The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis

Apical periodontitis may be associated with odontogenic sinusitis in cases where the apex of the root is close to, or even within, the maxillary sinus. This study investigated the anatomical relationship between the cortical sinus floor and the root apices of maxillary molars in relation to age and...

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Main Authors: Thaysa Menezes Constantino, Marília Fagury Videira Marceliano-Alves, Vivian Ronquete, Ana Grasiela da Silva Limoeiro, Pablo Andres Amoroso-Silva, Mariano Simon Pedano, Tchilalo Boukpessi, Fábio Vidal, Thais Machado de Carvalho Coutinho
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Sinusitis
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Online Access:https://www.mdpi.com/2673-351X/9/1/9
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author Thaysa Menezes Constantino
Marília Fagury Videira Marceliano-Alves
Vivian Ronquete
Ana Grasiela da Silva Limoeiro
Pablo Andres Amoroso-Silva
Mariano Simon Pedano
Tchilalo Boukpessi
Fábio Vidal
Thais Machado de Carvalho Coutinho
author_facet Thaysa Menezes Constantino
Marília Fagury Videira Marceliano-Alves
Vivian Ronquete
Ana Grasiela da Silva Limoeiro
Pablo Andres Amoroso-Silva
Mariano Simon Pedano
Tchilalo Boukpessi
Fábio Vidal
Thais Machado de Carvalho Coutinho
author_sort Thaysa Menezes Constantino
collection DOAJ
description Apical periodontitis may be associated with odontogenic sinusitis in cases where the apex of the root is close to, or even within, the maxillary sinus. This study investigated the anatomical relationship between the cortical sinus floor and the root apices of maxillary molars in relation to age and gender. Two hundred cone-beam computed tomography exams (FOV 5 × 5 cm or 8 × 8 cm) were evaluated to determine the proximity of the roots of the molars to the maxillary sinus, according to age group and gender. The maxillary second molar is the tooth with the closest contact with the maxillary sinus, mainly the mesial–buccal root. In maxillary first molars, the palatal root is the nearest one and sometimes lies inside the sinus. Considering the age factor, in the elderly group, lower distances were found for all roots for the male group. In the elderly group, the only difference was found in the female distobuccal root of tooth 16, which was found to be shorter than the males (<i>p</i> < 0.05). In conclusion, the distance between the cortical bone of the maxillary sinus and the root apices varies considerably, and smaller distances were found in older females and for the upper second molar, especially the mesial–buccal root.
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spelling doaj-art-135905e924bd43749fcbadfa931ea76d2025-08-20T03:27:43ZengMDPI AGSinusitis2673-351X2025-05-0191910.3390/sinusitis9010009The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography AnalysisThaysa Menezes Constantino0Marília Fagury Videira Marceliano-Alves1Vivian Ronquete2Ana Grasiela da Silva Limoeiro3Pablo Andres Amoroso-Silva4Mariano Simon Pedano5Tchilalo Boukpessi6Fábio Vidal7Thais Machado de Carvalho Coutinho8Postgraduate Program in Dentistry, Iguaçu University, Nova Iguaçu 28300-000, RJ, BrazilDepartment of Oral Health Sciences, KU Leuven (University of Leuven), BIOMAT—Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, 3000 Leuven, BelgiumEndodontics Department, Iguaçu University, Nova Iguaçu 28300-000, RJ, BrazilDepartment of Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of Sao Paulo, Bauru 14040-901, SP, BrazilPostgraduate Program in Dentistry, Iguaçu University, Nova Iguaçu 28300-000, RJ, BrazilDepartment of Oral Health Sciences, KU Leuven (University of Leuven), BIOMAT—Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, 3000 Leuven, BelgiumLaboratory of Orofacial Pathologies, Imaging and Biotherapies, School of Dentistry, Laboratoire d’Excellence INFLAMEX, Université Paris Cité, URP 2496, Montrouge, 75006 Paris, FranceDepartment of Endodontics, Faculty of Dentistry, Estácio de Sá University, Rio de Janeiro 22640-100, RJ, BrazilPostgraduate Program in Dentistry, Iguaçu University, Nova Iguaçu 28300-000, RJ, BrazilApical periodontitis may be associated with odontogenic sinusitis in cases where the apex of the root is close to, or even within, the maxillary sinus. This study investigated the anatomical relationship between the cortical sinus floor and the root apices of maxillary molars in relation to age and gender. Two hundred cone-beam computed tomography exams (FOV 5 × 5 cm or 8 × 8 cm) were evaluated to determine the proximity of the roots of the molars to the maxillary sinus, according to age group and gender. The maxillary second molar is the tooth with the closest contact with the maxillary sinus, mainly the mesial–buccal root. In maxillary first molars, the palatal root is the nearest one and sometimes lies inside the sinus. Considering the age factor, in the elderly group, lower distances were found for all roots for the male group. In the elderly group, the only difference was found in the female distobuccal root of tooth 16, which was found to be shorter than the males (<i>p</i> < 0.05). In conclusion, the distance between the cortical bone of the maxillary sinus and the root apices varies considerably, and smaller distances were found in older females and for the upper second molar, especially the mesial–buccal root.https://www.mdpi.com/2673-351X/9/1/9maxillary anatomycone-beam computed tomographymaxillary sinus
spellingShingle Thaysa Menezes Constantino
Marília Fagury Videira Marceliano-Alves
Vivian Ronquete
Ana Grasiela da Silva Limoeiro
Pablo Andres Amoroso-Silva
Mariano Simon Pedano
Tchilalo Boukpessi
Fábio Vidal
Thais Machado de Carvalho Coutinho
The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis
Sinusitis
maxillary anatomy
cone-beam computed tomography
maxillary sinus
title The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis
title_full The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis
title_fullStr The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis
title_full_unstemmed The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis
title_short The Effect of Age and Gender on the Distance Between the Maxillary Sinus Cortical Bone and Maxillary Molars: A Cone-Beam Tomography Analysis
title_sort effect of age and gender on the distance between the maxillary sinus cortical bone and maxillary molars a cone beam tomography analysis
topic maxillary anatomy
cone-beam computed tomography
maxillary sinus
url https://www.mdpi.com/2673-351X/9/1/9
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