Is the pneumatisation of the maxillary sinus following tooth loss a reality? A retrospective analysis using cone beam computed tomography and a customised software program

Objectives To compare the dimensions of maxillary sinuses in dentate and edentulous patients using cone beam computed tomography (CBCT) scans and a customised software program. Materials and methods This study comprised CBCTs of 50 dentate and 50 edentulous posterior maxillae. The observers drew two...

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Veröffentlicht in:Clinical oral investigations 2019-03, Vol.23 (3), p.1349-1358
Hauptverfasser: Schriber, Martina, Bornstein, Michael M., Suter, Valerie G. A.
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description Objectives To compare the dimensions of maxillary sinuses in dentate and edentulous patients using cone beam computed tomography (CBCT) scans and a customised software program. Materials and methods This study comprised CBCTs of 50 dentate and 50 edentulous posterior maxillae. The observers drew two planar curves in all included sinuses in the frontal, sagittal and axial planes of the respective CBCT scans. The volume (mm 3 ), surface (mm 2 ) and maximum diameter (mm) of the sinuses were calculated using a custom-made software program. The variables analysed were the influence of the state of dentition on sinus dimensions (primary outcome) and the influence of age, gender and side on sinus dimensions; the time needed for analysis; and the intra- and inter-observer agreement (secondary outcomes). Results There was no difference in sinus dimensions between dentate and edentulous posterior maxillae. Males had significantly ( p  
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A retrospective analysis using cone beam computed tomography and a customised software program</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Schriber, Martina ; Bornstein, Michael M. ; Suter, Valerie G. A.</creator><creatorcontrib>Schriber, Martina ; Bornstein, Michael M. ; Suter, Valerie G. A.</creatorcontrib><description>Objectives To compare the dimensions of maxillary sinuses in dentate and edentulous patients using cone beam computed tomography (CBCT) scans and a customised software program. Materials and methods This study comprised CBCTs of 50 dentate and 50 edentulous posterior maxillae. The observers drew two planar curves in all included sinuses in the frontal, sagittal and axial planes of the respective CBCT scans. The volume (mm 3 ), surface (mm 2 ) and maximum diameter (mm) of the sinuses were calculated using a custom-made software program. The variables analysed were the influence of the state of dentition on sinus dimensions (primary outcome) and the influence of age, gender and side on sinus dimensions; the time needed for analysis; and the intra- and inter-observer agreement (secondary outcomes). Results There was no difference in sinus dimensions between dentate and edentulous posterior maxillae. Males had significantly ( p  &lt; 0.05) greater volume, surface and diameter than females. Strong intra- and inter-observer agreement (Pearson correlation) was found for the calculated sinus dimensions. The time needed per analysis was less than 4 min for both observers. Conclusions Being edentulous did not have an impact on the sinus dimensions, suggesting that there is no ongoing pneumatisation in the sinus after tooth loss. Males had larger sinuses than females in a population older than 30 years. Clinical relevance Following tooth loss in the posterior maxilla, vertical bone height is primarily lost due to resorption of the alveolar crest, and not due to pneumatisation of the maxillary sinus. The customised software program was found to be user-friendly and efficient.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-2552-5</identifier><identifier>PMID: 30014166</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Computed tomography ; Computer programs ; Cone-Beam Computed Tomography ; Dentistry ; Dentition ; Female ; Humans ; Male ; Maxillary sinus ; Maxillary Sinus - diagnostic imaging ; Maxillary Sinus - pathology ; Medicine ; Original Article ; Retrospective Studies ; Root resorption ; Sinuses ; Software ; Teeth ; Tomography ; Tooth Loss</subject><ispartof>Clinical oral investigations, 2019-03, Vol.23 (3), p.1349-1358</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-9ace1cc83a525f7c1b89abc6c72a1bd215aad2579a20df06b06e3221b6b03a4c3</citedby><cites>FETCH-LOGICAL-c372t-9ace1cc83a525f7c1b89abc6c72a1bd215aad2579a20df06b06e3221b6b03a4c3</cites><orcidid>0000-0003-3206-5266</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-018-2552-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-018-2552-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30014166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schriber, Martina</creatorcontrib><creatorcontrib>Bornstein, Michael M.</creatorcontrib><creatorcontrib>Suter, Valerie G. A.