Periapical and Endodontic Status Scale for Endodontically Treated Teeth and Their Association with Maxillary Sinus Abnormalities: A Cone-beam Computed Tomographic Study

Souza-Nunes, Lílian Azevedo de; Verner, Francielle Silvestre; Rosado, Lucas de Paula Lopes; Aquino, Sibele Nascimento de; Carvalho, Antônio Carlos Pires; Junqueira, Rafael Binato

doi:10.1016/j.joen.2019.09.005

Cited by 17 publications

(23 citation statements)

References 31 publications

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“…Studies evaluating the association between dentoalveolar pathologies and the presence of MRCs for all locations of the maxillary sinus were less likely to find a significant association 12 17 21 than those assessing MRCs located on the sinus floor. 14 25 In the present study, potential influencing factors, including dentoalveolar pathologies, were correlated with the presence of MRCs in all locations and more specifically with the presence of MRCs located on the sinus floor. An association was found between endodontic status and the presence of MRCs located on the sinus floor.…”

Section: Discussionmentioning

confidence: 78%

“…Some studies have stated that pathologies of teeth in the posterior maxilla were not associated with the presence of MRCs in the maxillary sinus, 12 13 17 21 while other studies reported a positive correlation. 14 15 25 Curi et al 15 reported that the presence of periapical or endoperiodontal lesions increased the possibility of having MRCs in the maxillary sinus by 4.1 and 23.8 times, respectively. Souza-Nunes et al 14 stated that periapical and endodontic pathology in the maxillary posterior teeth was significantly associated with the presence of MRCs located on the sinus floor.…”

Section: Discussionmentioning

confidence: 99%

“… 14 15 25 Curi et al 15 reported that the presence of periapical or endoperiodontal lesions increased the possibility of having MRCs in the maxillary sinus by 4.1 and 23.8 times, respectively. Souza-Nunes et al 14 stated that periapical and endodontic pathology in the maxillary posterior teeth was significantly associated with the presence of MRCs located on the sinus floor. The discrepancies in the results of previous studies may be due to differences in the study design in terms of the location of MRCs.…”

Section: Discussionmentioning

confidence: 99%

“…11 Although previous studies have assessed the association between the presence of MRCs and dentoalveolar pathologies, their results are conflicting and far from conclusive. 12 13 14 15 Some studies concluded that dentoalveolar pathologies were not correlated with MRCs, 12 13 but others reported a positive correlation. 14 15 Most of those studies investigated correlations between dentoalveolar pathologies and MRCs in all locations of the maxillary sinus, whereas cysts located on the sinus floor may be more directly affected by dentoalveolar pathologies due to the close proximity of both entities.…”

Section: Introductionmentioning

confidence: 99%

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Volumetric analysis of mucous retention cysts in the maxillary sinus: A retrospective study using cone-beam computed tomography

et al. 2021

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Purpose The aim of this study was to evaluate the volumetric characteristics of mucous retention cysts (MRCs) in the maxillary sinus and to analyze potential associations of MRCs with dentoalveolar pathologies. Materials and Methods Cone-beam computed tomography (CBCT) scans exhibiting bilateral maxillary sinuses that were acquired from January 2016 to February 2019 were initially screened. A total of 227 scans (454 sinuses) that fulfilled the inclusion criteria were included. The presence, location, and volumetric characteristics of the diagnosed MRCs were evaluated on CBCT images using the 3D-Slicer software platform. The presence of MRCs was correlated with potential influencing factors including age, sex, and dentoalveolar pathology. For MRCs located on the sinus floor, factors with a potential impact on the volume, surface, and diameter were analyzed. Results An MRC was present in 130 (28.6%) of the 454 sinuses. Most MRCs were located on the sinus walls and floor. The mean MRC volume, surface, and diameter were 551.21±1368.04 mm 3 , 228.09±437.56 mm 2 , and 9.63±5.40 mm, respectively. Significantly more sinuses with associated endodontically treated teeth/periapical lesions were diagnosed with an MRC located on the sinus floor. For MRCs located on the sinus floor, endodontic status exhibited a significant association with increased volume, surface, and diameter. Conclusion Periapical lesions might be a contributing factor associated with the presence and volume of MRCs located on the sinus floor. The 3D-Slicer software platform was found to be a useful tool for clinicians to analyze the size of MRCs before surgical interventions such as sinus floor elevation procedures.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Volumetric analysis of mucous retention cysts in the maxillary sinus: A retrospective study using cone-beam computed tomography

et al. 2021

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“…Literatürde odontojenik sinüzit (OS) etyolojisinin nedenleri arasında; periapikal patoloji 1 , periodontal hastalık 2,3 , dental implant uygulamaları, diş çekimleri 4 , derin çürük 5 , endodontik tedavi 6 ve oroantral fistül (OAF) 7 gibi çeşitli dental faktörler bildirilmiştir. Ayrıca molar diş köklerinin sinüs içine protrüzyonu ve Maksiller Sinüs'ün (MS) diş kökleri arasına inferior yönde pnömatizasyonu, OS sebepleri arasında sayılmıştır.…”

