Assessment of the Topographic Relationship Between the Maxillary Sinus and Maxillary Posterior Teeth Using Cone Beam Computed Tomography

Year 2024, Volume: 34 Issue: 1, 18 - 24, 18.01.2024

Ceyda Gürhan Elif Şener Ali Mert B. Güniz Baksı

https://doi.org/10.5152/CRDS.2023.22147

Abstract

Objective: The aim was to identify the distance between the apices of maxillary posterior teeth and maxillary sinus (MS) floor as well as the thickness of the bone between the root and the alveolar cortical plate.
Methods: The cone-beam computed tomography scans of 74 patients were evaluated retrospec- tively. Topographic measurements of the surrounding bone at the apex of all premolar and molar maxillary teeth were performed in 2 different planes (vertical and horizontal). A 1-way analysis of variance was used to determine the differences in linear measurements between each root for all tooth types and genders.
Results: The mean vertical distance to the MS floor was significantly high for first premolar roots and the lowest mean vertical distance was measured for mesio-buccal roots of second molars (P < 0.05). In contrast, the lowest buccal bone thickness was found for the first premolar, whereas the highest buccal thickness was measured for the mesiobuccal roots of the second
molars (P < .05). When gender groups were evaluated separately, it was found that the vertical distance between the apices of second premolar teeth and the MS floor was significantly higher in females (P < .05). Moreover, the mesiobuccal and palatal horizontal measurements of second molars were higher in females (P < .05).
Conclusion: It is important to have knowledge about the linear measurements and morphologi- cal features of the maxillary alveolar bone in order to carry out successfull dental practices The obtained results were expected to be beneficial for clinicians to reduce the complication, espe- cially in dental procedures involving maxillary molar region.
Keywords: Maxillary sinus, maxillary molar, maxillary premolar, topographic measurements

ÖZ
Amaç: Maksiller posterior dişlerin apeksleri ile maksiller sinüs (MS) tabanı arasındaki mesafe- nin belirlenmesinin yanında alveolar kemiğin kortikal tabakası ile kökler arasındaki kalınlığın saptanmasıdır.
Yöntemler: 74 hastaya ait konik ışınlı bilgisayarlı tomografi görüntüsü retrospektif olarak değerlendirildi. Maksiller premolar ve molar dişlerin apeksleri hizasındaki alveolar kemiğin 2 farklı düzlemde (vertikal ve horizontal) topografik ölçümleri yapıldı. Çalışmaya dahil edilen tüm diş tipleri ve cinsiyet grupları için her diş köküne yönelik yapılan doğrusal ölçümler arasındaki farklılıkları belirlemek amacıyla tek yönlü varyans analizi kullanıldı.
Bulgular: MS tabanına olan ortalama vertikal mesafe birinci premolar dişlerde anlamlı derecede yüksek iken, en düşük ortalama dikey mesafe ikinci molar dişlerinmezio-bukkal kökleri için ölçüldü (P < 0.05). Buna karşılık en düşük bukkal kemik kalınlığı birinci premolar dişler bölgesinde iken, en yüksek bukkal kemik kalınlığı ikinci molar dişlerin mezio-bukkal köklerinde ölçüldü (P < .05). Yapılan ölçümler cinsiyet dağılımına göre karşılaştırmalı olarak değerlendirildiğinde, ikinci premolar dişlerin apeksleri ile MS tabanı arasındaki vertikal mesafenin kadın- larda anlamlı şekilde daha yüksek olduğu belirlendi (P < .05). Ayrıca ikinci molar dişlerin mesio-bukkal ve palatal yöndeki horizontal ölçümleri kadınlarda anlamlı şekilde yüksekti (P < .05).
Sonuç: Maksiller alveol kemiğin morfolojik özellikleri ve doğrusal ölçümleri hakkında bilgi sahibi olunması, dental uygulamaların başarılı olarak gerçekleştirilebilmesi için önemlidir. Elde edilen sonuçların, özellikle maksiller posterior bölgeyi ilgilendiren dental işlemlerdeki komplikasyonların azaltılmasında klinisyenlere faydalı olması beklenmektedir.
Anahtar Kelimeler: Maksiller sinüs, maksiller molar, maksiller premolar, topografik ölçümler

Keywords

Maxillary sinus, maxillary molar, maxillary premolar

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