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Analysis of the Radiological Changes of the Sinus Membrane Using Cone Beam Computed Tomography and Its Relationship with Dental Treatments. A Retrospective Study

Authors :
María Helena Rey-Martínez
Pedro Luis Ruiz-Sáenz
Natalia Martínez-Rodríguez
Cristina Barona-Dorado
Cristina Meniz-García
Jorge Cortés-Bretón Brinkmann
Juan Antonio Suárez-Quintanilla
José María Martínez-González
Source :
Biology, Vol 11, Iss 2, p 165 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

The aim of this study was to identify the most relevant dental factors and iatrogenic causes in the development of pathological changes to the sinus membrane and to analyse their possible influence on the development of odontogenic sinusitis. A descriptive, observational study was designed, with 276 patients who had been evaluated via cone beam computed tomography, analysing possible sinus thickening factors, such as apical infections, endodontic treatments, periodontitis, radicular cysts and impacted teeth, as well as iatrogenic factors caused by implant treatments or the development of oroantral communications produced during tooth extraction manoeuvres. Among the dental factors, periodontitis (47.1%), apical pathology (23.5%) and endodontic treatments (23.1%) were the predominant causes of sinus membrane thickening that most frequently produced an occupancy between 2 and 10 mm. Regarding the implant treatments, the placement of implants through the floor of the maxillary sinus was the main cause (9.8%), followed by sinus elevation techniques (6.2%). Dental extraction was the first cause of oroantral communication (5.0%), being the procedure that caused the greatest thickening of the sinus membrane. This study highlights the importance of dental treatments and iatrogenic factors in sinus pathology, and the need for diagnostic interrelations between the different specialists who address this pathology.

Details

Language :
English
ISSN :
20797737
Volume :
11
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Biology
Publication Type :
Academic Journal
Accession number :
edsdoj.85bcbf03bb3f419ca7e323fd628ffe20
Document Type :
article
Full Text :
https://doi.org/10.3390/biology11020165