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Association between Maxillary Teeth and Maxillary Sinus Pathologies: A Retrospective CBCT Evaluation | ||
| Journal of Dentistry | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 20 اردیبهشت 1405 اصل مقاله (581.32 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/dentjods.2026.109898.2920 | ||
| نویسندگان | ||
| Yeliz Güneş* 1؛ Celal Bayar2؛ Mehmet Oğuz Borahan3؛ Şebnem Erçalık Yalçınkaya3 | ||
| 1Dept. of Oral and Maxillofacial Radiology, Faculty of Dentistry, Üsküdar University, Istanbul, Turkey. | ||
| 2Dept. of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ada Kent University, Northern Cyprus, Cyprus. | ||
| 3Dept. of Oral and Maxillofacial Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkey. | ||
| چکیده | ||
| Background: Maxillary sinus (MS) pathologies are often influenced by odontogenic conditions due to the close anatomical relationship between the sinus and maxillary teeth. Cone-beam computed tomography (CBCT) enables comprehensive assessment of this association by providing high-resolution visualization of both MS structures and adjacent dental pathology. Purpose: The aim of this study was to retrospectively evaluate the etiological association between odontogenic factors and MS pathologies using CBCT. Materials and Method: This was a descriptive-analytical cross-sectional study. MS of patients who underwent CBCT between 2024 and 2025 were examined. MS were evaluated for mucosal thickening, polyps, retention cysts, and partial and total opacities, while related dental pathologies were assessed for periapical lesions, post-extraction perforations, and sinus-related foreign bodies. Data were analyzed using SPSS version 27.0, with descriptive statistics and Chi-square tests applied for group comparisons, and a p Value < 0.05 was considered statistically significant. Results: A total of 400 patients (43.3% male, 56.8% female) were evaluated. While no pathology was detected in 42.5% of the patients’ MS, 31.0% showed unilateral pathology and 26.5% exhibited bilateral pathology (p= 0.046). A significant correlation was observed between MS pathologies and dental pathologies in terms of location (p< 0.001). MS pathology was significantly more prevalent in patients with dental pathologies than in those without (66.5% vs. 34.6%, p < 0.001). Among periapical lesions, the most frequent finding was the absence of sinus pathology (38.5%), followed by mucosal thickening (26.1%). Post-extraction perforations were associated with mucosal thickening (27.3%) and partial or total opacification (22.7%), while all cases with foreign bodies demonstrated MS pathology. Conclusion: Odontogenic factors are important etiological factors in MS pathologies and evaluation with CBCT plays a significant role in early diagnosis and treatment. Multidisciplinary collaboration between dental practitioners and otorhinolaryngologists is essential for optimal management of MS pathologies. | ||
| کلیدواژهها | ||
| Cone-beam computed tomography؛ Maxillary sinus؛ Tooth diseases | ||
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