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Volume 41 Issue 2
May  2018
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Article Navigation >  Journal of Molecular Imaging  > 2018  >  41(2): 137-141
Xiaomin LI, Lei CHEN, Zhiyong ZHANG, Lijie BAO. Comparative study of the CBCT findings of odontogenic maxillary sinusitis caused by 3 different chronic oral inflammations[J]. Journal of Molecular Imaging, 2018, 41(2): 137-141. doi: 10.3969/j.issn.1674-4500.2018.02.01
Citation: Xiaomin LI, Lei CHEN, Zhiyong ZHANG, Lijie BAO. Comparative study of the CBCT findings of odontogenic maxillary sinusitis caused by 3 different chronic oral inflammations[J]. Journal of Molecular Imaging, 2018, 41(2): 137-141. doi: 10.3969/j.issn.1674-4500.2018.02.01
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Comparative study of the CBCT findings of odontogenic maxillary sinusitis caused by 3 different chronic oral inflammations

doi: 10.3969/j.issn.1674-4500.2018.02.01

  • Guangdong Provincial Stomatological Hospital/ the Affiliated Stomatological Hospital of Southern Medical University, Guangzhou 510280, China

  • Received Date: 2018-02-04
  • Publish Date: 2018-04-01
    Abstract
  • Objective To compare the imaging characteristics of odontogenic maxillary sinusitis (OMS) caused by simple chronic periodontitis, combined periodontal-endodontic lesions and chronic periapical periodontitis and to analyze the correlation between the morphological changes of schneiderian membrance (DSM) and the bone damage caused by 3 types of chronic oral inflammations. Methods A total of 150 untreated OMS cases were selected, with 50 cases for each type of chronic oral inflammation, and all subjects received CBCT scan, the result of which was acutely measured and analyzed. Pathogenic teeth and the surrounding bone damage were recorded, and the axillary sinus mucosal thickness was measured in sagittal and coronary position. Results The most common pathogenic teeth were the maxillary first molar (35.33%), followed by the maxillary third molar (27.33%) and the maxillary second molar (20.00%). There were 14.67% patients with more than 1 pathogenic tooth. The DSM (9.04±5.04 mm) in cases with buccal/palatal lateral bone damage was significantly higher than that without buccal/palatal lateral bone damage (6.94±5.03 mm）（t=2.560, P=0.011）. The DSM in cases with oral-maxillary fistula (11.49±6.68 mm) was significantly higher than that without oral-maxillary sinus fistula (6.67±3.75 mm）（t=5.541, P<0.001）. The incidences of oral-maxillary fistula in chronic periodontitis, periodontal-endodontic combined lesions and chronic apical periodontitis were 40%, 34% and 24% respectively. There were no statistically significant differences among the 3 groups （x= 2.703, P= 0.259）. The DSMs in both groups of chronic periodontitis and periodontal-endodontic combined lesions were significantly higher than that in chronic apical periodontitis group (4.26±2.49 mm) （F= 26.157, P<0.001） Conclusion Odontogenic maxillary sinusitis is more likely to happen in cases with chronic periodontitis and periodontal-endodontic combined lesions, in which the range of maxillary bone damage and extent of the maxillary sinus mucosa thickening are larger than those in cases with chronic apical periodontitis.

     

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