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Risk analysis for acute oroantral communication: a retrospective study

Yıl 2024, , 488 - 493, 27.09.2024
https://doi.org/10.32322/jhsm.1502546

Öz

Aims: The purpose of this study was to evaluate the relationship to type of sinus pneumatization with the relationship between extracted tooth and maxillary sinus in patients who developed oroantral communication (OAC).
Methods: The patients who developed OAC after maxillary extraction and underwent OAC treatment were included in the study. The predictor variable was the type of maxillary sinus pneumatization (MSP). The primary outcome was relationship between extracted tooth and maxillary sinus. The covariates were age and sex. A Kruskal-Wallis and Pearson chi-square tests were used for the statistically analysis.
Results: The study completed with 429 patients who met inclusion criteria. There was a statistically significant difference in the mean age between the relationship type between the extracted teeth and the maxillary sinus groups in this study (p<0.001). The highest mean age was found in type 2 (43.17±13.99), and the lowest was found in type 4 (36.26±12.79). In this study, type C MSP had the highest rate. In 46.03% of them, 1/3 of the roots of the extracted tooth were in the maxillary sinus. After type C, the highest rate was type E. More than half of the roots of 56.96% of them was in the maxillary sinus. There was a statistically significant relationship to MSP with type of relation between the extracted teeth and maxillary sinus (p<0.001).
Conclusion: The risk of developing OAC during the extraction of molar increases in young patients where the maxillary sinus dropped in the entire posterior or its borders cannot be distinguished.

Etik Beyan

The research protocol was approved by the Clinical Research Ethics Committee at the University of Erciyes (2023/204).

Destekleyen Kurum

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Teşekkür

N/A

Kaynakça

  • Rothamel D, Wahl G, d’Hoedt B, Nentwig G-H, Schwarz F, Becker J. Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J oral Maxillofac Surg. 2007; 45(5):387-391.
  • Lim AAT, Wong CW, Allen Jr JC. Maxillary third molar: patterns of impaction and their relation to oroantral perforation. J oral Maxillofac Surg. 2012;70(5):1035-1039.
  • Iwata E, Hasegawa T, Kobayashi M, et al. Can CT predict the development of oroantral fistula in patients undergoing maxillary third molar removal? Oral Maxillofac Surg. 2021;25(1): 7-17. doi:10.1007/s10006-020-00878-z
  • Archer WH. Oral and maxillofacial surgery. WB Saunders. 1975;1045-1087.
  • Hasegawa T, Tachibana A, Takeda D, et al. Risk factors associated with oroantral perforation during surgical removal of maxillary third molar teeth. Oral Maxillofac Surg. 2016;20(4):369-375. doi:10.1007/s10006-016-0574-1
  • Pei J, Liu J, Chen Y, Liu Y, Liao X, Pan J. Relationship between maxillary posterior molar roots and the maxillary sinus floor: cone-beam computed tomography analysis of a western Chinese population. J Int Med Res. 2020;48(6):0300060520926896.
  • Račić A, Dotlić J, Janošević L. Oral surgery as risk factor of odontogenic maxillary sinusitis. Srp Arh Celok Lek. 2006;134(5-6):191-194.
  • Wu X, Cai Q, Huang D, Xiong P, Shi L. Cone-beam computed tomography-based analysis of maxillary sinus pneumatization extended into the alveolar process in different age groups. BMC Oral Health. 2022;22(1):393.
  • Bornstein MM, Ho JKC, Yeung AWK, Tanaka R, Li JQ, Jacobs R. A retrospective evaluation of factors influencing the volume of healthy maxillary sinuses based on CBCT imaging. Int J Periodontics Restorative Dent. 2019;39(2)187-193.
  • Luz J, Greutmann D, Wiedemeier D, Rostetter C, Rücker M, Stadlinger B. 3D-evaluation of the maxillary sinus in cone-beam computed tomography. Int J Implant Dent. 2018;4(1):1-7.
  • Cavalcanti MC, Guirado TE, Sapata VM, et al. Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study. Braz Oral Res. 2018;32:e64.
  • Takahashi Y, Watanabe T, Iimura A, Takahashi O. A study of the maxillary sinus volume in elderly persons using Japanese cadavers. Okajimas Folia Anat Jpn. 2016;93(1):21-27.
  • Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. J Endod. 2011;37(5):715-719.
  • 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): 375-381. doi:10.1016/j.tripleo.2005.09.031
  • Purmal K, Alam MK, Pohchi A, et al. 3D measurement of maxillary sinus height for multidisciplinary benefit. J Hard Tissue Biol. 2015;24(2):225-228.
  • 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(04):462-467.
  • Gu Y, Sun C, Wu D, Zhu Q, Leng D, Zhou Y. Evaluation of the relationship between maxillary posterior teeth and the maxillary sinus floor using cone-beam computed tomography. BMC Oral Health. 2018;18(1):1-7.
  • Themkumkwun S, Kitisubkanchana J, Waikakul A, Boonsiriseth K. Maxillary molar root protrusion into the maxillary sinus: a comparison of cone beam computed tomography and panoramic findings. Int J Oral Maxillofac Surg. 2019;48(12):1570-1576.
  • Zhang YQ, Yan XB, Meng Y, Zhao YN, Liu DG. Morphologic analysis of maxillary sinus floor and its correlation to molar roots using cone beam computed tomography. Chin J Dent Res. 2019;22(1):29-36.
  • Jung Y-H, Cho B-H. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Sci Dent. 2012;42(4):219-224.
  • Douglass CW, Valachovic RW, Wijesinha A, Chauncey HH, Kapur KK, McNeil BJ. Clinical efficacy of dental radiography in the detection of dental caries and periodontal diseases. Oral Surg Oral Med Oral Pathol. 1986;62(3):330-339.
  • Marmulla R, Wortche R, Muhling J, Hassfeld S. Geometric accuracy of the NewTom 9000 cone beam CT. Dentomaxillofacial Radiol. 2005;34(1):28-31.
Yıl 2024, , 488 - 493, 27.09.2024
https://doi.org/10.32322/jhsm.1502546

