Comparison between CBCT and panoramic to evaluate the relationship of the maxillary sinus and maxillary posterior teeth
Keywords:Maxillary sinus; Maxillary sinus floor; Panoramic radiography; CBCT study; Roots of posterior teeth.
Objective: To provide the dentist with an objective analysis of the radiographic methods useful to evaluate the relationship between the roots of the maxillary posterior teeth and the maxillary sinus. Methodology: We carried out an integrative review of the literature, we used 23 articles published in English from the last twelve years, within the PubMed database and a manual search aggregate. Results: After using our inclusion and exclusion criteria, a total of 23 articles were chosen for the elaboration of this literary review and one book. Discussion: During certain dental procedures in the upper jaw there is a risk of injuring the maxillary sinus, it is important to radiographically evaluate the patient before performing any procedure. Although panoramic radiographs are inexpensive and offer us the necessary visualization to detect the relationship of the upper posterior teeth with the maxillary sinus, there are cases in which these images are not totally accurate and a CBCT study is required. Conclusion: The panoramic image is useful for the analysis of the roots of the teeth and the maxillary sinus as long as the teeth do not move towards the sinus, but the CBCT image is incomparable in terms of its accuracy in the position of the different structures. However, for the final decision, is important factors such as: dental piece to be evaluated, sex and age, the price of each study, radiation dose and the need depending on each case.
Atul Kumar, H., Nayak, U., & Kuttappa, M. N. (2022). 'Comparison and correlation of the maxillary sinus dimensions in various craniofacial patterns: A CBCT Study'. F1000Research, 11, 488. https://doi.org/10.12688/f1000research.110889.2
Alqahtani, S., Alsheraimi, A., Alshareef, A., Alsaban, R., Alqahtani, A., Almgran, M., Eldesouky, M., & Al-Omar, A. (2020). Maxillary Sinus Pneumatization Following Extractions in Riyadh, Saudi Arabia: A Cross-sectional Study. Cureus, 12(1), e6611. https://doi.org/10.7759/cureus.6611
Bathla, S. C., Fry, R. R., & Majumdar, K. (2018). Maxillary sinus augmentation. Journal of Indian Society of Periodontology, 22(6), 468–473. https://doi.org/10.4103/jisp.jisp_236_18
Bozhikova, E., & Uzunov, N. (2021). Morphological Aspects of the Maxillary Sinus. In (Ed.), Paranasal Sinuses Anatomy and Conditions. IntechOpen. https://doi.org/10.5772/intechopen.99250
Fry, R. R., Patidar, D. C., Goyal, S., & Malhotra, A. (2016). Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using Denta scan®. Indian journal of dentistry, 7(3), 126–130. https://doi.org/10.4103/0975-962X.189339
Goyal, S. N., Karjodkar, F. R., Sansare, K., Saalim, M., & Sharma, S. (2020). Proximity of the roots of maxillary posterior teeth to the floor of maxillary sinus and cortical plate: A cone-beam computed tomography assessment. Indian journal of dental research : official publication of Indian Society for Dental Research, 31(6), 911–915. https://doi.org/10.4103/ijdr.IJDR_871_18
Gu, Y., Sun, C., Wu, D., Zhu, Q., Leng, D., & Zhou, Y. (2018). Evaluation of the relationship between maxillary posterior teeth and the maxillary sinus floor using cone-beam computed tomography. BMC oral health, 18(1), 164. https://doi.org/10.1186/s12903-018-0626-z
Kalkur, C., Sattur, A. P., Guttal, K. S., Naikmasur, V. G., & Burde, K. (2017). Correlation between maxillary sinus floor topography and relative root position of posterior teeth using Orthopantomograph and Digital Volumetric Tomography. Asian Journal of Medical Sciences, 8(1), 26–31. https://doi.org/10.3126/ajms.v8i1.15878
Kang, S. H., Kim, B. S., & Kim, Y. (2015). Proximity of Posterior Teeth to the Maxillary Sinus and Buccal Bone Thickness: A Biometric Assessment Using Cone-beam Computed Tomography. Journal of endodontics, 41(11), 1839–1846. https://doi.org/10.1016/j.joen.2015.08.011
Kilic, C., Kamburoglu, K., Yuksel, S. P., & Ozen, T. (2010). An Assessment of the Relationship between the Maxillary Sinus Floor and the Maxillary Posterior Teeth Root Tips Using Dental Cone-beam Computerized Tomography. European journal of dentistry, 4(4), 462–467.
