirliğinin değerlendirilmesidir.
Materyal ve metod: Çalışmamızda 200 hastaya ait Akdeniz Üniversitesi Diş Hekimliği Fakültesi Ağız Diş ve Çene Radyolojisi Anabilim Dalı’ na başvuran bireylerden çeşitli nedenlerle alınmış konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri, maksiler sinüs patoloji varlığı ve odontojenik faktörler arasındaki ilişkiyi belirlemek amacıyla retrospektif olarak tarandı. Maksiller sinüs patolojileri; mukozal kalınlaşma, mukus retansiyon kisti, sinüzit, polip ve antrolit olarak belirlendi. Sinüs mukozası kalınlığının 2 mm ve üzerinde olduğu olgular patolojik olarak kabul edildi. Odontojen faktörler; kronik apikal lezyon, marjinal kemik kaybı, oro-antral fistül, restoratif uygulamalar, kanal tedavisi, implant, gömülü diş ve rezidüel kök olarak belirlendi. Verilerin analizinde SPSS kullanıldı ve p< .05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Maksiller sinüs patolojisi prevalansı toplam 200 hastanın 192'sinde %96 oranında gözlendi. Her iki maksiller sinüsde en sık maksiller sinüs patolojisi mukozal kalınlaşma idi. En nadir görülen maksiller sinüs patolojisi antrolit idi. Sağ maksiller sinüs patolojisi cinsiyete göre farklılık gösterirken (p= 0,02), sol maksiller sinüs patolojisi ile cinsiyet arasında ilişki yoktu (p=0,1). 182 hastada (%91) odontojenik faktörler mevcuttu. Hem odontojenik faktörlerin hem de maksiller sinüs patolojilerin gözlendiği 175 hasta (%87,5) tespit edildi. Mukozal kalınlaşma ile kronik periapikal periodontitis arasında istatistiksel olarak anlamlı korelasyon vardı (p=0,004). Sinüzit ve oroantral ilişki arasında istatistiksel olarak anlamlı korelasyon tespit edilmiştir (p=0,0001). Antrolit ile rezidüel kök arasında istatistiksel olarak anlamlı korelasyon tespit edilmiştir (p=0,04).
Sonuç: Periodontal hastalıklar, kronik apikal periodontitis, restoratif işlemler, maksiller sinüs bölgesine yakın rezidüel kökler maksiller sinüs patolojileriyle ilişkilidir. Düşük radyasyon dozu ve yüksek uzaysal çözünürlülüğü ile KIBT, maksiller sinüzit patolojilerinde odontojen etyolojisinin belirlenmesine yardımcı olabilmektedir.

