Volume 6, Issue 3 (10-2017)                   3dj 2017, 6(3): 49-60 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Dehghani M, Motallebi E, Navabazam A, Montazerlotfelahi H, Ezoddini F, Ghanea S. The Relation Between Maxillary Sinus Floor and Posterior Maxillary Teeth Roots Using Panoramic and Cone Beam Computed Tomography. 3dj 2017; 6 (3) :49-60
URL: http://3dj.gums.ac.ir/article-1-280-en.html
1- Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Dentist, Department of Dentistry, School of Dentistry, Alborz University of Medical Sciences, Alborz, Iran.
3- Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- Assistant Professor, Department of Pediatric Neurology, Faculty of Medicine, Alborz University of Medical Sciences, Alborz, Iran.
5- Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
6- Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. , s_ghanea82@yahoo.com
Abstract:   (3986 Views)
Introduction: Understanding the anatomical and pathological relationships between posterior teeth or edentulous area with maxillary sinus is essential for diagnosis and treatment management.The present study aimed to assess the relationship between maxillary sinus floor and posterior teeth roots using panoramic radiography and Cone Beam Computed Tomography (CBCT).
Materials and Methods: In this analytical cross-sectional study, 440 maxillary first and second premolars, and first and second molars of 55 patients were selected by the census method. The patients were referred to Sajad Maxillofacial Radiology and Navabazam Maxillofacial Surgery Clinic in Yazd City from 2011 to 2015. The relationship between each root and maxillary sinus floor was examined by oral radiologist and trained dentistry student using CBCT and panoramic radiography. To check the reproducibility of the first observer, a second observer examined 20 radiographs daily for five days and in random orders. No difference was found between the observers. The collected data were analyzed by ANOVA, Chi square, Fisher’s exact test, and t test using SPSS (P≤0.05).
Results: The agreement between CBCT and panoramic radiographs in determining root form was measured with kappa, which was found as 0.549 (P=0.0001). This implies that CBCT and panoramic radiographs showed an agreement in determining the position of maxillary sinus floor and posterior teeth roots. The difference between calculated mean (SD) distances of the two methods was 0.74(2.92) mm (P=0.0001). This indicates that the measurements by panoramic radiographs differ from CBCT.
Conclusion: Our study results supports use of CBCT to establish the exact correlation between maxillary sinus floor and posterior teeth roots, especially in classification 3 (projected in panoramic radiographs) for reducing damages and infection transmission.
Full-Text [PDF 1264 kb]   (1314 Downloads) |   |   Full-Text (HTML)  (3011 Views)  
Type of Study: Original article | Subject: So on
Received: 2017/06/24 | Accepted: 2017/09/20 | Published: 2017/10/1

1. Kilic C, Kamburoglu K, PehlivanYukselc S, 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. European Journal of Dentistry. 2010; 4(4):462-67. PMID: 20922167 [PMID] [PMCID]
2. Sharan A, Madjar D. 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 Endodontology. 2006; 102(3):375–81. doi: 10.1016/j.tripleo.2005.09.031 [DOI:10.1016/j.tripleo.2005.09.031]
3. Wehrbein H, Diedrich P. [The initial morphological state in thebasally pneumatized maxillary sinus–a radiological-histological study in man (German)]. Fortschritte der Kieferorthopädie. 1992; 53(5):254-62. doi: 10.1007/bf02325074 [DOI:10.1007/BF02325074]
4. Shahbazian M, Vandewoude C, Wyatt J, Jacobs R. Comparative assessment of panoramic radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Clinical Oral Investigations. 2013; 18(1):293–300. doi: 10.1007/s00784-013-0963-x [DOI:10.1007/s00784-013-0963-x]
5. Watzek G, Bernhart T, Ulm C. Complications of sinus perforationsand their management in endodontics. Dental Clinics of North America. 1997; 41(3):563-83. PMID: 9248692 [PMID]
6. Hauman CHJ, Chandler NP, Tong DC. Endodontic implications of the maxillary sinus: a review. International Endodontic Journal. 2002; 35(2):127–41. doi: 10.1046/j.0143-2885.2001.00524.x [DOI:10.1046/j.0143-2885.2001.00524.x]
7. Fuhrmann R, Bücker A, Diedrich P. Radiological assessment of artificial bone defects in the floor of the maxillary sinus. Dentomaxillofacial Radiology. 1997; 26(2):112–6. doi: 10.1038/sj.dmfr.4600223 [DOI:10.1038/sj.dmfr.4600223]
8. Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Science in Dentistry. 2012; 42(4):219-24. doi: 10.5624/isd.2012.42.4.219 [DOI:10.5624/isd.2012.42.4.219]
9. Loevner LA. Radiology: Its diagnostic usefulness in rhinosinusitis. In: Thaler ER, Kennedy DW, editor. Rhinosinusitis: Aguide for diagnosis and management. Berlin: Springer; 2008. [DOI:10.1007/978-0-387-73062-2_10] [PMCID]
10. Maestre-Ferrin L, Galan-Gil S, Carrillo-Garcia C, Penarrocha-Diago M. Radiographic findings in the maxillary sinus:comparison of panoramic radiography with computed tomography. The International Journal of Oral & Maxillofacial Implants. 2011; 26(2):341-6. PMID: 21483887 [PMID]
11. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2011; 111(5):634–40. doi: 10.1016/j.tripleo.2010.12.007 [DOI:10.1016/j.tripleo.2010.12.007]
12. Freisfeld M, Drescher D, Schellmann B, SchullerH. [The maxillary first molar and its relation to maxillary sinus. A comparison study between panoramic radiography and computed tomography (German)]. Fortschritte Der Kieferorthopadie. 1993; 54(5):179-86. PMID: 8244214 [DOI:10.1007/BF02341464] [PMID]
13. Kwak HH, Park HD, Yoon HR, Kang MK, Koh KS, Kim HJ. Topographic anatomy of the inferior wall of the maxillary sinus in Koreans. International Journal of Oral and Maxillofacial Surgery. 2004; 33(4):382–8. doi: 10.1016/j.ijom.2003.10.012 [DOI:10.1016/j.ijom.2003.10.012]
14. Fakhar HB, Kaviani H, Panjnoosh M, Shamshiri A R. [Accuracy of panoramic radiographs in determining the relationship of posterior root apices and maxillary sinus floor by Cone-Beam CT (Persian)]. Journal of Dental Medicine-Tehran University of Medical Sciences. 2014; 27(2):108-17.
15. 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. Clinical Oral Investigations. 2005; 10(1):35–41. doi: 10.1007/s00784-005-0020-5 [DOI:10.1007/s00784-005-0020-5]
16. Bouquet A, Coudert JL, Bourgeois D, Mazoyer JF, Bossard D. Contributions of reformatted computed tomography and panoramic radiography in the localization of third molars relative to the maxillary sinus. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004; 98(3):342–7. doi: 10.1016/j.tripleo.2004.02.082 [DOI:10.1016/j.tripleo.2004.02.082]
17. Eberhardt JA, Torabinejad M, Christiansen EL. A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surgery, Oral Medicine, Oral Pathology. 1992; 73(3):345–7. doi: 10.1016/0030-4220(92)90133-b [DOI:10.1016/0030-4220(92)90133-B]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | Journal of Dentomaxillofacial

Designed & Developed by : Yektaweb