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[Maxillary sinusitis as a diagnostical adverse finding of the dental cone-beam computed tomography study]
Károly Schreindorfer1, Ágnes Kiss2, Gyula Marada3
1Fogászati és Szájsebészeti Klinika, Konzerváló Fogászati és Parodontológiai Tanszék, Pécsi Tudományegyetem, Klinikai Központ Pécs, Dischka Győző u. 5., 7621.
Introduction:
Cone-beam computed tomography is a frequently used diagnostical method in the head and neck region. The thickening of the maxillary sinus mucosa is often observed in these images.
Aim:
Determining the prevalence of teeth and roots that can be identified as cause of maxillary odontogenic sinusitis, and recording the average observed mucosa thickening on these images.
Method:
The scans that give the base of the study have been performed by the Department of Dentistry of Medical University of Pécs between 2015-2016. The size of the voxels had been varied between 0.25 and 0.4 mm and the size of the image had been set up to 15×12 cm. The acquisition time had been set up to 27 seconds.
Results:
170 cases of the 260 revised records fulfilled the initial criterion conditions. The average mucosa thickness was 8.8 mm. During the present study, the upper first molars palatal and the second molars mesiobuccal roots were mainly associated with maxillary odontogenic sinusitis.
Conclusion:
Whether in the case of chronic maxillary sinusitis that is not or only temporarily responsive to conventional therapy, may it be justifiable to provide dental consultation and cone-beam computed tomography to exclude the dental origin of sinusitis. Orv Hetil. 2017; 158(44): 1747-1753.
