Maksiller Sinüs Patolojilerinin Sıklığı, Lokalizasyonu Ve Dental Patolojiler İle İlişkisinin Konik Işınlı Bilgisayarlı Tomografi (KIBT) İle Değerlendirilmesi

Yıl 2024, , 94 - 110, 28.03.2024

Emre Haylaz , Gediz Geduk , Çiğdem Şeker

https://doi.org/10.16899/jcm.1438173

Öz

Amaç: Maksiller posterior dişlerin kök uçlarının maksiller sinüse yakınlığı, odontojen kaynaklı enfeksiyonun potansiyel bir maksiller sinüzit kaynağı haline gelmesine neden olmaktadır. Bu çalışmanın amacı, diş patolojileri ile maksiller sinüs anormallikleri arasındaki ilişkiyi konik ışınlı bilgisayarlı tomografi (KIBT) kullanarak değerlendirmektir.

Materyal ve Metod: Bu çalışmada kliniğimize herhangi bir nedenle başvuran 300 hastanın 600 adet maksiller sinüs konik ışınlı bilgisayarlı tomografi görüntüsü retrospektif olarak incelendi. Maksiller sinüs hastalıkları ve diş patolojileri kendi aralarında kategorize edilir.

Bulgular: Hastaların yaşları 18 ile 77 arasında değişmekte olup ortalama yaş 41,38 (±14,39) olarak tespit edildi. İncelenen maksiller sinüslerin 359'unda (%59,8) patoloji saptanmadı ve sağlıklı sinüs olarak değerlendirildi. Görüntüleme alanındaki maksiller sinüslerin 241'inde (%40,2) en sık görülen patoloji mukozal kalınlaşmaydı (MT). Periapikal lezyonlu dişler (PL) ile MT arasında istatistiksel olarak anlamlı bir ilişki tespit edildi (p<0.05). Restoratif uygulamalar, oro-antral fistül (OAF) ve periodontal kemik kaybı (PBL) ile maksiller sinüzit (MS) arasında istatistiksel olarak anlamlı ilişki saptanamadı (p<0,05).

Sonuç: Odontojenik enfeksiyonlar ve inflamatuar olaylar maksiller sinüs patolojilerinin oluşumunda rol oynayabilen nedenlerdir. KIBT, maksiller posterior dişler ve maksiller sinüs arasındaki ilişkinin gösterilmesinde ve odontojen sinüs patolojilerinin tanısında oldukça faydalıdır.

Anahtar Kelimeler

Konik Işınlı Bilgisayarlı Tomografi, Maksiller Sinüs, Mukozal Kalınlaşma, Periapikal Lezyon, Periodontal Hastalık

Evaluation Of The Frequency, Localization And Relationship Of Maxillary Sinus Pathologies With Dental Pathologies By Cone Beam Computed Tomography (CBCT)

Öz

Background: The proximity of the root tips of the maxillary posterior teeth to the maxillary sinus causes odontogenic infection to become a potential source of maxillary sinusitis. This study aims to evaluate the relationship between dental pathologies and maxillary sinus abnormalities using cone beam computed tomography (CBCT).

Material and Method: In this study, 300 patients who applied to our clinic for any reason 600 maxillary sinus cone beam computed tomography images of the patient were analyzed retrospectively. Maxillary sinus diseases and dental pathologies categoized among themselves.

Results: The age of all patients ranged between 18 and 77 years, with a mean age of 41.38 (±14.39) years. No pathology was detected in 359 (59.8%) of the maxillary sinuses examined which were considered healthy sinuses. The most common pathology in 241 (40.2%) of the maxillary sinuses in the imaging area was mucosal thickening (MT). A statistically significant relationship was detected between teeth with periapical lesions (PL) and MT (p<0.05). No statistically significant relationship was found between restorative applications, oro-antral fistula (OAF), periodontal bone loss (PBL), and maxillary sinusitis (MS) (p<0.05).

Conclusion: Odontogenic infections and inflammatory events are the causes of maxillary sinus pathologies and may play a role in their formation. CBCT, maxillary posterior teeth and maxillary sinüs in demonstrating the relationship between and in the diagnosis of odontogenous sinus pathlogies is quite useful.

Anahtar Kelimeler

Cone Beam Computed Tomography, Maxillary Sinus, Mucosal Thickening, Periapical Lesion, Periodontal Disease

Etik Beyan

This study was reviewed by the Clinical Research Ethics Committee of Zonguldak Bülent Ecevit University and was decided to be ethically appropriate (2021/12).

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