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J Dent Res Dent Clin Dent Prospects. 2021;15(3): 163-171.
doi: 10.34172/joddd.2021.028
  Abstract View: 119
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Basic Research

Original Article

Evaluation of the effect of periapical lesions and other odontogenic conditions on maxillary sinus mucosal thickness characteristics and mucosal appearance: A CBCT study

Selen Ince Yusufoglu 1* ORCID logo, Güzin Neda Hasanoglu Erbasar 2 ORCID logo, Orhan Gülen 3 ORCID logo

1 Department of Endodontics, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara, Turkey
2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara, Turkey
3 Private Practice, Oral and Maxillofacial Radiology, Ankara, Turkey
*Corresponding author: Selen Ince Yusufoglu, Email: dtselenince@hotmail.com

Abstract

Background. This retrospective study aimed to investigate the effect of various dental and maxillary sinus variables on maxillary sinus mucosal thickness (MT). The variables included periodontal bone loss (PBL), periapical status, dental restorations of posterior maxillary teeth, and the distance from the root apices to the sinus mucosa.

Methods. Cone-beam computed tomography (CBCT) images of the maxillary sinuses (n=600) in 300 patients were examined. The sinus MT and the distance of the roots from maxillary sinuses were measured. Apical lesions of the roots, PBL, and situations of adjacent teeth were recorded. The relationships between these conditions and MT and characterization of MT were evaluated. The Kruskal–Wallis H test was used to compare groups due to the non-normal distribution of the data. The relationship between categorical variables was analyzed using chi-squared test.

Results. There was a significant correlation between maxillary sinus MT and periapical lesions, PBL, and restorations (P<0.05). MT increased as the apical lesions of premolar teeth enlarged (P<0.05, P=0.022). MT increased in cases of mild PBL of molar teeth (P=0.041).

Conclusion. In this retrospective study, the MT significantly increased in patients with periapical lesions, inadequate endodontic treatment, increased PBL, and inadequate dental restorations.


Keywords: Cone-beam computed tomography, Maxillary sinusitis, Periapical periodontitis, Periodontal bone loss, Periapical lesion

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Submitted: 24 Oct 2020
Accepted: 17 Mar 2021
ePublished: 25 Aug 2021
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