Department of Oral Surgery, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Clin Oral Investig. 2012 Aug;16(4):1023-9. doi: 10.1007/s00784-011-0620-1. Epub 2011 Oct 4.
This study was conducted to assess the coincidence of mucosal hyperplasia in the maxillary sinus and related clinical diagnoses of posterior maxillary teeth found in cone beam computed tomography (CBCT) scans. A total of 204 patients who underwent CBCT examinations between 2006 and 2008 were evaluated retrospectively. Clinical and CBCT findings were correlated using patient records. Absolute frequencies, odds ratios (OR), and 95% confidence intervals (95% CI) were calculated for statistical evaluations. There was a pronounced association between periodontitis and radiological signs of sinusitis. Basal mucosal wall thickening was more likely in patients with decayed and non-vital teeth compared to patients with sound teeth (OR = 5.2; 95% CI = 1.2-23.1). Basal mucosal wall thickening was also more likely than total mucosal thickening (OR = 10.4; 95% CI = 2.6-42.2). Patients with decayed and endodontically treated teeth were more likely to exhibit involvement of the basal wall (OR = 9.2; 95% CI = 3.3-25.2) than were patients with healthy teeth. CBCT examinations revealed a correlation between basal mucosal thickening in the maxillary sinus and decayed posterior maxillary teeth or periodontitis. Chronic symptoms involving the sinuses are one of the most common reasons for patients to consult physicians. One reason for chronic orofacial pain is the prevalence of undiagnosed sinus conditions.
本研究旨在评估上颌窦黏膜增生与后牙区上颌窦相关临床诊断在锥形束 CT（CBCT）扫描中的符合率。回顾性分析 2006 年至 2008 年间 204 例行 CBCT 检查的患者。采用患者病历资料对临床和 CBCT 结果进行相关性分析。采用绝对频率、比值比（OR）和 95%置信区间（95%CI）进行统计学评估。牙周炎与鼻窦炎的影像学表现之间存在显著相关性。与健康牙相比，发生龋坏和无活力牙的患者更易出现基底黏膜壁增厚（OR=5.2；95%CI=1.2-23.1）。与总黏膜增厚相比，基底黏膜壁增厚的可能性更大（OR=10.4；95%CI=2.6-42.2）。发生龋坏和根管治疗牙的患者更易出现基底壁受累（OR=9.2；95%CI=3.3-25.2），而健康牙患者则不易出现基底壁受累。CBCT 检查结果显示上颌窦基底黏膜增厚与后牙区龋坏或牙周炎之间存在相关性。慢性鼻窦症状是患者就诊的最常见原因之一。慢性或颌面疼痛的一个原因是鼻窦疾病的普遍存在，但未得到明确诊断。
