Your browser doesn't support javascript.
loading
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 ; : 115-122, 2019.
Artigo em Inglês | WPRIM | ID: wpr-763994
ABSTRACT

PURPOSE:

The aims of this study were first, to compare panoramic radiography with cone-beam computed tomography (CBCT) for evaluating topographic relationships, such as the classification of maxillary posterior teeth and their distance to the maxillary sinus floor; and second, to determine the relationship between maxillary sinus pathology and the presence of apical lesions. MATERIALS AND

METHODS:

In total, 285 paired CBCT and panoramic radiography records of patients (570 maxillary sinuses) were retrospectively analyzed. Both imaging modalities were used to determine the topographic relationship of the maxillary posterior teeth to the sinus floor. Mucosal thickening >2 mm was considered a pathological state. Data were analyzed using the chi-square, Wilcoxon, and Mann-Whitney U tests. Odds ratios (ORs) and confidence intervals (CIs) were calculated.

RESULTS:

The closest vertical distance measurements made between posterior maxillary teeth roots and the maxillary sinus on panoramic radiography and CBCT scans showed statistically significant differences from each other (P<0.05). Compared to panoramic radiography, CBCT showed higher mean values for the distance between the maxillary sinus floor and maxillary posterior teeth roots. The CBCT images showed that at least 1 apical lesion adjacent to the right maxillary sinus increased the risk of maxillary sinus pathology by 2.37 times (OR, 2.37; 95% CI, 1.58-3.55, P<0.05).

CONCLUSION:

Panoramic radiography might lead to unreliable diagnoses when evaluating the distance between the sinus floor and posterior roots of the maxillary teeth. Periapical lesions anatomically associated with maxillary sinuses were a risk factor for sinus mucosal thickening.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doenças dos Seios Paranasais / Patologia / Dente / Radiografia Panorâmica / Razão de Chances / Estudos Retrospectivos / Fatores de Risco / Classificação / Diagnóstico / Tomografia Computadorizada de Feixe Cônico Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Imaging Science in Dentistry Ano de publicação: 2019 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doenças dos Seios Paranasais / Patologia / Dente / Radiografia Panorâmica / Razão de Chances / Estudos Retrospectivos / Fatores de Risco / Classificação / Diagnóstico / Tomografia Computadorizada de Feixe Cônico Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Imaging Science in Dentistry Ano de publicação: 2019 Tipo de documento: Artigo