Destekleyen Kurum

yok

Kaynakça

  • 1. Porter GT, Quinn FB. Paranasal Sinuses: Anatomy and Function. The University of Texas Medical Branch (UTMB), Department of Otolaryngology, Galveston TX January Grand Rounds presentation. 2002;1:1-3.
  • 2. Mehra P, Jeong D. Maxillary sinusitis of odontogenic origin. Current allergy and asthma reports. 2009;9(3):238-43.
  • 3. Troeltzsch M, Pache C, Troeltzsch M, Kaeppler G, Ehrenfeld M, Otto S, et al. Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases. Journal of Cranio-Maxillofacial Surgery. 2015;43(8):1522-9.
  • 4. Feng L, Li H, Ling-Ling E, Li C-J, Ding Y. Pathological changes in the maxillary sinus mucosae of patients with recurrent odontogenic maxillary sinusitis. Pakistan Journal of Medical Sciences. 2014;30(5):972.
  • 5. Simuntis R, Kubilius R, Vaitkus S. Odontogenic maxillary sinusitis: a review. Stomatologija. 2014;16(2):39-43.
  • 6. Shahbazian M, Jacobs R. Diagnostic value of 2D and 3D imaging in odontogenic maxillary sinusitis: a review of literature. Journal of oral rehabilitation. 2012;39(4):294-300.
  • 7. 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 surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2008;106(4):561-2.
  • 8. Naitoh M, Suenaga Y, Kondo S, Gotoh K, Ariji E. Assessment of maxillary sinus septa using cone‐beam computed tomography: etiological consideration. Clinical implant dentistry and related research. 2009;11:e52-e8.
  • 9. de Oliveira LD, Carvalho CAT, Carvalho AS, de Souza Alves J, Valera MC, Jorge AOC. Efficacy of endodontic treatment for endotoxin reduction in primarily infected root canals and evaluation of cytotoxic effects. Journal of endodontics. 2012;38(8):1053-7.
  • 10. Pushkar Mehra B, Murad H. Maxillary sinus disease of odontogenic origin.
  • 11. Rôças IN, Neves MA, Provenzano JC, Siqueira Jr JF. Susceptibility of as-yet-uncultivated and difficult-to-culture bacteria to chemomechanical procedures. Journal of endodontics. 2014;40(1):33-7.
  • 12. 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 Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004;98(2):223-31.
  • 13. Melén I, Lindahl L, Andréasson L, Rundcrantz H. Chronic maxillary sinusitis: definition, diagnosis and relation to dental infections and nasal polyposis. Acta oto-laryngologica. 1986;101(3-4):320-7.
  • 14. Bhattacharyya N. Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Archives of Otolaryngology–Head & Neck Surgery. 2000;126(11):1369-71.
  • 15. Mathew AL, Pai KM, Sholapurkar AA. Maxillary sinus findings in the elderly: a panoramic radiographic study. J Contemp Dent Pract. 2009;10(6):E041-8.
  • 16. Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, et al. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. Journal of endodontics. 2012;38(8):1069-74.
  • 17. Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clinical oral implants research. 2011;22(12):1446-53.
  • 18. Phothikhun S, Suphanantachat S, Chuenchompoonut V, Nisapakultorn K. Cone‐beam computed tomographic evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus. Journal of periodontology. 2012;83(5):557-64.
  • 19. Aksoy U, Orhan K. Association between odontogenic conditions and maxillary sinus mucosal thickening: a retrospective CBCT study. Clinical Oral Investigations. 2019;23:123-31.
  • 20. Bozdemir E, Gormez O, Yıldırım D, Erik AA. Paranasal sinus pathoses on cone beam computed tomography. Journal of Istanbul University Faculty of Dentistry. 2016;50(1):27.
  • 21. Bajoria AA, Sarkar S, Sinha P. Evaluation of odontogenic maxillary sinusitis with cone beam computed tomography: A retrospective study with review of literature. Journal of International Society of Preventive & Community Dentistry. 2019;9(2):194.
  • 22. Turfe Z, Ahmad A, Peterson EI, Craig JR, editors. Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification. International Forum of Allergy & Rhinology; 2019: Wiley Online Library.
  • 23. Saibene AM, Pipolo GC, Lozza P, Maccari A, Portaleone SM, Scotti A, et al., editors. Redefining boundaries in odontogenic sinusitis: a retrospective evaluation of extramaxillary involvement in 315 patients. International forum of allergy & rhinology; 2014: Wiley Online Library.
  • 24. Arias Irimia Ó, Barona Dorado C, Santos Marino J, Martínez Rodríguez N, Martínez González JM. Meta-analisis of the etiology of odontogenic maxillary sinusitis. 2010.
  • 25. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2011;111(5):634-40.
  • 26. Pazera P, Bornstein M, Pazera A, Sendi P, Katsaros C. Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis using cone‐beam computed tomography (CBCT). Orthodontics & craniofacial research. 2011;14(1):17-24.
  • 27. Tofts P, Gore J. Some sources of artefact in computed tomography. Physics in Medicine & Biology. 1980;25(1):117.
  • 28. Brüllmann DD, Schmidtmann I, Hornstein S, Schulze RK. Correlation of cone beam computed tomography (CBCT) findings in the maxillary sinus with dental diagnoses: a retrospective cross-sectional study. Clinical oral investigations. 2012;16:1023-9.
  • 29. Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. Journal of endodontics. 2011;37(6):753-7.
  • 30. Shanbhag S, Karnik P, Shirke P, Shanbhag V. Association between periapical lesions and maxillary sinus mucosal thickening: a retrospective cone-beam computed tomographic study. Journal of endodontics. 2013;39(7):853-7.
  • 31. Goller-Bulut D, Sekerci A-E, Köse E, Sisman Y. Cone beam computed tomographic analysis of maxillary premolars and molars to detect the relationship between periapical and marginal bone loss and mucosal thickness of maxillary sinus. Medicina oral, patologia oral y cirugia bucal. 2015;20(5):e572.
  • 32. Nunes CA, Guedes OA, Alencar AHG, Peters OA, Estrela CR, Estrela C. Evaluation of periapical lesions and their association with maxillary sinus abnormalities on cone-beam computed tomographic images. Journal of Endodontics. 2016;42(1):42-6.
  • 33. Rege ICC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC oral health. 2012;12(1):1-7.
  • 34. Dagassan-Berndt DC, Zitzmann NU, Lambrecht JT, Weiger R, Walter C. Is the Schneiderian membrane thickness affected by periodontal disease? A cone beam computed tomography-based extended case series. Journal of the International Academy of Periodontology. 2013;15(3):75-82.
  • 35. Acharya A, Hao J, Mattheos N, Chau A, Shirke P, Lang NP. Residual ridge dimensions at edentulous maxillary first molar sites and periodontal bone loss among two ethnic cohorts seeking tooth replacement. Clinical oral implants research. 2014;25(12):1386-94.
  • 36. Connor S, Chavda S, Pahor A. Computed tomography evidence of dental restoration as aetiological factor for maxillary sinusitis. J Laryngol Otol. 2000;114(7):510-3.

