Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography

Introduction. Because of the close contact between maxillary sinus and maxillary posterior teeth, procedural errors such as perforation of the sinus may occur during surgical intervention resulting in oroantral communication, which if not corrected, would develop into a fistula. The aim of this stud...

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Main Authors: Alaa Abdelqader Altaweel, Sami Mohammed Saad Sowairi, Ahmed Mohammed Saaduddin Sapri, Sama Abdulelah Saeedi, Asalah Hamad Alamri, Albtoul Ahmed Alnobi, Maha Fahad ALSharif, Ahmed Mohsen A Altokhi, Hisham Abbas
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2022/6254656
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author Alaa Abdelqader Altaweel
Sami Mohammed Saad Sowairi
Ahmed Mohammed Saaduddin Sapri
Sama Abdulelah Saeedi
Asalah Hamad Alamri
Albtoul Ahmed Alnobi
Maha Fahad ALSharif
Ahmed Mohsen A Altokhi
Hisham Abbas
author_facet Alaa Abdelqader Altaweel
Sami Mohammed Saad Sowairi
Ahmed Mohammed Saaduddin Sapri
Sama Abdulelah Saeedi
Asalah Hamad Alamri
Albtoul Ahmed Alnobi
Maha Fahad ALSharif
Ahmed Mohsen A Altokhi
Hisham Abbas
author_sort Alaa Abdelqader Altaweel
collection DOAJ
description Introduction. Because of the close contact between maxillary sinus and maxillary posterior teeth, procedural errors such as perforation of the sinus may occur during surgical intervention resulting in oroantral communication, which if not corrected, would develop into a fistula. The aim of this study was to evaluate the relationship between maxillary posterior teeth and maxillary sinus floor in a population of the western area of Saudi Arabia, and if age, gender, and size may affect such distance. Materials and Methods. This retrospective study evaluated 539 cone-beam computed tomography (CBCT) radiographs of patients over 20 years of age. Patients were divided into four groups according to age: group I (20–30 years), group II (31–40 years), group III (41–50 years), and group IV (more than 50 years). From coronal and sagittal images of CBCT, the vertical distance between the posterior maxillary root and the maxillary sinus was measured and classified according to its proximity to the maxillary sinus. Results. Gender and size did not significantly affect the distance between maxillary posterior root and maxillary sinus. However, there was a significant increase in this distance with increased age. Mesiobuccal root of the second molar was the nearest root to the maxillary sinus (0.8 ± 1.62, p<0.001), while the buccal root of the first premolar was the farthest root (5.39 ± 3.26, p<0.001). Conclusion. Regarding the population of this study, the buccal roots of the second molars are the closest to the sinus floor. Complications associated with maxillary molar extraction and implantation are greater at a younger age. Because the distance between posterior maxillary teeth and maxillary sinus was mostly type 1 (0–2 mm), clinicians are advised to perform CBCT to get a better understanding of the relationship between maxillary posterior roots and maxillary sinus before surgical intervention.
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spelling doaj-art-75323d1cc8aa4a29936c81f85e8be8932025-02-03T01:32:31ZengWileyInternational Journal of Dentistry1687-87362022-01-01202210.1155/2022/6254656Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed TomographyAlaa Abdelqader Altaweel0Sami Mohammed Saad Sowairi1Ahmed Mohammed Saaduddin Sapri2Sama Abdulelah Saeedi3Asalah Hamad Alamri4Albtoul Ahmed Alnobi5Maha Fahad ALSharif6Ahmed Mohsen A Altokhi7Hisham Abbas8Oral and Maxillofacial Surgery DepartmentKing Fahd Hospital of the Armed ForcesOral and Maxillofacial Surgery DepartmentGeneral DentistAlhanan Al-mutamaiz Medical CenterMy Clinic Medical CenterGeneral DentistDeryaq Care MedicalDepartment of Oral and Maxillofacial RadiologyIntroduction. Because of the close contact between maxillary sinus and maxillary posterior teeth, procedural errors such as perforation of the sinus may occur during surgical intervention resulting in oroantral communication, which if not corrected, would develop into a fistula. The aim of this study was to evaluate the relationship between maxillary posterior teeth and maxillary sinus floor in a population of the western area of Saudi Arabia, and if age, gender, and size may affect such distance. Materials and Methods. This retrospective study evaluated 539 cone-beam computed tomography (CBCT) radiographs of patients over 20 years of age. Patients were divided into four groups according to age: group I (20–30 years), group II (31–40 years), group III (41–50 years), and group IV (more than 50 years). From coronal and sagittal images of CBCT, the vertical distance between the posterior maxillary root and the maxillary sinus was measured and classified according to its proximity to the maxillary sinus. Results. Gender and size did not significantly affect the distance between maxillary posterior root and maxillary sinus. However, there was a significant increase in this distance with increased age. Mesiobuccal root of the second molar was the nearest root to the maxillary sinus (0.8 ± 1.62, p<0.001), while the buccal root of the first premolar was the farthest root (5.39 ± 3.26, p<0.001). Conclusion. Regarding the population of this study, the buccal roots of the second molars are the closest to the sinus floor. Complications associated with maxillary molar extraction and implantation are greater at a younger age. Because the distance between posterior maxillary teeth and maxillary sinus was mostly type 1 (0–2 mm), clinicians are advised to perform CBCT to get a better understanding of the relationship between maxillary posterior roots and maxillary sinus before surgical intervention.http://dx.doi.org/10.1155/2022/6254656
spellingShingle Alaa Abdelqader Altaweel
Sami Mohammed Saad Sowairi
Ahmed Mohammed Saaduddin Sapri
Sama Abdulelah Saeedi
Asalah Hamad Alamri
Albtoul Ahmed Alnobi
Maha Fahad ALSharif
Ahmed Mohsen A Altokhi
Hisham Abbas
Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography
International Journal of Dentistry
title Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography
title_full Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography
title_fullStr Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography
title_full_unstemmed Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography
title_short Assessment of the Relationship between Maxillary Posterior Teeth and Maxillary Sinus Using Cone-Beam Computed Tomography
title_sort assessment of the relationship between maxillary posterior teeth and maxillary sinus using cone beam computed tomography
url http://dx.doi.org/10.1155/2022/6254656
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