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COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA

Year 2016, Volume: 50 Issue: 3, 8 - 14, 03.10.2016
https://doi.org/10.17096/jiufd.84476

Abstract

Purpose: The purpose of this retrospective study was to compare the performance of cone-beam computed tomography (CBCT) and panoramic radiography in detecting the presence and location of maxillary sinus septa.

Materials and Methods: This study included radiographic examination of 104 maxillary sinuses of 52 individuals whose panoramic radiographs and CBCT images were obtained for several dental causes which were examined by the consensus of four dentomaxillofacial radiologists. The posterior maxillary segments in proximity of maxillary sinus were classified as edentulous and dentate maxillary segments. The location of maxillary sinus septa was classified as primary septa and secondary septa according to the presence of maxillary tooth at the affected site. The maxillary sinus septa were divided into three categories (anterior, middle and posterior) according to its relation with posterior maxillary teeth. Data were statistically analyzed with chi-square and Fisher’s exact tests.

Results: The septa were found in 23.1% and 29.8% of the maxillary sinuses on panoramic radiography and CBCT images, respectively. The majority of maxillary sinus septa were observed in dentate posterior maxillary segments on both panoramic (45.8%) radiography and CBCT (64.5%) images. Statistically significant differences (p<0.001) were found between panoramic radiography and CBCT images for presence, location and neighborhood with the posterior maxillary teeth of maxillary sinus septa.

Conclusion: The results of this study demonstrated the low reliability of panoramic radiography images in the detection of maxillary sinus septa. CBCT images can provide valuable information to the clinicians about the presence and location of maxillary sinus septa.