Evaluation of the Relationship between Maxillary Sinus Pathologies and Odontogenic Factors by Cone Beam Computed Tomography

Yıl 2023, Cilt: 2 Sayı: 2, 61 - 68, 31.08.2023

Öz

Aim: The aim of this study is to determine the odontogenic factors that can cause maxillary sinus pathologies and to evaluate the usability of cone beam computed tomography for this purpose.
Material and methods: In our study, cone beam computed tomography (CBCT) images of 200 patients who applied to the Department of Oral and Maxillofacial Radiology of Akdeniz University Faculty of Dentistry for various reasons were retrospectively scanned to determine the relationship between the presence of maxillary sinus pathology and odontogenic factors. Maxillary sinus pathologies; mucosal thickening, mucus retention cyst, sinusitis, polyp and anthrolite. Cases with a sinus mucosa thickness of 2 mm or more were considered pathological. Odontogenic factors; chronic apical lesion, marginal bone loss, oro-antral fistula, restorative applications, root canal treatment, implant, impacted tooth and residual root. SPSS was used in the analysis of the data and p< .05 was considered statistically significant.
Results: The prevalence of maxillary sinus pathology was 96% in 192 of 200 patients. The most common maxillary sinus pathology in both maxillary sinuses was mucosal thickening. The most rare maxillary sinus pathology was antrolite. While right maxillary sinus pathology differed according to gender (p= 0.02), there was no relationship between left maxillary sinus pathology and gender (p=0.1). Odontogenic factors were present in 182 patients (91%). There were 175 patients (87.5%) with both odontogenic factors and maxillary sinus pathologies. There was a statistically significant correlation between mucosal thickening and chronic periapical periodontitis (p=0.004). A statistically significant correlation was found between sinusitis and oroantral relationship (p=0.0001). A statistically significant correlation was found between anthrolite and residual root (p=0.04).
Conclusion: Periodontal diseases, chronic apical periodontitis, restorative procedures, residual roots close to the maxillary sinus region are associated with maxillary sinus pathologies. With its low radiation dose and high spatial resolution, CBCT can help determine the odontogenic etiology in maxillary sinusitis pathologies.