Kirkham-Ali, K., La, M., Sher, J., & Sholapurkar, A. (2019). Comparison of cone-beam computed tomography and panoramic imaging in assessing the relationship between posterior maxillary tooth roots and the maxillary sinus: A systematic review. Journal of investigative and clinical dentistry, 10(3), e12402. https://doi.org/10.1111/jicd.12402
Lopes, L. J., Gamba, T. O., Bertinato, J. V., & Freitas, D. Q. (2016). Comparison of panoramic radiography and CBCT to identify maxillary posterior roots invading the maxillary sinus. Dento maxillo facial radiology, 45(6), 20160043. https://doi.org/10.1259/dmfr.20160043
Lorkiewicz-Muszyńska, D., Kociemba, W., Rewekant, A., Sroka, A., Jończyk-Potoczna, K., Patelska-Banaszewska, M., & Przystańska, A. (2015). Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. International journal of pediatric otorhinolaryngology, 79(9), 1393–1400. https://doi.org/10.1016/j.ijporl.2015.05.032
Motiwala, M. A., Arif, A., & Ghafoor, R. (2021). A CBCT based evaluation of root proximity of maxillary posterior teeth to sinus floor in a subset of Pakistani population. JPMA. The Journal of the Pakistan Medical Association, 71(8), 1992–1995. https://doi.org/10.47391/JPMA.462
Ok, E., Güngör, E., Colak, M., Altunsoy, M., Nur, B. G., & Ağlarci, O. S. (2014). Evaluation of the relationship between the maxillary posterior teeth and the sinus floor using cone-beam computed tomography. Surgical and radiologic anatomy : SRA, 36(9), 907–914. https://doi.org/10.1007/s00276-014-1317-3
Pei, J., Liu, J., Chen, Y., Liu, Y., Liao, X., & Pan, J. (2020). Relationship between maxillary posterior molar roots and the maxillary sinus floor: Cone-beam computed tomography analysis of a western Chinese population. The Journal of international medical research, 48(6), 300060520926896. https://doi.org/10.1177/0300060520926896
Razumova, S., Brago, A., Howijieh, A., Manvelyan, A., Barakat, H., & Baykulova, M. (2019). Evaluation of the relationship between the maxillary sinus floor and the root apices of the maxillary posterior teeth using cone-beam computed tomographic scanning. Journal of conservative dentistry : JCD, 22(2), 139–143. https://doi.org/10.4103/JCD.JCD_530_18
Rouviere, Delmas. 2005. Anatomía Humana descriptiva, topográfica y funcional. Ed. 11ª. Editorial Masson
Sharan, A., & Madjar, D. (2006). Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 102(3), 375–381. https://doi.org/10.1016/j.tripleo.2005.09.031
Sun, W., Xia, K., Tang, L., Liu, C., Zou, L., & Liu, J. (2018). Accuracy of panoramic radiography in diagnosing maxillary sinus-root relationship: A systematic review and meta-analysis. The Angle orthodontist, 88(6), 819–829. https://doi.org/10.2319/022018-135.1
Terlemez, A., Tassoker, M., Kizilcakaya, M., & Gulec, M. (2019). Comparison of cone-beam computed tomography and panoramic radiography in the evaluation of maxillary sinus pathology related to maxillary posterior teeth: Do apical lesions increase the risk of maxillary sinus pathology?. Imaging science in dentistry, 49(2), 115–122. https://doi.org/10.5624/isd.2019.49.2.115
Themkumkwun, S., Kitisubkanchana, J., Waikakul, A., & Boonsiriseth, K. (2019). Maxillary molar root protrusion into the maxillary sinus: a comparison of cone beam computed tomography and panoramic findings. International journal of oral and maxillofacial surgery, 48(12), 1570–1576. https://doi.org/10.1016/j.ijom.2019.06.011
Tian, X. M., Qian, L., Xin, X. Z., Wei, B., & Gong, Y. (2016). An Analysis of the Proximity of Maxillary Posterior Teeth to the Maxillary Sinus Using Cone-beam Computed Tomography. Journal of endodontics, 42(3), 371–377. https://doi.org/10.1016/j.joen.2015.10.017
Whyte, A., & Boeddinghaus, R. (2019). The maxillary sinus: physiology, development and imaging anatomy. Dento maxillo facial radiology, 48(8), 20190205. https://doi.org/10.1259/dmfr.20190205
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