Association between radiographic signs of maxillary sinus disease and posterior teeth pathology by CBCT in patients from Dental Hospital, Khon Kean University: a retrospective study
Suwadee Kositbowornchai
Professor, Department of Oral Diagnosis, Faculty of Dentistry, Bangkokthonburi UniversityPornthep Kasemsiri
Associate Professor, Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen UniversitySupaporn Chatchaiwiwatana
Associate Professor, Department of Oral Biomedical Science, Faculty of Dentistry, Khon Kaen UniversityTanyamon Boontaeng
Former sixth year dental student, Faculty of Dentistry, Khon Kaen UniversityNatvara Viriyajunta
Former sixth year dental student, Faculty of Dentistry, Khon Kaen UniversityNicharee Numahun
Former sixth year dental student, Faculty of Dentistry, Khon Kaen UniversityKeywords :
maxillary sinus, maxillary posterior teeth, cone beam CT
Abstract :
Maxillary sinusitis has both rhinogenic and odontogenic origins. The aim of this study was to
determine the association between maxillary sinus disease and posterior teeth pathology in retrospective study of 546 CBCT images. Maxillary sinus diseases and dental pathologies were classified
into 4 and 2 groups, respectively. The basic data was analyzed by descriptive study and chi-square
analysis for the association between maxillary sinus disease and dental pathology (p = 0.05). The
results showed 1) the prevalence of maxillary sinus diseases associated with posterior teeth pathologies was 52.0%. 2) mucosal thickening was associated with periapical lesion (p < 0.001). 3) suggestive
sinusitis was associated with periodontal disease (p < 0.001) and periapical lesion (p = 0.001), and 4)
mucous retention cyst was associated with periapical lesion (p < 0.05). For conclusions, the mucosal
thickening and mucous retention cyst were associated with periapical lesion. Suggestive sinusitis
was associated with both periodontal disease and periapical lesion.
References :
Brook I, Frazier EH, Gher ME Jr. Microbiology of periapical abscesses and associated maxillary sinusitis. J Periodontol.
1996;67:608-10.
Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the
maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health
Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:e80-7.
Yeung AWK, Tanaka R, Khong PL, von Arx T, Bornstein MM. Frequency, location, and association with dental pathology
of mucous retention cysts in the maxillary sinus. A radio-graphic study using cone beam computed tomography
(CBCT). Clin Oral Investig. 2018;22:1175-83.
Maloney PL, Doku HC. Maxillary sinusitis of odontogenic origin. J Can Dent Assoc (Tor). 1968;34:591-603.
Lechien JR, Filleul O, Costa de Araujo P, Hsieh JW, Chant-rain G, Saussez S. Chronic maxillary rhinosinusitis of dental
origin: a systematic review of 674 patient cases. Int J Otolaryngol. 2014;2014:465173.
Lofthag-Hansen S, Huumonen S, Grondahl K, Grondahl HG. Limited cone-beam CT and intraoral radiography for
the diagnosis of periapical pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:114-9.
Shahbazian M, Vandewoude C, Wyatt J, Jacobs R. Com-parative assessment of panoramic radiography and CBCT
imaging for radiodiagnostics in the posterior maxilla. Clin Oral Investig. 2014;18:293-300.
Raghav M, Karjodkar FR, Sontakke S, Sansare K. Prevalence of incidental maxillary sinus pathologies in dental patients
on cone-beam computed tomographic images. Contemp Clin Dent. 2014;5:361-5.
Soikkonen K, Ainamo A. Radiographic maxillary sinus findings in the elderly. Oral Surg Oral Med Oral Pathol Oral
Radiol Endod. 1995;80:487-91.
Rak KM, Newell JD 2nd, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: signif-icance of mucosal thickening. AJR Am J Roentgenol. 1991;156:381-4.
Phothikhun S, Suphanantachat S, Chuenchompoonut V, Nisapakultorn K. Cone-beam computed tomographic
evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus. J
Periodontol. 2012;83:557-64.
Sheikhi M, Pozve NJ, Khorrami L. Using cone beam com-puted tomography to detect the relationship between
the periodontal bone loss and mucosal thickening of the maxillary sinus. Dent Res J (Isfahan). 2014;11:495-501.
Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the
Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred
for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011;22:1446-53.
Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, et al. Associations between maxillary sinus mucosal thickening
and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod.2012;38:1069-74.
Bomeli SR, Branstetter BFt, Ferguson BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope.
2009;119:580-4.
MacDonald-Jankowski DS. Mucosal antral cysts in a Chinese population. Dentomaxillofac Radiol. 1993;22:
208-10.
Halstead CL. Mucosal cysts of the maxillary sinus: report of 75 cases. J Am Dent Assoc. 1973;87:1435-41.
Allard RH, van der Kwast WA, van der Waal I. Mucosal antral cysts. Review of the literature and report of a radio-graphic survey. Oral Surg Oral Med Oral Pathol. 1981;51:2-9.
Ruprecht A, Batniji S, el-Neweihi E. Mucous retention cyst of the maxillary sinus. Oral Surg Oral Med Oral Pathol.
1986;62:728-31.
Kosumarl W, Patanaporn V, Jotikasthira D, Janhom A. Distances from the root apices of posterior teeth to the
maxillary sinus and mandibular canal in patients with skeletal open bite: a cone-beam computed tomography
study. Imaging Sci Dent. 2017;47:157-64.
Bachert C, Patou J, Van Cauwenberge P. The role of sinus disease in asthma. Curr Opin Allergy Clin Immunol.
2006;6:29-36.
