Incidence of Anatomical Variations and Disease of the Maxillary Sinuses as Identified by Cone Beam Computed Tomography: A Systematic Review

Vogiatzi, Theodosia; Kloukos, Dimitrios; Scarfe, William C.; Bornstein, Michael M.

doi:10.11607/jomi.3644

Cited by 71 publications

(67 citation statements)

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“…Preoperative assessment of the maxillary sinuses using CBCT imaging is important for patients undergoing implant‐supported restorations in the posterior maxilla since panoramic radiographs fail to accurately detect a significant number of anatomic and pathologic variations in the maxillary sinus 115‐127 …”

Section: Resultsmentioning

confidence: 99%

The Use of Cone‐Beam Computed Tomography in Management of Patients Requiring Dental Implants: An American Academy of Periodontology Best Evidence Review

Ríos

Borgnakke

Benavides

2017

Journal of Periodontology

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The current available literature reflects an increased optimization of emerging CBCT imaging protocols and further highlights its diverse applications for dental implant therapy. This technology continues to be considered an advanced point-of-care imaging modality and should be used selectively as an adjunct to two-dimensional dental radiography. As with other ionizing radiation imaging modalities, CBCT imaging should be used only when the potential benefits to the patient outweigh the risks. Dental health care professionals should consider CBCT imaging only when they expect the diagnostic information yielded will lead to better patient care, enhanced patient safety, and ultimately facilitate a more predictable, optimal treatment outcome.

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Section: Resultsmentioning

confidence: 99%

The Use of Cone‐Beam Computed Tomography in Management of Patients Requiring Dental Implants: An American Academy of Periodontology Best Evidence Review

Ríos

Borgnakke

Benavides

2017

Journal of Periodontology

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“…29 Thus, CBCT seems to be an appropriate technique for accurate assessment of the maxillary sinus before the sinus floor elevation surgery and also it is used mainly to determine the anatomy of the maxillary sinuses before dental implant surgeries. 30 Preoperative imaging provides the opportunity to modify the surgical approach whenever necessary and can help decrease the risk of perioperative and postoperative complications. 28 The prevalence of septa in the maxillary sinuses is relatively high, and the surgical treatment success is influenced by the presence of septa.…”

Section: Discussionmentioning

confidence: 99%

Determination of the Prevalence, Height, and Location of the Maxillary Sinus Septa Using Cone Beam Computed Tomography

et al. 2016

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“…Both options imply advantages and disadvantages [4]. CBCT is used primarily to evaluate bony anatomy and to screen for overt pathology of the maxillary sinuses prior to dental implant treatment [24, 25]. However, prior to any radiographic imaging, especially for young patients, its benefit must be to weigh against its risk, with highest attention to the ALARA principle ( a s l ow a s r easonably a chievable) [8].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the maxillary sinus in panoramic radiography—a comparative study

et al. 2015

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BackgroundThe aim of this study was to evaluate the validity and the inter- and intra-examiner reliability of panoramic-radiograph-driven findings of different maxillary sinus anatomic variations and pathologies, which had initially been prediagnosed by cone beam computed tomography (CBCT).MethodsAfter pairs of two-dimensional (2D) panoramic and three-dimensional (3D) CBCT images of patients having received treatment at the outpatient department had been screened, the predefinition of 54 selected maxillary sinus conditions was initially performed on CBCT images by two blinded consultants individually using a questionnaire that defined ten different clinically relevant findings. Using the identic questionnaire, these consultants performed the evaluation of the panoramic radiographs at a later time point. The results were analyzed for inter-imaging differences in the evaluation of the maxillary sinus between 2D and 3D imaging methods. Additionally, two resident groups (first year and last year of training) performed two diagnostic runs of the panoramic radiographs and results were analyzed for inter- and intra-observer reliability.ResultsThere is a moderate risk for false diagnosis of findings of the maxillary sinus if only panoramic radiography is used. Based on the ten predefined conditions, solely maxillary bone cysts penetrating into the sinus were frequently detected differently comparing 2D to 3D diagnostics. Additionally, on panoramic radiographs, the inter-observer comparison demonstrated that basal septa were significantly often rated differently and the intra-observer comparison showed a significant lack in reliability in detecting maxillary bone cysts penetrating into the sinus.ConclusionsPanoramic radiography provides the most information on the maxillary sinus, and it may be an adequate imaging method. However, particular findings of the maxillary sinus in panoramic imaging may be based on a rather examiner-dependent assessment. Therefore, a persistent and precise evaluation of specific conditions of the maxillary sinus may only be possible using CBCT because it provides additional information compared to panoramic radiography. This might be relevant for consecutive surgical procedures; consequently, we recommend CBCT if a precise preoperative evaluation is mandatory. However, higher radiation dose and costs of 3D imaging need to be considered.

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Incidence of Anatomical Variations and Disease of the Maxillary Sinuses as Identified by Cone Beam Computed Tomography: A Systematic Review

Cited by 71 publications

References 0 publications

The Use of Cone‐Beam Computed Tomography in Management of Patients Requiring Dental Implants: An American Academy of Periodontology Best Evidence Review

The Use of Cone‐Beam Computed Tomography in Management of Patients Requiring Dental Implants: An American Academy of Periodontology Best Evidence Review

Determination of the Prevalence, Height, and Location of the Maxillary Sinus Septa Using Cone Beam Computed Tomography

Evaluation of the maxillary sinus in panoramic radiography—a comparative study

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