Do periapical and periodontal pathologies affect Schneiderian membrane appearance? Systematic review of studies using cone-beam computed tomography

Eggmann, Florin; Connert, Thomas; Bühler, Julia; Dagassan-Berndt, Dorothea; Weiger, Roland; Walter, Clemens

doi:10.1007/s00784-016-1944-7

Cited by 28 publications

(23 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous literature reported that the presence of periapical infection resulted in an increase in the thickness of the mucosa in 38.1%–83.2% of cases. [ 9 10 11 12 ] This correlation was confirmed by Eggmann et al [ 26 ] who reported in their systematic review that periapical lesions in the maxillary posterior aspect, but not periodontal pathology, are correlated with SMT. Further, Dagassan-Berndt et al [ 27 ] noted that although clinical signs of periodontal destruction were not associated with SMT in dentulous individuals, periapical pathologies and the distance from root tips to the maxillary antrum showed a significant correlation.…”

Section: Discussionmentioning

confidence: 57%

Thickening of Schneiderian membrane secondary to periapical lesions: A retrospective radiographic analysis

Sghaireen

2020

J Int Soc Prevent Communit Dent

View full text Add to dashboard Cite

A BSTRACT Aim: The aim of this study was to investigate the possible correlation between adjacent periapical lesions of maxillary teeth and Schneiderian membrane thickness (SMT). Materials and Methods: An analytical study of case-control study design was conducted. From the archives, cone beam computed tomography (CBCT) images of 83 patients with periapical lesion in any of the maxillary posterior teeth were randomly selected as the case group. The normal, contralateral teeth in the same patient were considered in the control group. Eighty-eight teeth were considered in each group, comprising a total sample of 176. For each sample in case group, the distance from the border of the periapical lesion to the cortical bone of the bony floor of the maxillary sinus and SMT were measured. SMT on the contralateral side adjacent to the healthy (control) teeth was also measured. Data were presented in mean ± standard deviation and inferential statistics was performed using independent t test and analysis of variance (ANOVA). Later Pearson correlation and multiple linear logistic regression were carried out using Statistical Package for the Social Sciences software program, version 21.0 at 95% confidence interval. Results: Teeth with periapical lesion were found to have significantly ( P < 0.001) increased SMT when compared with that of adjacent to healthy teeth. On the contrary, nonsignificant differences were found in SMT when genders and age groups were compared ( P = 0.295 and 0.060, respectively). A strong negative correlation was observed between distance of the lesion to the sinus and SMT ( P = 0.003). Conclusion: Neighboring periapical lesions of maxillary teeth are associated with SMT that is worsened when the lesion is close to the sinus.

show abstract

Section: Discussionmentioning

confidence: 57%

Thickening of Schneiderian membrane secondary to periapical lesions: A retrospective radiographic analysis

Sghaireen

2020

J Int Soc Prevent Communit Dent

View full text Add to dashboard Cite

show abstract

“…nature of periapical lesions, it is crucial to use the highest resolution possible so that posterior maxillary teeth, alveolar process and floor of the maxillary sinus can be evaluated efficiently. Accordingly, otolaryngologists should be informed about the odontogenic source of maxillary sinusitis and work with dentists for correct imaging, diagnosis and the treatment of mucosal thickening associated with periapical lesion (s) (Eggmann et al 2017). Nevertheless, it should be remembered that CBCT uses ionizing radiation and must be preferred as a diagnostic tool in cases where two-dimensional images and clinical examination alone are unable to provide enough information for identifying odontogenic sources of sinus disease.…”

