Comparison of cone-beam computed tomography and panoramic radiography in the evaluation of maxillary sinus pathology related to maxillary posterior teeth: Do apical lesions increase the risk of maxillary sinus pathology?

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dc.contributor.authorTerlemez, Arslan
dc.contributor.authorTassoker, Melek
dc.contributor.authorKizilcakaya, Makbule
dc.contributor.authorGulec, Melike
dc.date.accessioned2024-02-23T14:44:42Z
dc.date.available2024-02-23T14:44:42Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractPurpose: The aims of this study were first, to compare panoramic radiography with cone-beam computed tomography (CBCT) for evaluating topographic relationships, such as the classification of maxillary posterior teeth and their distance to the maxillary sinus floor; and second, to determine the relationship between maxillary sinus pathology and the presence of apical lesions. Materials and Methods: In total, 285 paired CBCT and panoramic radiography records of patients (570 maxillary sinuses) were retrospectively analyzed. Both imaging modalities were used to determine the topographic relationship of the maxillary posterior teeth to the sinus floor. Mucosal thickening > 2 mm was considered a pathological state. Data were analyzed using the chi-square, Wilcoxon, and Mann-Whitney U tests. Odds ratios (ORs) and confidence intervals (CIs) were calculated. Results: The closest vertical distance measurements made between posterior maxillary teeth roots and the maxillary sinus on panoramic radiography and CBCT scans showed statistically significant differences from each other (P<0.05). Compared to panoramic radiography, CBCT showed higher mean values for the distance between the maxillary sinus floor and maxillary posterior teeth roots. The CBCT images showed that at least 1 apical lesion adjacent to the right maxillary sinus increased the risk of maxillary sinus pathology by 2.37 times (OR, 2.37; 95% CI, 1.58-3.55, P<0.05). Conclusion: Panoramic radiography might lead to unreliable diagnoses when evaluating the distance between the sinus floor and posterior roots of the maxillary teeth. Periapical lesions anatomically associated with maxillary sinuses were a risk factor for sinus mucosal thickening.en_US
dc.identifier.doi10.5624/isd.2019.49.2.115
dc.identifier.endpage122en_US
dc.identifier.issn2233-7822
dc.identifier.issn2233-7830
dc.identifier.issue2en_US
dc.identifier.pmid31281788en_US
dc.identifier.scopus2-s2.0-85068511209en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage115en_US
dc.identifier.urihttps://doi.org/10.5624/isd.2019.49.2.115
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17061
dc.identifier.volume49en_US
dc.identifier.wosWOS:000472965300005en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Acad Oral & Maxillofacial Radiologyen_US
dc.relation.ispartofImaging Science In Dentistryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCone-Beam Computed Tomographyen_US
dc.subjectRadiographyen_US
dc.subjectPanoramicen_US
dc.subjectParanasal Sinus Diseaseen_US
dc.titleComparison of cone-beam computed tomography and panoramic radiography in the evaluation of maxillary sinus pathology related to maxillary posterior teeth: Do apical lesions increase the risk of maxillary sinus pathology?en_US
dc.typeArticleen_US

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