References

  • Mc Growan DA, Baxter PW & James J. The maxillary sinus and its dental implications.1st ed. London: Wright Co, 1993, pp.1-25.
  • Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ. Gray’s anatomy. Edinburgh: Churchill Livingstone, 1995, 1637.
  • Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38(8):613-616.
  • Koymen R, Gocmen-Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC. Anatomic evaluation of maxillary sinus septa: Surgery and radiology. Clin Anat 2009;22(5):563-570.
  • Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 2008;66(7):1426-1438.
  • Maestre-Ferrin L, Galan-Gil S, Rubio-Serrano M, Penarrocha-Diago M, Penarrocha-Oltra D. Maxillary sinus septa: A systematic review. Med Oral Patol Oral Cir Bucal 2010;15(2):e383-386.
  • Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910;44(Pt 4):354-369.
  • Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg 1994;52(3):332-333.
  • Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS. Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77(5):903-908.
  • Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: Incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997;25(5):261-265.
  • Tatum H, Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30(2):207-229.
  • van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11(3):256-265.
  • Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. Acta Medica (Hradec Kralove) 2002;45(4):173-175.
  • Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999;57(6):667-671; discussion 671-662.
  • Lugmayr H, Krennmair G, Holzer H. [The morphology and incidence of maxillary sinus septa]. Rofo 1996;165(5):452-454.
  • Naitoh M, Suenaga Y, Kondo S, Gotoh K, Ariji E. Assessment of maxillary sinus septa using cone-beam computed tomography: Etiological consideration. Clin Implant Dent Relat Res 2009;11 Suppl 1:e52-58.
  • Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus-lift procedures. Int J Oral Maxillofac Implants 1995;10(4):462-465.
  • Almog DM, Romano PR. Ct-based dental imaging for implant planning and surgical guidance. N Y State Dent J 2007;73(1):51-53.
  • Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L, Souza PC, Martens W, Shahbazian M, Alonso A, Lambrichts I. A comparative evaluation of cone beam computed tomography (cbct) and multi-slice ct (msct) part 1. On subjective image quality. Eur J Radiol 2010;75(2):265-269.
  • Loubele M, Bogaerts R, Van Dijck E, Pauwels R, Vanheusden S, Suetens P, Marchal G, Sanderink G, Jacobs R. Comparison between effective radiation dose of cbct and msct scanners for dentomaxillofacial applications. Eur J Radiol 2009;71(3):461-468.
  • Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 cbct devices for oral and maxillofacial radiology: Cb mercuray, newtom 3g and i-cat. Dentomaxillofac Radiol 2006;35(4):219-226.
  • Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106(1):106-114.
  • Orhan K, Kusakci Seker B, Aksoy S, Bayindir H, Berberoglu A, Seker E. Cone beam CT evaluation of maxillary sinus septa prevalence, height, location and morphology in children and an adult population. Med Princ Pract 2013;22(1):47-53.
  • Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose cone beam ct. Eur J Radiol 2005;56(3):413-417.
  • Gonzalez-Santana H, Penarrocha-Diago M, Guarinos-Carbo J, Sorni-Broker M. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007;33(6):340-343.
  • Magdalena Malec; Tomasz Smektala; Marcin Tutak; Grzegorz Trybek & Katarzyna Sporniak-Tutak. Maxillary sinus septa prevalence and morphology-computed tomography based analysis. Int J Morphol 2015;33(1):144-148.
  • Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: A 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002;17(6):854-860.
  • Shibli JA, Faveri M, Ferrari DS, Melo L, Garcia RV, d'Avila S, Figueiredo LC, Feres M. Prevalence of maxillary sinus septa in 1024 subjects with edentulous upper jaws: A retrospective study. J Oral Implantol 2007;33(5):293-296.
  • Dobele I, Kise L, Apse P, Kragis G, Bigestans A. Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography. Stomatologija 2013;15(4):119-122.
  • Jang SY, Chung K, Jung S, Park HJ, Oh HK, Kook MS. Comparative study of the sinus septa between dentulous and edentulous patients by cone beam computed tomography. Implant Dent 2014;23(4):477-481.
  • Lana JP, Carneiro PM, Machado Vde C, de Souza PE, Manzi FR, Horta MC. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res 2012;23(12):1398-1403.
  • Li J, Zhou ZX, Yuan ZY, Yuan H, Sun C, Chen N. [An anatomical study of maxillary sinus septum of han population in Jiangsu region using cone-beam CT]. Shanghai Kou Qiang Yi Xue 2013;22(1):52-57.
  • Rosano G, Gaudy JF, Chaumanet G, Del Fabbro M, Taschieri S. [Maxillary sinus septa. Prevalence and anatomy]. Rev Stomatol Chir Maxillofac 2012;113(1):32-35.
  • Vogiatzi T, Kloukos D, Scarfe WC, Bornstein MM. Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: A systematic review. Int J Oral Maxillofac Implants 2014;29(6):1301-1314.
  • Maestre-Ferrin L, Carrillo-Garcia C, Galan-Gil S, Penarrocha-Diago M, Penarrocha-Diago M. Prevalence, location, and size of maxillary sinus septa: Panoramic radiograph versus computed tomography scan. J Oral Maxillofac Surg 2011;69(2):507-511.
  • Lee WJ, Lee SJ, Kim HS. Analysis of location and prevalence of maxillary sinus septa. J Periodontal Implant Sci 2010;40(2):56-60.
  • Park YB, Jeon HS, Shim JS, Lee KW, Moon HS. Analysis of the anatomy of the maxillary sinus septum using 3-dimensional computed tomography. J Oral Maxillofac Surg 2011;69(4):1070-1078.
Year 2016, Volume: 50 Issue: 3, 8 - 14, 03.10.2016
https://doi.org/10.17096/jiufd.84476

