Falk H, Ericson S, Hugoson A
J Clin Periodontol. 1986 Mar;13(3):217-22. doi: 10.1111/j.1600-051x.1986.tb01463.x.
This study was performed to elucidate the effect of periodontal treatment on the sinus mucosa. 21 patients with periodontal lesions of the upper molars and/or premolars and chronic mucous membrane thickening in the maxillary sinus diagnosed radiographically participated in the study. No teeth in the regions studied showed pulpal or periapical changes. Altogether, the patients exhibited 36 maxillary sinuses with mucous membrane thickening. 15-20 months after the final periodontal treatment, a marked reduction of the plaque index, gingival index and probing depth was recorded. Radiographic examination of the sinus mucosa before and after periodontal treatment showed that successful periodontal treatment in all quadrants resulted in normalisation of the sinus mucosa. Periodontal treatment was not successful in 2 quadrants. In one of these cases the thickness of the mucosa was unchanged and in the other case, further thickening of the mucosa seemed to have occurred. The study shows that severe periodontitis of the upper molars and/or premolars may initiate mucous membrane thickening in the maxillary sinus, and that successful periodontal treatment results in normalisation of the sinus mucosa.
本研究旨在阐明牙周治疗对上颌窦黏膜的影响。21例上颌磨牙和/或前磨牙患有牙周病变且经影像学诊断上颌窦存在慢性黏膜增厚的患者参与了本研究。研究区域内的牙齿均未显示牙髓或根尖周病变。患者总共36个上颌窦存在黏膜增厚。在最后一次牙周治疗后15 - 20个月，菌斑指数、牙龈指数和探诊深度均显著降低。牙周治疗前后对上颌窦黏膜进行的影像学检查显示，所有象限的牙周治疗成功均使上颌窦黏膜恢复正常。有2个象限的牙周治疗未成功。其中1例黏膜厚度未改变，另1例黏膜似乎进一步增厚。该研究表明，上颌磨牙和/或前磨牙的重度牙周炎可能引发上颌窦黏膜增厚，而成功的牙周治疗可使上颌窦黏膜恢复正常。