Section: Introductionunclassified

Maksiller Sinüs Patolojilerinin ve Schneider Membran Değişikliklerinin Odontojenik Faktörlerle İlişkisinin Konik Işınlı Bilgisayarlı Tomografi Kullanılarak Değerlendirilmesi

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2021

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Amaç: Bu kesitsel çalışmada Konik Işınlı Bilgisayarlı Tomografik görüntülerde posterior maksilladaki odontojenik faktörler ile Schneiderian membran değişikliklerinin kontrol ve vaka gruplarında karşılaştırmalı araştırılması ve farklı derecedeki mukoza hiperplazilerinin ilişkili olduğu dental bulguların ortaya konması amaçlandı. Yöntem: Çalışmada 16-68 yaş aralığındaki 63 hastanın 126 Konik Işın Bilgisayarlı tomografi görüntüsü retrospektif olarak değerlendirildi. Maksiller sinüs (MS) lezyonları enfeksiyoz değişiklikler (mukozal hiperplazi, psödokist), retansiyon kisti, polip ve inferior MS pnömatizasyonu olarak ayrıldı. Odontojen faktörler apikal peridontitis, kanal tedavisi, periodontal kemik kaybı, diş köklerinin MS içine protrüzyonu ve oro-antral fistül olarak kaydedildi. Cinsiyet ve yaş grupları ile patolojik bulgular arasındaki korelasyon hesaplandı. Veriler SPSS programı ile incelendi. Grup karşılaştırmalarında Ki-kare testi ve Mann Whitney-U test kullanıldı. Bulgular: Patolojide saptanan MS prevelansı %49,3’idi. En sık karşılaşılan lezyon enfeksiyöz değişikliklerdi (%39,7) ve en sık periodontal kemik kaybı ile ilişkiliydi (%34,9). MS duvarı ile temasta en çok maksiller ikinci molar diş bulundu. Diş köklerinin protrüzyonu en çok birinci ve ikinci maksiller molar dişlerde izlendi. Apikal peridontitis ve kanal tedavisi gruplar arası farklılık göstermedi. Sonuç: Cinsiyet, asemptomatik hastalarda mukozal hiperplaziyi etkileyen önemli bir parametre olabilir. Periodontal durum, MS mukozasında hiperplazi gelişiminde tetikleyici risk faktörü olabilir.

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Analysis of risk variables for association with maxillary sinus mucosal thickenings: a cone-beam computed tomography-based retrospective study

et al. 2023

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Purpose This study aimed to determine which patient-related, anatomical, pathologic, or iatrogenic variables may be directly associated with and which may have a modifying effect on the generation of maxillary sinus (MS) mucosal thickenings. Methods A total of 278 cone-beam computed tomography (CBCT) scans obtained from 114 males and 164 females were evaluated. The protocol included the assessment of 21 candidate variables, of which 18 were bilateral and 3 were unique. The relationship among the study variables and the mucosal thickenings were examined individually and adjusted for confounding using univariate and multivariate binary logistic regression models. Results The prevalence of mucosal thickenings was 71.20% at patient level and 53.40% at sinus level. The ostium height > 28.15 mm, the infundibulum length ≤ 9.55 mm, the infundibulum width ≤ 0.50 mm, along the occurrence of periapical lesions and slight-to-severe periodontal bone loss acted as strong/independent risk variables for MS mucosal thickenings. Confounding and interaction relationships between MS height and depth, and between the alveolar process type and the presence of foreign materials with respect to age stratum > 47.50 years might be also associated with the mucosal thickenings. Conclusions While increased ostium height, decreased infundibulum length/width, the presence of periapical lesions and periodontal involvement might be the foremost indicator variables for MS mucosal thickenings, there are synergistic relationships among the increased sinus height and depth as well as aging regarding atrophic/partially atrophic alveolar process status and the presence of foreign materials that may be also associated with a greater proportion of these mucosal abnormalities.

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Periapical and Endodontic Status Scale for Endodontically Treated Teeth and Their Association with Maxillary Sinus Abnormalities: A Cone-beam Computed Tomographic Study

Cited by 17 publications

References 31 publications

Volumetric analysis of mucous retention cysts in the maxillary sinus: A retrospective study using cone-beam computed tomography

Volumetric analysis of mucous retention cysts in the maxillary sinus: A retrospective study using cone-beam computed tomography

Maksiller Sinüs Patolojilerinin ve Schneider Membran Değişikliklerinin Odontojenik Faktörlerle İlişkisinin Konik Işınlı Bilgisayarlı Tomografi Kullanılarak Değerlendirilmesi

Analysis of risk variables for association with maxillary sinus mucosal thickenings: a cone-beam computed tomography-based retrospective study

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