Evaluation of maxillary sinus expansion in children due to maxillary first molar extraction

Yıl 2019, Cilt: 53 Sayı: 1, 1 - 5, 31.01.2019

Sinem Kuru Mustafa Mert Açıkgöz Tamer Lütfi Erdem Arzu Pınar Erdem Gülsüm Ak Gamze Eren Elif Sepet

Öz

Purpose

This study is aimed at understanding the effects of maxillary first molar extraction

on the expansion of maxillary sinus in children.

Subjects and methods

119 patients (aged 11-17 years) who had only one extracted maxillary first molar

were included in the study. The superoinferior differences of the sinus floor position

were measured in both dentate and edentulous sites on panoramic radiographs.

The expansion of the maxillary sinus after maxillary first molar extraction was

investigated in relation to fixed anatomic structures. The interorbital line (IL) and

two zygomatic process lines (IZ) were used as a reference. The vertical distances

between the IL and the inferior border of the maxillary sinus (IS) in edentulous (ISX)

and in dentate sites (IST) were measured. The data was analyzed statistically.

Results

The amount of maxillary sinus expansion in ISX was statistically significant in

comparison to IST (p<0.001). The most prominent sinus expansions were found

in subjects with extractions over six months prior to analysis (p<0.001). A negative

correlation was detected between the amount of maxillary sinus expansion and

IST (r = -0.438, p<0.001). There was a positive correlation between the amount of

maxillary sinus expansion and IZT (r = 23.8, p< 0.009).

Conclusion

This study showed that the extraction of one maxillary first molar resulted in a

negligible amount of sinus expansion in children. The results could be attributed to

there being only one tooth extraction and a transferring of functional forces to the

area of the neighboring teeth.

Anahtar Kelimeler

Maxillary sinus, sinus expansion, tooth extraction, panoramic radiography, children

Kaynakça

• Anderhuber W, Weiglein A, Wolf G. Nasal cavities and paranasal sinuses in newborns and children. Acta Anat (Basel) 1992;144:120-6. [CrossRef ]
• Kilic C, Kamburoglu K, Yuksel SP, Ozen T. An Assessment of the Relationship between the Maxillary Sinus Floor and the Maxillary Posterior Teeth Root Tips Using Dental Cone-beam Computerized Tomography. Eur J Dent 2010;4:462-7.
• Karakas S, Kavakli A. Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Ann Saudi Med 2005;25:41–5. [CrossRef ]
• Wehrbein H, Diedrich P. The initial morphological state in the basally pneumatized maxillary sinus–a radiological-histological study in man. Fortschr Kieferorthop 1992;53: 254–62. [CrossRef ]
• Tatum HJr. Maxillary and sinus implant reconstructions. Dental Clinics of North America 1986;30:207-29.
• Chanavaz M. Maxillary sinus: anatomy, physiology, surgery, and bone grafting related to implantology-eleven years of surgical experience. Journal of Oral Implantology 1990;16: 199–209.
• Kubilius M, Kubilius R, Gleiznys A. The preservation of alveolar bone ridge during tooth extraction. Stomatologija, Baltic Dental and Maxillofacial Journal 2012;14:3-11.
• Misch CE. Contemporary implant dentistry. 2nd Ed. St.Louis: CV Mosby Co. 1999, p 76-194.
• Göçmen G, Borahan MO, Aktop S, Dumlu A, Pekiner FN, Göker K. Effect of Septal Deviation, Concha Bullosa and Haller’s Cell on Maxillary Sinus’s Inferior Pneumatization; a Retrospective Study. The Open Dentistry Journal 2015; 9:282–6. [CrossRef ]
• Brook I. Sinusitis of odontogenic origin. Otolaryngology –Head and Neck Surgery 2006; 135:349-55. [CrossRef ]
• Wehrbein H, Diedrich P. Progressive pneumatization of the basal maxillary sinus after extraction and space closure. Fortschr Kieferorthop 1992;53:77–83. [CrossRef ]
• Ariji Y, Kuroki T, Moriguchi S, Ariji E, Kanda S. Age changes in the volume of the human maxillary sinus: a study using computed tomography. Dentomaxillofac Radiol 1994; 23:163-8. [CrossRef ]
• Harorh, A, Bocutoglu O. The comparison of vertical height and width of maxillary sinus by means of Waters’ view radiograms taken from dentate and edentulous cases. Ann Dent1995;54:47–9
• Ohba T, Langlais RP, Morımoto Y, Tanaka T, Hashimoto K. Maxillary sinus floor in edentulous and dentate patients. Indian J Dent Res 2001;12:121–5.
• Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants 2008;23:48-56.
• Shahbazian M, Xue D, Hu Y, van Cleynenbreugel J, Jacobs R. Spiral Computed Tomography Based Maxillary Sinus Imaging in Relation to Tooth Loss, Implant Placement and Potential Grafting Procedure. Journal of Oral & Maxillofacial Research 2010;1:7. [CrossRef ]
• Hadchiti W, Nasseh I, Hayek E, Mora F, Bouchard P. Prevalence, location and orientation of maxillary sinus septa. Annals of Oral & Maxillofacial Surgery 2014;2(1):9.
• Tolstunov L, Thai D, Arellano L. Implant-Guided Volumetric Analysis of Edentulous Maxillary Bone With Cone- Beam Computerized Tomography Scan. Maxillary Sinus Pneumatization Classification. Journal of Oral Implantology 2012;38:377-90. [CrossRef ]
• Xie Q, Soikkonen K, Wolf J, Mattila K, Gong M, Ainamo A. Effect of head positioning in panoramic radiography on vertical measurements: an in vitro study. Dentomaxillofac Radiol 1996;25:61-6. [CrossRef ]
• Engstrom H, Chamberlain D, Kiger R, Egelberg J. Radiographic evaluation of the effect of initial periodontal therapy on thickness of the maxillary sinus mucosa. J Periodontol 1988; 59: 604-8. [CrossRef ]
• Bartee BK. Extraction site reconstruction for alveolar ridge preservation. Part 2: Membrane-assisted surgical technique. J Oral Implantol 2001;27:194-7. [CrossRef ]
• Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23:313–23.
• Shah RA, Mitra DK, Rodrigues SV, Pathare PN, Podar RS, Vijayakar HN. Implants in adolescents. Journal of Indian Society of Periodontology 2013;17:546-8. [CrossRef ]
• Op Heij DG, Opdebeeck H, van Steenberghe D, Quirynen M. Age as compromising factor for implant insertion. Periodontol 2003;33:172-84. [CrossRef ]