Section: Amount Of Mt N (%)mentioning

confidence: 99%

Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT

Gürhan¹,

Şener²,

Mert

et al. 2020

Int Endodontic J

View full text Add to dashboard Cite

Aim To evaluate the effect of various parameters of periapical lesion(s) on the amount and type of mucosal thickening using cone beam CT images. Methodology CBCT scans of 1000 patients were evaluated retrospectively for the presence of apical lesions in maxillary posterior teeth associated with sinus mucosal thickening. The number of cases with pathological mucosal thickening was recorded and classified according to the amount and type of mucosal thickening. The parameters evaluated as the cause of mucosal thickening were the type and number of posterior teeth, number of root(s), diameter of the periapical lesion and distance between maxillary sinus and lesion. Descriptive statistics and multiple logistic regression was used for data analyses. Spearman's correlation coefficient was used for pair‐wise comparisons. Intrarater reliability was tested by Cohen’s kappa. Results Mucosal thickening associated with periapical lesions was determined in 48% of 202 cases. The most frequently detected extent of mucosal thickening was type 3 (42%), whereas flat type thickening (59%) was the most frequent type. The tooth most frequently associated with mucosal thickening was the maxillary first molar (44%). Parameters significantly affecting the extent of mucosal thickening were gender, number of roots, number of teeth with periapical lesions and diameter of periapical lesions (P < 0.05). The single parameter with an association with the type of mucosal thickening was the number of roots with an apical lesion (P < 0.05). Conclusion Mucosal thickening associated with periapical lesions was observed in almost 50% of all mucosal thickening cases. Therefore, collaboration amongst endodontists and otolaryngologists is mandatory to provide successful treatment and prevent recurrence of maxillary sinusitis.

show abstract

“…The majority of previous studies have focused only on the relationship between maxillary sinus mucosal thickening and alveolar bone loss instead of on residual alveolar bone height. 15 Although conventional computed tomography examination was considered the gold standard for sinus visualization and diagnostic procedures, cone-beam computed tomography (CBCT) recently has been used widely for imaging studies of dental and maxillofacial regions. 16 CBCT imaging offers lower radiation dosage, shorter scanning time, higher image resolution, and lower cost compared to traditional CT. 17 CBCT was proven to be reliable for the evaluation of structures in the maxillary sinus, as well as periapical and periodontal alveolar bone changes.…”

Section: Introductionmentioning

confidence: 99%

“…reported a significant correlation between maxillary sinus mucosal thickening and alveolar bone loss. The majority of previous studies have focused only on the relationship between maxillary sinus mucosal thickening and alveolar bone loss instead of on residual alveolar bone height 15 …”

Section: Introductionmentioning

confidence: 99%

Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study

Zhang

Wei

Cao

et al. 2020

Journal of Periodontology

View full text Add to dashboard Cite

Background: The information of the association between residual alveolar bone height and mucosal thickening is sparse. This study aimed to explore the effect of maxillary molar periodontal status on sinus mucosal thickening using cone-beam computed tomography (CBCT). Methods: One hundred ninety-four CBCT images were evaluated for the following parameters: age, sex, alveolar bone loss, maximum mucosal thickness (maxMT), minimum residual alveolar bone height (minRABH), and vertical infrabony pockets. The presence of mucosal thickening (maxMT > 2 mm) of the maxillary sinus was recorded. The parameters that could influence the dimensions of the maxillary sinus membrane were assessed. The data were analyzed using logistic regression, and multivariate linear regression with the significant level at = 0.05. Results: Mucosal thickening was present in 32% of the analyzed CBCT images and increased in frequency as the periodontal status of the corresponding molar progressed from mild (2.6%) to moderate (14.9%) to severe (75.5%). Mucosal thickness was significantly increased in cases of moderate (odds ratio = 5.73, P < 0.05) and severe (odds ratio = 82.06, P < 0.001) alveolar bone loss. Multivariate linear regression revealed that alveolar bone loss and minRABH had a statistically significant influence on maxMT (P < 0.05). Conclusions: Alveolar bone loss and minRABH were significantly associated with mucosal thickening of the maxillary sinus.

show abstract

Do periapical and periodontal pathologies affect Schneiderian membrane appearance? Systematic review of studies using cone-beam computed tomography

Abstract: Incidental maxillary sinus findings on CBCT scans warrant thorough differential diagnosis. Frequently, they may be related to dental pathologies.

Cited by 28 publications

References 73 publications

Thickening of Schneiderian membrane secondary to periapical lesions: A retrospective radiographic analysis

Thickening of Schneiderian membrane secondary to periapical lesions: A retrospective radiographic analysis

Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT

Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study

Contact Info

Product

Resources

About