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Maxillary sinus findings in the elderly: a panoramic radiographic study
Anuna Laila Mathew1, Keerthilatha M Pai, Amar A Sholapurkar
1Department of Oral Medicine & Radiology, Marbasilios Dental College, Kothamangalam, Kerela. India. anunamathew@yahoo.co.in
The Journal of Contemporary Dental Practice
|December 19, 2009
Summary
Maxillary sinus findings like mucosal thickening are common in elderly individuals. These conditions are more prevalent in those with natural teeth, suggesting a potential dental origin for the sinus issues.
Area of Science:
- Oral and Maxillofacial Radiology
- Dental Imaging
- Sinus Pathology
Background:
- Maxillary sinus abnormalities are frequently detected incidentally on dental radiographs.
- The prevalence and potential causes of these findings in the elderly population require further investigation.
Purpose of the Study:
- To determine the prevalence of maxillary sinus findings in individuals over 50 years old using panoramic radiography.
- To assess if these findings are more common in dentate (having teeth) versus edentulous (missing teeth) elderly subjects.
Main Methods:
- Panoramic radiography was used to examine 97 elderly subjects (age > 50).
- Subjects were classified as dentate or edentulous in the upper jaw.
- Statistical analysis (z-test) was employed to determine significance (p < 0.05).
Main Results:
- Radiographic maxillary sinus findings were present in 42.26% of subjects.
- Mucosal thickening was significantly more prevalent in dentate subjects (74.35%) compared to edentulous subjects (p < 0.05).
- A low prevalence of mucous cysts was noted, with none found in edentulous subjects, suggesting a possible odontogenic origin.
Conclusions:
- Maxillary sinus mucosal thickening and cysts in the elderly may be linked to dental irritative stimuli or infections.
- Panoramic radiography is effective for identifying these sinus findings.
- Diagnosing dental infections is crucial to prevent potential acute sinusitis in susceptible individuals.
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