Kaynakça

  • 1. Porter GT, Quinn FB. Paranasal Sinuses: Anatomy and Function. The University of Texas Medical Branch (UTMB), Department of Otolaryngology, Galveston TX January Grand Rounds presentation. 2002;1:1-3.
  • 2. Mehra P, Jeong D. Maxillary sinusitis of odontogenic origin. Current allergy and asthma reports. 2009;9(3):238-43.
  • 3. Troeltzsch M, Pache C, Troeltzsch M, Kaeppler G, Ehrenfeld M, Otto S, et al. Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases. Journal of Cranio-Maxillofacial Surgery. 2015;43(8):1522-9.
  • 4. Feng L, Li H, Ling-Ling E, Li C-J, Ding Y. Pathological changes in the maxillary sinus mucosae of patients with recurrent odontogenic maxillary sinusitis. Pakistan Journal of Medical Sciences. 2014;30(5):972.
  • 5. Simuntis R, Kubilius R, Vaitkus S. Odontogenic maxillary sinusitis: a review. Stomatologija. 2014;16(2):39-43.
  • 6. Shahbazian M, Jacobs R. Diagnostic value of 2D and 3D imaging in odontogenic maxillary sinusitis: a review of literature. Journal of oral rehabilitation. 2012;39(4):294-300.
  • 7. 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 surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2008;106(4):561-2.
  • 8. Naitoh M, Suenaga Y, Kondo S, Gotoh K, Ariji E. Assessment of maxillary sinus septa using cone‐beam computed tomography: etiological consideration. Clinical implant dentistry and related research. 2009;11:e52-e8.
  • 9. de Oliveira LD, Carvalho CAT, Carvalho AS, de Souza Alves J, Valera MC, Jorge AOC. Efficacy of endodontic treatment for endotoxin reduction in primarily infected root canals and evaluation of cytotoxic effects. Journal of endodontics. 2012;38(8):1053-7.
  • 10. Pushkar Mehra B, Murad H. Maxillary sinus disease of odontogenic origin.
  • 11. Rôças IN, Neves MA, Provenzano JC, Siqueira Jr JF. Susceptibility of as-yet-uncultivated and difficult-to-culture bacteria to chemomechanical procedures. Journal of endodontics. 2014;40(1):33-7.
  • 12. 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 Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004;98(2):223-31.
  • 13. Melén I, Lindahl L, Andréasson L, Rundcrantz H. Chronic maxillary sinusitis: definition, diagnosis and relation to dental infections and nasal polyposis. Acta oto-laryngologica. 1986;101(3-4):320-7.
  • 14. Bhattacharyya N. Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Archives of Otolaryngology–Head & Neck Surgery. 2000;126(11):1369-71.
  • 15. Mathew AL, Pai KM, Sholapurkar AA. Maxillary sinus findings in the elderly: a panoramic radiographic study. J Contemp Dent Pract. 2009;10(6):E041-8.
  • 16. Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, et al. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. Journal of endodontics. 2012;38(8):1069-74.
  • 17. Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clinical oral implants research. 2011;22(12):1446-53.
  • 18. Phothikhun S, Suphanantachat S, Chuenchompoonut V, Nisapakultorn K. Cone‐beam computed tomographic evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus. Journal of periodontology. 2012;83(5):557-64.
  • 19. Aksoy U, Orhan K. Association between odontogenic conditions and maxillary sinus mucosal thickening: a retrospective CBCT study. Clinical Oral Investigations. 2019;23:123-31.
  • 20. Bozdemir E, Gormez O, Yıldırım D, Erik AA. Paranasal sinus pathoses on cone beam computed tomography. Journal of Istanbul University Faculty of Dentistry. 2016;50(1):27.
  • 21. Bajoria AA, Sarkar S, Sinha P. Evaluation of odontogenic maxillary sinusitis with cone beam computed tomography: A retrospective study with review of literature. Journal of International Society of Preventive & Community Dentistry. 2019;9(2):194.