Abstract

References

  • Mc Growan DA, Baxter PW & James J. The maxillary sinus and its dental implications.1st ed. London: Wright Co, 1993, pp.1-25.
  • Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ. Gray’s anatomy. Edinburgh: Churchill Livingstone, 1995, 1637.
  • Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38(8):613-616.
  • Koymen R, Gocmen-Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC. Anatomic evaluation of maxillary sinus septa: Surgery and radiology. Clin Anat 2009;22(5):563-570.
  • Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 2008;66(7):1426-1438.
  • Maestre-Ferrin L, Galan-Gil S, Rubio-Serrano M, Penarrocha-Diago M, Penarrocha-Oltra D. Maxillary sinus septa: A systematic review. Med Oral Patol Oral Cir Bucal 2010;15(2):e383-386.
  • Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910;44(Pt 4):354-369.
  • Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg 1994;52(3):332-333.
  • Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS. Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77(5):903-908.
  • Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: Incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997;25(5):261-265.
  • Tatum H, Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30(2):207-229.
  • van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11(3):256-265.
  • Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. Acta Medica (Hradec Kralove) 2002;45(4):173-175.
  • Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999;57(6):667-671; discussion 671-662.
  • Lugmayr H, Krennmair G, Holzer H. [The morphology and incidence of maxillary sinus septa]. Rofo 1996;165(5):452-454.
  • Naitoh M, Suenaga Y, Kondo S, Gotoh K, Ariji E. Assessment of maxillary sinus septa using cone-beam computed tomography: Etiological consideration. Clin Implant Dent Relat Res 2009;11 Suppl 1:e52-58.
  • Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus-lift procedures. Int J Oral Maxillofac Implants 1995;10(4):462-465.
  • Almog DM, Romano PR. Ct-based dental imaging for implant planning and surgical guidance. N Y State Dent J 2007;73(1):51-53.
  • Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L, Souza PC, Martens W, Shahbazian M, Alonso A, Lambrichts I. A comparative evaluation of cone beam computed tomography (cbct) and multi-slice ct (msct) part 1. On subjective image quality. Eur J Radiol 2010;75(2):265-269.
  • Loubele M, Bogaerts R, Van Dijck E, Pauwels R, Vanheusden S, Suetens P, Marchal G, Sanderink G, Jacobs R. Comparison between effective radiation dose of cbct and msct scanners for dentomaxillofacial applications. Eur J Radiol 2009;71(3):461-468.
  • Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 cbct devices for oral and maxillofacial radiology: Cb mercuray, newtom 3g and i-cat. Dentomaxillofac Radiol 2006;35(4):219-226.
  • Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106(1):106-114.
  • Orhan K, Kusakci Seker B, Aksoy S, Bayindir H, Berberoglu A, Seker E. Cone beam CT evaluation of maxillary sinus septa prevalence, height, location and morphology in children and an adult population. Med Princ Pract 2013;22(1):47-53.
  • Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose cone beam ct. Eur J Radiol 2005;56(3):413-417.
  • Gonzalez-Santana H, Penarrocha-Diago M, Guarinos-Carbo J, Sorni-Broker M. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007;33(6):340-343.
  • Magdalena Malec; Tomasz Smektala; Marcin Tutak; Grzegorz Trybek & Katarzyna Sporniak-Tutak. Maxillary sinus septa prevalence and morphology-computed tomography based analysis. Int J Morphol 2015;33(1):144-148.
  • Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: A 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002;17(6):854-860.
  • Shibli JA, Faveri M, Ferrari DS, Melo L, Garcia RV, d'Avila S, Figueiredo LC, Feres M. Prevalence of maxillary sinus septa in 1024 subjects with edentulous upper jaws: A retrospective study. J Oral Implantol 2007;33(5):293-296.
  • Dobele I, Kise L, Apse P, Kragis G, Bigestans A. Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography. Stomatologija 2013;15(4):119-122.
  • Jang SY, Chung K, Jung S, Park HJ, Oh HK, Kook MS. Comparative study of the sinus septa between dentulous and edentulous patients by cone beam computed tomography. Implant Dent 2014;23(4):477-481.
  • Lana JP, Carneiro PM, Machado Vde C, de Souza PE, Manzi FR, Horta MC. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res 2012;23(12):1398-1403.
  • Li J, Zhou ZX, Yuan ZY, Yuan H, Sun C, Chen N. [An anatomical study of maxillary sinus septum of han population in Jiangsu region using cone-beam CT]. Shanghai Kou Qiang Yi Xue 2013;22(1):52-57.
  • Rosano G, Gaudy JF, Chaumanet G, Del Fabbro M, Taschieri S. [Maxillary sinus septa. Prevalence and anatomy]. Rev Stomatol Chir Maxillofac 2012;113(1):32-35.
  • Vogiatzi T, Kloukos D, Scarfe WC, Bornstein MM. Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: A systematic review. Int J Oral Maxillofac Implants 2014;29(6):1301-1314.
  • Maestre-Ferrin L, Carrillo-Garcia C, Galan-Gil S, Penarrocha-Diago M, Penarrocha-Diago M. Prevalence, location, and size of maxillary sinus septa: Panoramic radiograph versus computed tomography scan. J Oral Maxillofac Surg 2011;69(2):507-511.
  • Lee WJ, Lee SJ, Kim HS. Analysis of location and prevalence of maxillary sinus septa. J Periodontal Implant Sci 2010;40(2):56-60.
  • Park YB, Jeon HS, Shim JS, Lee KW, Moon HS. Analysis of the anatomy of the maxillary sinus septum using 3-dimensional computed tomography. J Oral Maxillofac Surg 2011;69(4):1070-1078.
There are 37 citations in total.

