Location of the Maxillary Posterior Tooth Apices to the Sinus Floor in an Egyptian Subpopulation Using Cone-beam Computed Tomography

Mai Hamdy  Ragab; Asmaa Yousry  Abdalla; Marwa El-Sayed  Sharaan

doi:10.22037/iej.v17i1.34696

Iranian Endodontic Journal

Winter 2022
Vol. 17 No. 1 (2022)

Location of the Maxillary Posterior Tooth Apices to the Sinus Floor in an Egyptian Subpopulation Using Cone-beam Computed Tomography

Iranian Endodontic Journal, Vol. 17 No. 1 (2022), , Page 7-12
https://doi.org/10.22037/iej.v17i1.34696 Published 1 January 2022

Abstract

Introduction: The aim of this study was to evaluate the location of the apices of the maxillary posterior teeth to the maxillary sinus floor (MSF), the symmetry between both sides and the possible variations between males and females using cone-beam computed tomography (CBCT) in an Egyptian subpopulation. Materials and Methods: CBCT images were collected from 120 patients (240 second premolars, 480 1^st and 2^nd molars, 1680 roots). The proximity of roots of maxillary second premolar and 1^st and 2^nd molars to the floor of the sinus was categorized into three categories: inside the sinus floor (IS), touching the sinus floor (TS) or outside the sinus floor (OS). The correlation of the distance with gender was analyzed as well as for symmetry. Friedman’s test was used to compare between different roots and the Dunn’s test was used for pair-wise comparisons when Friedman’s test was significant. The Mann-Whitney U test was used to compare males and females. The significance level was set at P≤0.05. Results: The highest prevalence of roots outside the sinus was found with second premolar (right and left) followed by palatal roots of right and left second molar. In addition, the highest prevalence of roots inside the sinus was found with mesiobuccal roots of maxillary second molar followed by the palatal root of maxillary first molar. There was no statistically significant difference between males and females or between both sides. Conclusion: Neither gender nor side variations regarding the proximity to the maxillary sinus floor were observed.

Keywords:

Cone-beam Computed Tomography; Maxillary Sinus Floor; Tooth Apices

How to Cite

Ragab , M. H., Abdalla , A. Y., & Sharaan, M. E.-S. (2022). Location of the Maxillary Posterior Tooth Apices to the Sinus Floor in an Egyptian Subpopulation Using Cone-beam Computed Tomography. Iranian Endodontic Journal, 17(1), 7-12. https://doi.org/10.22037/iej.v17i1.34696

References

1.Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008;23(1):48–56.
2.Shokri A, Lari S, Yousefi F, Hashemi L. Assessment of the relationship between the maxillary sinus floor and maxillary posterior teeth roots using cone beam computed tomography. J Contemp Dent Pract. 2014;15(5):618–622.
3. Maloney P, Jeong D. Maxillary sinusitis of odontogenic origin. Curr Allergy Asthma Rep. 2009;9:238–243.
4. Mehra P, Murad H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin N Am. 2004;37(3):347–364
5.Ariji Y, Obayashi N, Goto M, Izumi M, Naitoh M, Kurita K, et al. Roots of the maxillary first and second molars in horizontal relation to alveolar cortical plates and maxillary sinus: computed tomography assessment for infection spread. Clin Oral Investig. 2006;10(1):35–41.
6. Watzek G, Bernhart T, Ulm C. Complications of sinus perforations and their management in endodontics. Dent Clin N Am. 1997;41(3):563–83.
7.Khanna AB. Applications of cone beam computed tomography in endodontics. Evid-Based Endod. 2020;5:1.
8. Jung YH, Cho BH. Comparison of panoramic radiography and cone beam computed tomography for assessing the relationship between the maxillary sinus floor and maxillary molars. Korean J Oral Maxillofac Radiol.2009;39(2):69-73.
9. Anter E, Helaly Y , Samir W.Assessment of proximity of maxillary molar roots to the maxillary sins floor in a sample from the Egyptian population using cone beam computed tomography (Hospital based study). Egyp Dent J. 2019;65(4):3427-3438.
10.Kilic C, Kamburoglu K, Yuksel SP, Ozen T. An assessment of the relationship between the maxillary sinus floor and the maxillary posterior teeth root tips using dental cone-beam computerized tomography. Eur J Dent. 2010;4(4):462–467.
11.Tian XM, Qian L, Xin XZ, Wei B, Gong Y. An analysis of the proximity of maxillary posterior teeth to the maxillary sinus using cone-beam computed tomography. J Endod. 2016;42(3):371–377.
12.Pei J, Liu J, Chen Y, Liu Y, Liao X, Pan J. Relationship between maxillary posterior molar roots and the maxillary sinus floor: Cone-beam computed tomography analysis of a western Chinese population. J Int Med Res. 2020;48:300060520926896.
13.Nascimento EH, Pontual ML, Pontual AA, Freitas DQ, Perez DE, Ramosperez FM. Association between odontogenic conditions and maxillary sinus disease: a study using cone-beam computed tomography. J Endod. 2016;42(10):1509–1515.
14. Tang L, Xu L, Liu H. A retrospective study on the relationship between maxillary posterior teeth and maxillary sinus floor using cone-beam computed tomographic images. J Anat Soc India. 2019;68(4):253-259
15.Ok E, Güngör E, Colak M, Altunsoy M, Nur BG, Ağlarci OS. Evaluation of the relationship between the maxillary posterior teeth and the sinus floor using cone-beam computed tomography. Surg Radiol Anat. 2014;36(9):907–914.
16. Gu, Y., Sun, C., Wu, D. et al. Evaluation of the relationship between maxillary posterior teeth and the maxillary sinus floor using cone-beam computed tomography. BMC Oral Health. 2018;18:164.
17.Pagin O, Centurion BS, Rubira-Bullen IR, Alvares Capelozza AL. Maxillary sinus and posterior teeth: accessing close relationship by cone-beam computed tomographic scanning in a Brazilian population. J Endod. 2013;39(6):748–751.
18. Zhang, X, Li, Y, Zhang, Y, et al. Investigating the anatomical relationship between the maxillary molars and the sinus floor in a Chinese population using cone-beam computed tomography. BMC Oral Health. 2019; 19: 282.
19.Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Sci Dent. 2012;42(2):219–224.
20.Georgescu CE, Rusu MC, Sandulescu M, Enache AM, Didilescu AC. Quantitative and qualitative bone analysis in the maxillary lateral region. Surg Radiol Anat. 2012;34(6):551–558.
21.Yoshimine S, Nishihara K, Nozoe E, Yoshimine M, Nakamura N. Topographic analysis of maxillary premolars and molars and maxillary sinus using cone beam computed tomography. Implant Dent. 2012;21(6):528–535.
22.Kwak HH, Park HD, Yoon HR, Kang MK, Koh KS, Kim HJ. Topographic anatomy of the inferior wall of the maxillary sinus in Koreans. Int J Oral Maxillofac Surg. 2004;33(4):382–388.
23. Radiographic evaluation of the anatomical relationship of maxillary sinus floor with maxillary posterior teeth apices in the population of Al-Qassim, Saudi Arabia, using cone beam computed tomography. Saudi Dent J 2020 in press

Abstract Viewed: 99 times
PDF Downloaded: 74 times