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Updated: May 11, 2026

Reliability of Artificial Intelligence-Based Cone Beam Computed Tomography Integration with Digital Dental Images
Published on: February 23, 2024
Maxillary sinus and posterior teeth: accessing close relationship by cone-beam computed tomographic scanning in a
Otávio Pagin1, Bruna Stuchi Centurion, Izabel Regina Fischer Rubira-Bullen
1Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil. pagin@usp.br
Introduction:
This study aimed to evaluate the close proximity established between the maxillary sinus floor and posterior teeth roots apices by using cone-beam computed tomographic scanning.
Methods:
The relationship of maxillary sinuses and posterior teeth roots, which were divided into 2 groups, was analyzed using i-CAT Vision software (Imaging Sciences, Hatfield, PA). Group 1 included all root apices found in close contact with the maxillary sinus floor without sinus floor elevation, whereas group 2 included all root apices that were protruded within the sinus producing an elevation of the bony cortical.
Results:
A total of 100 maxillary sinuses and 601 roots apices were evaluated. Group 1 presented 130 of 601 (21.6%) roots and group 2 presented 86 of 601 (14.3%) roots.
Conclusions:
The second molar mesiobuccal root apex is frequently found in close proximity with the sinus floor, and the relation between these anatomic structures should be considered in order to prevent an iatrogenic procedure and minimize the risks from an infectious disease within the sinus.

