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Discussion : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]

Discussion : 3D-evaluation of the maxillary sinus in cone-beam computed tomography [2]

author: Julia Luz, Dominique Greutmann, Daniel Wiedemeier, Claudio Rostetter, Martin Rcker, Bernd Stadlinger | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

Velasco-Torres et al. [19] showed a larger sinus volume for dentate patients compared to edentulous and partially edentulous patients. This may be explained through the loss of posterior teeth in the maxilla, leading to the reduction of mechanical stimulation of the maxillary sinus. As a consequence, the sinus could expand (pneumatization) due to increased pressure and ostoclastic activity of the Schneiderian membrane [7, 20,21,22,23]. Another factor of influence may be bone resorption following tooth loss [24]. In the present study, however, no significant association between the sinus volume and the state of dentition could be found.

The results of this study showed a statistically significant smaller mean osseus sinus volume in women compared to men, confirming previous findings [19, 25, 26]. Comparing the bilateral situation, the study showed that both maxillary sinuses (osseus borders) of each participant had similar osseus volumes (mean difference between left and right 0.5 cm3), thus confirming previous studies [9, 27,28,29,30]. Also confirming other studies [29, 30], the results show no association between the participant’s age and the maxillary sinus volume. This is in contradiction to Velasco-Torres et al., who showed an increase in sinus volume with the patient’s age [19].

A limitation of this study is the analysis of the influence of variable parameters on the dimensions of the sinus, which would have benefitted of a larger study size. Moreover, an examination of data deviation and identification of potential data outliers would have been possible.

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