Abstract : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
There are few studies measuring the dimensions of the maxillary sinus, being mostly based on computed tomography imaging and rarely being based on cone-beam computed tomography (CBCT). The aim of this study was to measure the 3D osseous and soft tissue defined volume and surface area of the maxillary sinus. Further, possible associations with patient-specific and sinus-related variables were evaluated.
A total of 128 maxillary sinuses in 64 patients were analyzed using cone-beam computed tomography data. Surface area and volume of the osseus maxillary sinuses as well as of the remaining pneumatized cavities in cases of obliterated sinuses were calculated by the implant planning software SMOP (Swissmeda AG, Baar, Switzerland). Further, patient-specific general variables such as age, gender, and dentition state as well as sinus-related factors including apical lesions, sinus pathologies, and number of teeth and roots communicating with the maxillary sinus were recorded.
For osseus bordered sinuses, mean surface area was 39.7 cm2 and mean volume 17.1 cm3. For the remaining pneumatized cavities, mean surface area was 36.4 cm2 and mean volume 15 cm3. The calculated mean volume of obliterated sinuses (42.2% of all sinuses were obliterated) was 5.1 cm3. Further, an association between the obliterated volume and the presence of pathologies was detected. Male patients showed a significantly higher mean osseus volume compared to female patients. No association was apparent between a patient’s age or dentition state and sinus volume, nor for communicating tooth roots and sinus pathologies or unilateral opacity and apical radiolucency. There was also no significant association between bilateral obliterated sinuses and the scan date being in autumn/winter.
The present study showed that the CBCT is suitable for the evaluation of the maxillary sinus. The implant planning software SMOP and its included volume measuring tool are valuable for the analysis of the maxillary sinus, and possible relations with the dentition can be analyzed.
Serial posts:
- Abstract : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
- Background : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
- Methods : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [1]
- Methods : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]
- Results : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [1]
- Results : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]
- Discussion : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [1]
- Discussion : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]
- Conclusions : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
- References : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [1]
- References : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]
- References : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [3]
- Author information : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [1]
- Author information : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]
- Ethics declarations : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
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- About this article : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
- Table 1 Mean, median minimum, maximum, and standard deviation of the surface in square centimeter and volume in cubic centimeter of the osseus maxillary sinuses and the remaining pneumatized cavities in cases of obliterated sinuses as well as mean, median, minimum, maximum, and standard deviation of the calculated obliterated sinus volume in cubic centimeter : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
- Table 2 Frequency of pathologies in 128 maxillary sinuses : 3D-evaluation of the maxillary sinus in cone-beam computed tomography
- Fig. 1. Calculation of the sinus body by interpolating 15–25 curves at a distance of 2 mm, depending upon the size of the maxillary cavity : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 2. View from the coronal plane. The marked curves define the osseus and mucous boundaries of the maxillary sinuses. The hatched surface illustrates the measured remaining pneumatized cavity of an obliterated sinus and the filled (yellow) surface highlights the calculated obliterated volume : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 3. 3D view of osseus sinus volumes. Surface area (cm2) and volume (cm3) were calculated by the software : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 4. The association between the osseus volume and the dentition. Edentulous, partly edentulous, and dentate patients showed no relevant difference in the size of the osseus sinus volume (p = 0.52) : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 5. The association between the obliterated volume and sinus pathology. The presence of a pathology significantly increased the obliterated volume of a maxillary sinus (p < 0.001). For better visibility, the diagram has been jittered along the x-axis : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 6. No statistical significant association between a patient’s age and the presence of obliteration of at least one maxillary sinus was found (p = 0.92). For better visibility, the diagram has been jittered along the y-axis : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 7. The association between the mean osseus sinus volume and age. No significant association between these parameters was found (p = 0.2) : 3D-evaluation of the maxillary sinus in cone-beam
- Fig. 8. The association between mean osseus sinus volume of the maxillary sinus and gender. Men have a statistically significant higher mean osseus volume than women (p = 0.007) : 3D-evaluation of the maxillary sinus in cone-beam