Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study
Introduction: Odontogenic infections affects the maxillary sinus mucosa. Cone Beam Computed Tomography (CBCT) is helpful in diagnosis of maxillary sinusitis of odontogenic origin. This cross-sectional study was planned with the aim to assess maxillary sinus changes associated with odontogenic infect...
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Elsevier
2022-09-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426822000926 |
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| author | Suman Bisla Ambika Gupta Harneet Singh Ankita Sehrawat Shubhangi Shukla |
| author_facet | Suman Bisla Ambika Gupta Harneet Singh Ankita Sehrawat Shubhangi Shukla |
| author_sort | Suman Bisla |
| collection | DOAJ |
| description | Introduction: Odontogenic infections affects the maxillary sinus mucosa. Cone Beam Computed Tomography (CBCT) is helpful in diagnosis of maxillary sinusitis of odontogenic origin. This cross-sectional study was planned with the aim to assess maxillary sinus changes associated with odontogenic infection by evaluating CBCT images. Material and methods: In cross-sectional analytical study, total 213 patients (404 sinuses) were evaluated on CBCT after thorough clinical examination of the individuals and taking into consideration the history of rhino or allergic rhinitis. Based upon CBCT images and clinical examination, patients were divided into, study group (odontogenic infection) and control group (no associated odontogenic infection). Effect of the size of periapical lesion, spatial relationship of lesion to the sinus floor and periodontal bone loss on maxillary sinus changes were evaluated. Results: Mucosal changes found in 200 sinuses (49.5%), mucosal thickening being the most prevalent and more commonly associated with odontogenic infections (p = 0.004). A significantly increased risk of mucosal thickening was observed with severe periodontal bone loss (p = 0.008). Size and spatial relationship of lesion to the maxillary sinus had no impact on the prevalence of mucosal thickening (p = 0.6, p = 0.4 respectively). Periodontal bone loss was 2.2 more likely to be associated with mucosal thickening than periapical or combined lesion. Conclusions: Most prevalent sinus change was mucosal thickening. Periodontal bone loss was significantly associated with mucosal thickening. CBCT is an appropriate method for sinus evaluation. |
| format | Article |
| id | doaj-art-d3dcbed6396c49be8f2162222e59c74b |
| institution | DOAJ |
| issn | 2212-4268 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
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| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-d3dcbed6396c49be8f2162222e59c74b2025-08-20T02:50:27ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-09-0112564565010.1016/j.jobcr.2022.08.001Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based studySuman Bisla0Ambika Gupta1Harneet Singh2Ankita Sehrawat3Shubhangi Shukla4Corresponding author. Department of Oral Medicine and Radiology, Post Graduate Institute of Dental sciences, Rohtak, Haryana, P.O Box- 124001, India.; Department of Oral Medicine and Radiology, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, IndiaDepartment of Oral Medicine and Radiology, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, IndiaDepartment of Oral Medicine and Radiology, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, IndiaDepartment of Oral Medicine and Radiology, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, IndiaDepartment of Oral Medicine and Radiology, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, IndiaIntroduction: Odontogenic infections affects the maxillary sinus mucosa. Cone Beam Computed Tomography (CBCT) is helpful in diagnosis of maxillary sinusitis of odontogenic origin. This cross-sectional study was planned with the aim to assess maxillary sinus changes associated with odontogenic infection by evaluating CBCT images. Material and methods: In cross-sectional analytical study, total 213 patients (404 sinuses) were evaluated on CBCT after thorough clinical examination of the individuals and taking into consideration the history of rhino or allergic rhinitis. Based upon CBCT images and clinical examination, patients were divided into, study group (odontogenic infection) and control group (no associated odontogenic infection). Effect of the size of periapical lesion, spatial relationship of lesion to the sinus floor and periodontal bone loss on maxillary sinus changes were evaluated. Results: Mucosal changes found in 200 sinuses (49.5%), mucosal thickening being the most prevalent and more commonly associated with odontogenic infections (p = 0.004). A significantly increased risk of mucosal thickening was observed with severe periodontal bone loss (p = 0.008). Size and spatial relationship of lesion to the maxillary sinus had no impact on the prevalence of mucosal thickening (p = 0.6, p = 0.4 respectively). Periodontal bone loss was 2.2 more likely to be associated with mucosal thickening than periapical or combined lesion. Conclusions: Most prevalent sinus change was mucosal thickening. Periodontal bone loss was significantly associated with mucosal thickening. CBCT is an appropriate method for sinus evaluation.http://www.sciencedirect.com/science/article/pii/S2212426822000926Cone Beam Computed TomographyMaxillary sinusitisMucosal thickeningOdontogenic infection |
| spellingShingle | Suman Bisla Ambika Gupta Harneet Singh Ankita Sehrawat Shubhangi Shukla Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study Journal of Oral Biology and Craniofacial Research Cone Beam Computed Tomography Maxillary sinusitis Mucosal thickening Odontogenic infection |
| title | Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study |
| title_full | Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study |
| title_fullStr | Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study |
| title_full_unstemmed | Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study |
| title_short | Evaluation of relationship between odontogenic infections and maxillary sinus changes: A Cone Beam Computed Tomography-based study |
| title_sort | evaluation of relationship between odontogenic infections and maxillary sinus changes a cone beam computed tomography based study |
| topic | Cone Beam Computed Tomography Maxillary sinusitis Mucosal thickening Odontogenic infection |
| url | http://www.sciencedirect.com/science/article/pii/S2212426822000926 |
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