Details

Journal Section Original Research Articles
Authors

Şerife Değerli This is me

Meryem Toraman Alkurt

Ilkay Peker

Ali Rıza İlker Cebeci This is me

Elif Sadık

Publication Date October 3, 2016
Published in Issue Year 2016 Volume: 50 Issue: 3

Cite

APA Değerli, Ş., Toraman Alkurt, M., Peker, I., Cebeci, A. R. İ., et al. (2016). COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA. Journal of Istanbul University Faculty of Dentistry, 50(3), 8-14. https://doi.org/10.17096/jiufd.84476
AMA Değerli Ş, Toraman Alkurt M, Peker I, Cebeci ARİ, Sadık E. COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA. J Istanbul Univ Fac Dent. October 2016;50(3):8-14. doi:10.17096/jiufd.84476
Chicago Değerli, Şerife, Meryem Toraman Alkurt, Ilkay Peker, Ali Rıza İlker Cebeci, and Elif Sadık. “COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA”. Journal of Istanbul University Faculty of Dentistry 50, no. 3 (October 2016): 8-14. https://doi.org/10.17096/jiufd.84476.
EndNote Değerli Ş, Toraman Alkurt M, Peker I, Cebeci ARİ, Sadık E (October 1, 2016) COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA. Journal of Istanbul University Faculty of Dentistry 50 3 8–14.
IEEE Ş. Değerli, M. Toraman Alkurt, I. Peker, A. R. İ. Cebeci, and E. Sadık, “COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA”, J Istanbul Univ Fac Dent, vol. 50, no. 3, pp. 8–14, 2016, doi: 10.17096/jiufd.84476.
ISNAD Değerli, Şerife et al. “COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA”. Journal of Istanbul University Faculty of Dentistry 50/3 (October 2016), 8-14. https://doi.org/10.17096/jiufd.84476.
JAMA Değerli Ş, Toraman Alkurt M, Peker I, Cebeci ARİ, Sadık E. COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA. J Istanbul Univ Fac Dent. 2016;50:8–14.
MLA Değerli, Şerife et al. “COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA”. Journal of Istanbul University Faculty of Dentistry, vol. 50, no. 3, 2016, pp. 8-14, doi:10.17096/jiufd.84476.
Vancouver Değerli Ş, Toraman Alkurt M, Peker I, Cebeci ARİ, Sadık E. COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS IN DETECTING MAXILLARY SINUS SEPTA. J Istanbul Univ Fac Dent. 2016;50(3):8-14.