Yildirim Tuba Talo, Güncü Güliz Nigar, Göksülük Dincer, Tözüm Melek Didem, Colak Mehmet, Tözüm Tolga Fikret
Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey.
Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Dec;124(6):568-576. doi: 10.1016/j.oooo.2017.09.002. Epub 2017 Sep 8.
The purpose of this study was to evaluate the prevalence of sinus mucosal thickening (MT) and mucosal appearance (MA) in a patient population as detected with cone beam computed tomography (CBCT) and to determine the effects of various disease and demographic factors on MT and MA.
The retrospective study consisted of CBCT images of 1000 maxillary arches in 500 patients. The arches were divided into 3 groups (atrophic, partially atrophic, and nonatrophic) according to the type of the maxillary dental crest. The CBCT scans were assessed to detect the prevalence of maxillary sinus MT and MA. χ analysis was used to determine the significance of association of periodontal bone loss (PBL), periapical (PA) status, alveolar crest type, age, and gender on sinus MT and MA.
MT was significantly associated with PBL (P = .004), PA status (P = .001), and gender (P < .01). MA was significantly associated with PBL (P = .038), PA status (P = .009), and gender (P < .020). There were no significant associations between age or crest type and either MT or MA.
Periodontal bone loss, PA lesions, and gender may have an association with MT of the maxillary sinus.
本研究旨在评估锥形束计算机断层扫描（CBCT）检测到的患者群体中鼻窦黏膜增厚（MT）和黏膜外观（MA）的患病率，并确定各种疾病和人口统计学因素对MT和MA的影响。
这项回顾性研究包括500例患者的1000个上颌牙弓的CBCT图像。根据上颌牙槽嵴的类型，将牙弓分为3组（萎缩型、部分萎缩型和非萎缩型）。对CBCT扫描进行评估，以检测上颌窦MT和MA的患病率。采用χ分析来确定牙周骨丧失（PBL）、根尖周（PA）状况、牙槽嵴类型、年龄和性别与鼻窦MT和MA之间关联的显著性。
MT与PBL（P = 0.004）、PA状况（P = 0.001）和性别（P < 0.01）显著相关。MA与PBL（P = 0.038）、PA状况（P = 0.009）和性别（P < 0.020）显著相关。年龄或牙槽嵴类型与MT或MA之间均无显著关联。
牙周骨丧失、PA病变和性别可能与上颌窦MT有关。