  • 22. Turfe Z, Ahmad A, Peterson EI, Craig JR, editors. Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification. International Forum of Allergy & Rhinology; 2019: Wiley Online Library.
  • 23. Saibene AM, Pipolo GC, Lozza P, Maccari A, Portaleone SM, Scotti A, et al., editors. Redefining boundaries in odontogenic sinusitis: a retrospective evaluation of extramaxillary involvement in 315 patients. International forum of allergy & rhinology; 2014: Wiley Online Library.
  • 24. Arias Irimia Ó, Barona Dorado C, Santos Marino J, Martínez Rodríguez N, Martínez González JM. Meta-analisis of the etiology of odontogenic maxillary sinusitis. 2010.
  • 25. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2011;111(5):634-40.
  • 26. Pazera P, Bornstein M, Pazera A, Sendi P, Katsaros C. Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis using cone‐beam computed tomography (CBCT). Orthodontics & craniofacial research. 2011;14(1):17-24.
  • 27. Tofts P, Gore J. Some sources of artefact in computed tomography. Physics in Medicine & Biology. 1980;25(1):117.
  • 28. Brüllmann DD, Schmidtmann I, Hornstein S, Schulze RK. Correlation of cone beam computed tomography (CBCT) findings in the maxillary sinus with dental diagnoses: a retrospective cross-sectional study. Clinical oral investigations. 2012;16:1023-9.
  • 29. Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. Journal of endodontics. 2011;37(6):753-7.
  • 30. Shanbhag S, Karnik P, Shirke P, Shanbhag V. Association between periapical lesions and maxillary sinus mucosal thickening: a retrospective cone-beam computed tomographic study. Journal of endodontics. 2013;39(7):853-7.
  • 31. Goller-Bulut D, Sekerci A-E, Köse E, Sisman Y. Cone beam computed tomographic analysis of maxillary premolars and molars to detect the relationship between periapical and marginal bone loss and mucosal thickness of maxillary sinus. Medicina oral, patologia oral y cirugia bucal. 2015;20(5):e572.
  • 32. Nunes CA, Guedes OA, Alencar AHG, Peters OA, Estrela CR, Estrela C. Evaluation of periapical lesions and their association with maxillary sinus abnormalities on cone-beam computed tomographic images. Journal of Endodontics. 2016;42(1):42-6.
  • 33. Rege ICC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC oral health. 2012;12(1):1-7.
  • 34. Dagassan-Berndt DC, Zitzmann NU, Lambrecht JT, Weiger R, Walter C. Is the Schneiderian membrane thickness affected by periodontal disease? A cone beam computed tomography-based extended case series. Journal of the International Academy of Periodontology. 2013;15(3):75-82.
  • 35. Acharya A, Hao J, Mattheos N, Chau A, Shirke P, Lang NP. Residual ridge dimensions at edentulous maxillary first molar sites and periodontal bone loss among two ethnic cohorts seeking tooth replacement. Clinical oral implants research. 2014;25(12):1386-94.
  • 36. Connor S, Chavda S, Pahor A. Computed tomography evidence of dental restoration as aetiological factor for maxillary sinusitis. J Laryngol Otol. 2000;114(7):510-3.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği
Bölüm Araştırma Makaleleri
Yazarlar

Rümeysa Şendişçi 0000-0001-8252-8914

Bilay Stevanovıc Sancar 0000-0003-4307-3237

Ali Ekinci 0000-0001-7078-6588

Sevcihan Günen Yılmaz 0000-0002-4566-2927

Yayımlanma Tarihi 31 Ağustos 2023
Gönderilme Tarihi 26 Mayıs 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 2 Sayı: 2

Kaynak Göster

Vancouver Şendişçi R, Stevanovıc Sancar B, Ekinci A, Günen Yılmaz S. Evaluation of the Relationship between Maxillary Sinus Pathologies and Odontogenic Factors by Cone Beam Computed Tomography. Akd Dent J. 2023;2(2):61-8.

Başlangıç: 2022

Yayın Aralığı: Yılda 3 sayı

Yayıncı: Akdeniz Üniversitesi