Öz

Kaynakça

  • Rothamel D, Wahl G, d’Hoedt B, Nentwig G-H, Schwarz F, Becker J. Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J oral Maxillofac Surg. 2007; 45(5):387-391.
  • Lim AAT, Wong CW, Allen Jr JC. Maxillary third molar: patterns of impaction and their relation to oroantral perforation. J oral Maxillofac Surg. 2012;70(5):1035-1039.
  • Iwata E, Hasegawa T, Kobayashi M, et al. Can CT predict the development of oroantral fistula in patients undergoing maxillary third molar removal? Oral Maxillofac Surg. 2021;25(1): 7-17. doi:10.1007/s10006-020-00878-z
  • Archer WH. Oral and maxillofacial surgery. WB Saunders. 1975;1045-1087.
  • Hasegawa T, Tachibana A, Takeda D, et al. Risk factors associated with oroantral perforation during surgical removal of maxillary third molar teeth. Oral Maxillofac Surg. 2016;20(4):369-375. doi:10.1007/s10006-016-0574-1
  • Pei J, Liu J, Chen Y, Liu Y, Liao X, Pan J. Relationship between maxillary posterior molar roots and the maxillary sinus floor: cone-beam computed tomography analysis of a western Chinese population. J Int Med Res. 2020;48(6):0300060520926896.
  • Račić A, Dotlić J, Janošević L. Oral surgery as risk factor of odontogenic maxillary sinusitis. Srp Arh Celok Lek. 2006;134(5-6):191-194.
  • Wu X, Cai Q, Huang D, Xiong P, Shi L. Cone-beam computed tomography-based analysis of maxillary sinus pneumatization extended into the alveolar process in different age groups. BMC Oral Health. 2022;22(1):393.
  • Bornstein MM, Ho JKC, Yeung AWK, Tanaka R, Li JQ, Jacobs R. A retrospective evaluation of factors influencing the volume of healthy maxillary sinuses based on CBCT imaging. Int J Periodontics Restorative Dent. 2019;39(2)187-193.
  • Luz J, Greutmann D, Wiedemeier D, Rostetter C, Rücker M, Stadlinger B. 3D-evaluation of the maxillary sinus in cone-beam computed tomography. Int J Implant Dent. 2018;4(1):1-7.
  • Cavalcanti MC, Guirado TE, Sapata VM, et al. Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study. Braz Oral Res. 2018;32:e64.
  • Takahashi Y, Watanabe T, Iimura A, Takahashi O. A study of the maxillary sinus volume in elderly persons using Japanese cadavers. Okajimas Folia Anat Jpn. 2016;93(1):21-27.
  • Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. J Endod. 2011;37(5):715-719.
  • 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): 375-381. doi:10.1016/j.tripleo.2005.09.031
  • Purmal K, Alam MK, Pohchi A, et al. 3D measurement of maxillary sinus height for multidisciplinary benefit. J Hard Tissue Biol. 2015;24(2):225-228.
  • 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(04):462-467.
  • Gu Y, Sun C, Wu D, Zhu Q, Leng D, Zhou Y. Evaluation of the relationship between maxillary posterior teeth and the maxillary sinus floor using cone-beam computed tomography. BMC Oral Health. 2018;18(1):1-7.
  • Themkumkwun S, Kitisubkanchana J, Waikakul A, Boonsiriseth K. Maxillary molar root protrusion into the maxillary sinus: a comparison of cone beam computed tomography and panoramic findings. Int J Oral Maxillofac Surg. 2019;48(12):1570-1576.
  • Zhang YQ, Yan XB, Meng Y, Zhao YN, Liu DG. Morphologic analysis of maxillary sinus floor and its correlation to molar roots using cone beam computed tomography. Chin J Dent Res. 2019;22(1):29-36.
  • Jung Y-H, Cho B-H. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Sci Dent. 2012;42(4):219-224.
  • Douglass CW, Valachovic RW, Wijesinha A, Chauncey HH, Kapur KK, McNeil BJ. Clinical efficacy of dental radiography in the detection of dental caries and periodontal diseases. Oral Surg Oral Med Oral Pathol. 1986;62(3):330-339.
  • Marmulla R, Wortche R, Muhling J, Hassfeld S. Geometric accuracy of the NewTom 9000 cone beam CT. Dentomaxillofacial Radiol. 2005;34(1):28-31.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağız ve Çene Cerrahisi
Bölüm Orijinal Makale
Yazarlar

Yusuf Nuri Kaba 0000-0001-9221-4599

Emrah Soylu 0000-0002-9828-5096

Ahmet Emin Demirbaş 0000-0002-2602-6415

Beyza Kahraman 0009-0004-9224-1334

İslam Kazımlı 0000-0002-3523-4291

Yayımlanma Tarihi 27 Eylül 2024
Gönderilme Tarihi 20 Haziran 2024
Kabul Tarihi 29 Temmuz 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

AMA Kaba YN, Soylu E, Demirbaş AE, Kahraman B, Kazımlı İ. Risk analysis for acute oroantral communication: a retrospective study. J Health Sci Med /JHSM /jhsm. Eylül 2024;7(5):488-493. doi:10.32322/jhsm.1502546

Üniversitelerarası Kurul (ÜAK) Eşdeğerliği:  Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç  uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]

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