Oral Imaging Center, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
J Oral Rehabil. 2012 Apr;39(4):294-300. doi: 10.1111/j.1365-2842.2011.02262.x. Epub 2011 Oct 11.
This review aims to explore whether 3D imaging offers an added value in diagnosis of odontogenic sinusitis. Odontogenic maxillary sinusitis accounts for approximately 10-12% of maxillary sinusitis cases. Proper diagnosis of odontogenic sinusitis is based on a thorough dental and medical examination and crucial to ensure therapeutic efficacy. To establish the odontogenic cause of maxillary sinusitis, 2D and 3D imaging modalities may be considered, each presenting distinct advantages and drawbacks. The available research indicates that 2D imaging modalities may often mask the origin of odontogenic maxillary sinusitis. This limitation is particularly evident in the maxillary molar region, stressing the need for 3D cross-sectional imaging. The advent of low-dose cone beam computed tomography in dentistry may be particularly useful when odontogenic maxillary sinusitis is not responsive to therapy. Yet, it seems that more research is needed to validate its use in odontogenic maxillary sinusitis.
本文旨在探讨 3D 成像在诊断牙源性鼻窦炎方面是否具有附加价值。牙源性上颌窦炎约占上颌窦炎的 10-12%。牙源性鼻窦炎的正确诊断基于全面的牙科和医学检查，这对于确保治疗效果至关重要。为了确定上颌窦炎的牙源性病因，可以考虑使用 2D 和 3D 成像方式，每种方式都有其独特的优缺点。现有研究表明，2D 成像方式可能经常掩盖牙源性上颌窦炎的起源。这种局限性在上颌磨牙区域尤为明显，这强调了需要进行 3D 横断成像。低剂量锥形束计算机断层扫描在牙科中的应用可能特别有用，特别是当牙源性上颌窦炎对治疗无反应时。然而，似乎需要更多的研究来验证其在牙源性上颌窦炎中的应用。
