Topographic relationship between maxillary sinus and roots of posterior teeth: a cone beam tomographic analysis

Year 2021, Volume: 55 Issue: 1, 39 - 44, 30.01.2021

Tuba Talo Yıldırım Faruk Oztekın Melek Didem Tozum

Abstract

Purpose: The objective of the research was to determine the relationship be¬tween root apices and maxillary sinus wall, and to analyze pulpoapical conditions of 2nd premolars, 1st molars, 2nd molars, 3rd molars using cone beam computerized tomography (CBCT).
Materials and Methods: This study was conducted on a retrospective manner of CBCT images of 1000 maxillary sinus with 500 subjects, who visited the Department of Dento-Maxillofacial Radiology. The association of each teeth with sinus floor and pulpoapical status were categorized. The association among gender, age, lateralization of sinus cavity were evaluated.
Results: A total of 602 second premolars, 500 first molars, 623 second molars, 347 third molars were evaluated. There were no significant differences between pulpoapical condition of teeth and gender or left and right sides (P=0.065, P=0.072). There were significant associations between pulpoapical condition of all teeth and age (P=0.023), and the relationship of each root with maxillary sinus and age (P=0.037). There was significant association between vertical position and right/left sides in second and third molars (P=0.033).
Conclusion: Age seems to have relationship with periapical condition of teeth, and the association of root with the sinus cavity.

Keywords

Radiology, age, inflammation, pulp, root canal

Supporting Institution

The authors declared that they have received no financial support.

Thanks

The authors would like to thank Associate Professor Tolga Fikret Tözüm for critically revised the manuscript

References

• 1. Goller-Bulut D, Sekerci AE, Kose 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):e572-9.
• 2. Ok E, Gungor E, Colak M, Altunsoy M, Nur BG, Aglarci OS. Evaluation of the relationship between the maxillary posterior teeth and the sinus floor using cone-beam computed tomography. Surg Radiol Anat. 2014;36(9):907-14.
• 3. Hauman CH, Chandler NP, Tong DC. Endodontic implications of the maxillary sinus: a review. Int Endod J. 2002;35(2):127-41.
• 4. Sharan A, Madjar D. Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(3):375-81.
• 5. 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(4):462-7.
• 6. Ezzodini Ardakani F, Razavi SH, Tabrizizadeh M. Diagnostic value of cone-beam computed tomography and periapical radiography in detection of vertical root fracture. Iran Endod J. 2015;10(2):122-6.
• 7. Watzek G, Bernhart T, Ulm C. Complications of sinus perforations and their management in endodontics. Dent Clin North Am. 1997;41(3):563-83.
• 8. 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(9):604-8.
• 9. Ariji Y, Obayashi N, Goto M, Izumi M, Naitoh M, Kurita K, et al. Roots of the maxillary first and second molars in horizontal relation to alveolar cortical plates and maxillary sinus: computed tomography assessment for infection spread. Clin Oral Investig. 2006;10(1):35-41.
• 10. Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Sci Dent. 2012;42(4):219-24.
• 11. Fuhrmann R, Bucker A, Diedrich P. Radiological assessment of artificial bone defects in the floor of the maxillary sinus. Dentomaxillofac Radiol. 1997;26(2):112-6.
• 12. Wehrbein H, Diedrich P. [The initial morphological state in the basally pneumatized maxillary sinus--a radiological-histological study in man]. Fortschr Kieferorthop. 1992;53(5):254-62.
• 13. Savolainen S, Eskelin M, Jousimies-Somer H, Ylikoski J. Radiological findings in the maxillary sinuses of symptomless young men. Acta Otolaryngol Suppl. 1997;529:153-7.
• 14. 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. J Endod. 2012;38(8):1069-74.
• 15. Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(1):106-14.
• 16. Guncu GN, Yildirim YD, Wang HL, Tozum TF. Location of posterior superior alveolar artery and evaluation of maxillary sinus anatomy with computerized tomography: a clinical study. Clin Oral Implants Res. 2011;22(10):1164-7.
• 17. 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.
• 18. Kwak HH, Park HD, Yoon HR, Kang MK, Koh KS, Kim HJ. Topographic anatomy of the inferior wall of the maxillary sinus in Koreans. Int J Oral Maxillofac Surg. 2004;33(4):382-8.
• 19. Tian XM, Qian L, Xin XZ, Wei B, Gong Y. An Analysis of the Proximity of Maxillary Posterior Teeth to the Maxillary Sinus Using Cone-beam Computed Tomography. J Endod. 2016;42(3):371-7.
• 20. Kang SH, Kim BS, Kim Y. Proximity of Posterior Teeth to the Maxillary Sinus and Buccal Bone Thickness: A Biometric Assessment Using Cone-beam Computed Tomography. J Endod. 2015;41(11):1839-46.
• 21. 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):557-64.
• 22. Rud J, Rud V. Surgical endodontics of upper molars: relation to the maxillary sinus and operation in acute state of infection. J Endod. 1998;24(4):260-1.
• 23. Freedman A, Horowitz I. Complications after apicoectomy in maxillary premolar and molar teeth. Int J Oral Maxillofac Surg. 1999;28(3):192-4.
• 24. Khongkhunthian P, Reichart PA. Aspergillosis of the maxillary sinus as a complication of overfilling root canal material into the sinus: report of two cases. J Endod. 2001;27(7):476-8.
• 25. Wallace JA. Transantral endodontic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82(1):80-3.
• 26. Georgescu CE, Rusu MC, Sandulescu M, Enache AM, Didilescu AC. Quantitative and qualitative bone analysis in the maxillary lateral region. Surg Radiol Anat. 2012;34(6):551-8.
• 27. Eberhardt JA, Torabinejad M, Christiansen EL. A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surg Oral Med Oral Pathol. 1992;73(3):345-6.
• 28. Tozum TF, Guncu GN, Yildirim YD, Yilmaz HG, Galindo-Moreno P, Velasco-Torres M, et al. Evaluation of maxillary incisive canal characteristics related to dental implant treatment with computerized tomography: a clinical multicenter study. J Periodontol. 2012;83(3):337-43.
• 29. 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):e80-7.