Vallo Jaana, Suominen-Taipale Liisa, Huumonen Sisko, Soikkonen Kari, Norblad Anne
Department of Oral Radiology, Institute of Dentistry, University of Helsinki, Helsinki, Finland.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Mar;109(3):e80-7. doi: 10.1016/j.tripleo.2009.10.031.
Mucosal thickening and mucosal antral cyst (MAC) in the maxillary sinus are incidental findings in panoramic radiographs.
The study sample consisted of 5021 participants in a nationally representative Health 2000 Health Examination Survey using panoramic radiography.
The prevalence of mucosal thickening was 12% and of MACs 7%, both being twice as frequent in men as in women. Mucosal thickening was most common in the 40- to 49-year age group, whereas MACs were most often seen in younger age groups. Pathologic dental findings and root canal treatments were significantly associated with mucosal thickening but not with MACs. The odds ratios of vertical infrabony pockets were 5.2-fold compared with edentulous.
This nationally representative study indicates that dental infections are etiologic for antral mucosal thickening, but not for MACs.
上颌窦黏膜增厚和黏膜下囊肿(MAC)是全景X线片上的偶然发现。
研究样本包括5021名参与具有全国代表性的2000年健康检查调查的参与者,采用全景X线摄影。
黏膜增厚的患病率为12%,MAC的患病率为7%,两者在男性中的发生率均是女性的两倍。黏膜增厚在40至49岁年龄组中最为常见,而MAC在较年轻年龄组中最常出现。病理性牙齿发现和根管治疗与黏膜增厚显著相关,但与MAC无关。垂直骨下袋的比值比与无牙者相比为5.2倍。
这项具有全国代表性的研究表明,牙齿感染是窦黏膜增厚的病因,但不是MAC的病因。