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

Year 2021, Volume: 7 Issue: 3, 296 - 303, 01.11.2021

Özlem Akkemik Kıpçak

https://doi.org/10.30934/kusbed.885882

Cited By: 1

Abstract

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.

Keywords

Schneider membran, Patoloji, KIBT, Odontojenik faktörler

Supporting Institution

İstanbul Yeni Yüzyıl Üniversitesi Fen, Sosyal ve Girişimsel Olmayan Sağlık Bilimleri Araştırmaları Etik Kurulu

Project Number

2020/06-469

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

Abstract

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

Project Number

2020/06-469

References

• Lu Y, Liu Z, Zhang L, et al. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod. 2012;38(8):1069-1074. doi:10.1016/j.joen.2012.04. 027
• 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. J Periodontol. 2012;83(5):557-564. doi:10.1902/jop.2011.110376
• de Faria Vasconcelos K, Evangelista KM, Rodrigues CD, Estrela C, de Sousa TO, Silva MA. Detection of periodontal bone loss using cone beam CT and intraoral radiography. Dentomaxillofacial Radiology. 2012,41:64-69. doi:10.1259/ dmfr/13676777
• Lana JP, Carneiro PMR, Machado V de C, de Souza PEA, Manzi FR, Horta MCR. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res. 2012;23(12):1398-1403. doi:10.1111/j.1600-0501.2011. 02321.x
• Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod. 2011;37(6):753-757. doi:10.1016/j.joen. 2011.02.032
• Souza-Nunes LA, Verner FS, Rosado LPL, Aquino SN, Carvalho ACP, Junqueira RB. Periapical and endodontic status scale for endodontically treated teeth and their association with maxillary sinus abnormalities: a cone-beam computed tomographic study. J Endod. 2019;45(12):1479-1488. doi:10.1016/j.joen.2019.09.005
• Guerra-Pereira I, Vaz P, Faria-Almeida R, Braga A, Felino A. CT maxillary sinus evaluation-A retrospective cohort study. Med Oral Patol Oral Cirugia Bucal. 2015;20(4):e419-e426. doi:10.4317/medoral.20513
• Anbiaee N, Khodabakhsh R, Bagherpour A. Relationship between anatomical variations of sinonasal area and maxillary sinus pneumatization. Iran J Otorhinolaryngol. 2019;31(105):229-234. doi:10.22038/ijorl.2018.32142.2075
• Legert KG, Zimmerman M, Stierna P. Sinusitis of odontogenic origin: pathophysiological implications of early treatment. Acta Otolaryngol. 2004;124(6):655-663. doi:10.1080/00016480310016866
• Mehra P, Murad H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am. 2004;37(2):347-364. doi:10.1016/S0030-6665(03)00171-3
• Shanbhag S, Karnik P, Shirke P, Shanbhag V. Association between periapical lesions and maxillary sinus mucosal thickening: a retrospective cone-beam computed tomographic study. J Endod. 2013;39(7):853-857. doi:10.1016/j.joen.2013. 04.010
• Gardner DG. Pseudocysts and retention cysts of the maxillary sinus. Oral Surg. 1984;58:561-567. doi:10.1016/0030-4220(84)90080-X
• Freisfeld M, Drescher D, Schellmann B, Schüller H. The maxillary sixth-year molar and its relation to the maxillary sinus. Fortschr Kieferorthop. 1993;54(5):179-186. doi:10.1007/BF02341464
• Kretzschmar DP, Kretzschmar JL. Rhinosinusitis: Review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(2):128-135. doi:10.1016/s1079-2104(03)00306-8
• Eggesbø HB. Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. Eur Radiol. 2006;16:872-888. doi:10.1007/s00330-005-0068-2
• Ritter L, Lutz J, Neugebauer J, et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(5):634-640. doi:10.1016/j.tripleo.2010. 12.007
• Goller-Bulut D, Sekerci AE, 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. Med Oral Patol Oral Cir Bucal. 2015;20(5):e572-579. doi:10.4317/medoral.20587
• Janner SFM, 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. Clin Oral Implants Res. 2011;22(12):1446-1453. doi:10.1111/j.1600-0501.2010. 02140.x
• 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. Clin Oral Investig. 2012;16(4):1023-1029. doi:10.1007/s00784-011-0620-1
• Aksoy U, Orhan K. Association between odontogenic conditions and maxillary sinus mucosal thickening: a retrospective CBCT study. Clin Oral Investig. 2019;23(1):123-131. doi:10.1007/s00784-018-2418-x
• Nascimento EHL, Pontual MLA, Pontual AA, Freitas DQ, Perez DEC, Ramos-Perez FMM. Association between odontogenic conditions and maxillary sinus disease: a study using cone-beam computed tomography. J Endod. 2016;42(10):1509-1515. doi:10.1016/j.joen.2016.07.003
• Kasikcioglu A, Gulsahi A. Relationship between maxillary sinus pathologies and maxillary posterior tooth periapical pathologies. Oral Radiol. 2016;32(3):180-186.
• Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pécora JD. A new periapical index based on cone beam computed tomography. J Endod. 2008;34(11):1325-1331. doi:10.1016/j.joen.2008.08.013
• Gürhan C, Şener E, Mert A, Şen GB. Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT. International Endodontic Journal. 2020;53(10):1339-1347. doi:10.1111/iej.13362
• Nunes CABCM, Guedes OA, Alencar AHG, Peters OA, Estrela CRA, Estrela C. Evaluation of periapical lesions and their association with maxillary sinus abnormalities on cone-beam computed tomographic images. J Endod. 2016;42(1):42-46. doi:0.1016/j.joen.2015.09.014
• Rege IC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health. 2012;10:12-30. doi:10.1186/1472-6831-12-30
• Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):e80-87. doi:10.1016/j.tripleo. 2009.10.031
• Sheikhi M, Pozve NJ, Khorrami L. Using cone beam computed tomography to detect the relationship between the periodontal bone loss and mucosal thickening of the maxillary sinus. Dent Res J (Isfahan). 2014;11(4):495-501.
• Nimigean VR, Nimigean V, Ma˘ru VN, Andressakis D, Balatsouras DG, Danielidis V. The maxillary sinus and its endodontic implications: clinical study and review. B-ENT. 2006;2:167-175.
• Obayashi N, Ariji Y, Goto M, 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(2):223-231. doi:10.1016/j.tripleo.2004.05.014
• Roque-Torres GD, Ramirez-Sotelo LR, Vaz SL de A, Bóscolo SM de A de, Bóscolo FN. Association between maxillary sinus pathologies and healthy teeth. Braz J Otorhinolaryngol. 2016;82(1):33-38. doi:10.1016/j.bjorl.2015.11.004