</creatorcontrib><title>Is the pneumatisation of the maxillary sinus following tooth loss a reality? A retrospective analysis using cone beam computed tomography and a customised software program</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives To compare the dimensions of maxillary sinuses in dentate and edentulous patients using cone beam computed tomography (CBCT) scans and a customised software program. Materials and methods This study comprised CBCTs of 50 dentate and 50 edentulous posterior maxillae. The observers drew two planar curves in all included sinuses in the frontal, sagittal and axial planes of the respective CBCT scans. The volume (mm 3 ), surface (mm 2 ) and maximum diameter (mm) of the sinuses were calculated using a custom-made software program. The variables analysed were the influence of the state of dentition on sinus dimensions (primary outcome) and the influence of age, gender and side on sinus dimensions; the time needed for analysis; and the intra- and inter-observer agreement (secondary outcomes). Results There was no difference in sinus dimensions between dentate and edentulous posterior maxillae. Males had significantly ( p  &lt; 0.05) greater volume, surface and diameter than females. Strong intra- and inter-observer agreement (Pearson correlation) was found for the calculated sinus dimensions. The time needed per analysis was less than 4 min for both observers. Conclusions Being edentulous did not have an impact on the sinus dimensions, suggesting that there is no ongoing pneumatisation in the sinus after tooth loss. Males had larger sinuses than females in a population older than 30 years. Clinical relevance Following tooth loss in the posterior maxilla, vertical bone height is primarily lost due to resorption of the alveolar crest, and not due to pneumatisation of the maxillary sinus. 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A retrospective analysis using cone beam computed tomography and a customised software program</title><author>Schriber, Martina ; Bornstein, Michael M. ; Suter, Valerie G. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-9ace1cc83a525f7c1b89abc6c72a1bd215aad2579a20df06b06e3221b6b03a4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Computed tomography</topic><topic>Computer programs</topic><topic>Cone-Beam Computed Tomography</topic><topic>Dentistry</topic><topic>Dentition</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillary sinus</topic><topic>Maxillary Sinus - diagnostic imaging</topic><topic>Maxillary Sinus - pathology</topic><topic>Medicine</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Root resorption</topic><topic>Sinuses</topic><topic>Software</topic><topic>Teeth</topic><topic>Tomography</topic><topic>Tooth Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schriber, Martina</creatorcontrib><creatorcontrib>Bornstein, Michael M.</creatorcontrib><creatorcontrib>Suter, Valerie G. 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A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the pneumatisation of the maxillary sinus following tooth loss a reality? A retrospective analysis using cone beam computed tomography and a customised software program</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>23</volume><issue>3</issue><spage>1349</spage><epage>1358</epage><pages>1349-1358</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives To compare the dimensions of maxillary sinuses in dentate and edentulous patients using cone beam computed tomography (CBCT) scans and a customised software program. Materials and methods This study comprised CBCTs of 50 dentate and 50 edentulous posterior maxillae. The observers drew two planar curves in all included sinuses in the frontal, sagittal and axial planes of the respective CBCT scans. The volume (mm 3 ), surface (mm 2 ) and maximum diameter (mm) of the sinuses were calculated using a custom-made software program. The variables analysed were the influence of the state of dentition on sinus dimensions (primary outcome) and the influence of age, gender and side on sinus dimensions; the time needed for analysis; and the intra- and inter-observer agreement (secondary outcomes). Results There was no difference in sinus dimensions between dentate and edentulous posterior maxillae. Males had significantly ( p  &lt; 0.05) greater volume, surface and diameter than females. Strong intra- and inter-observer agreement (Pearson correlation) was found for the calculated sinus dimensions. The time needed per analysis was less than 4 min for both observers. Conclusions Being edentulous did not have an impact on the sinus dimensions, suggesting that there is no ongoing pneumatisation in the sinus after tooth loss. Males had larger sinuses than females in a population older than 30 years. Clinical relevance Following tooth loss in the posterior maxilla, vertical bone height is primarily lost due to resorption of the alveolar crest, and not due to pneumatisation of the maxillary sinus. The customised software program was found to be user-friendly and efficient.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30014166</pmid><doi>10.1007/s00784-018-2552-5</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-3206-5266</orcidid></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Computed tomography
Computer programs
Cone-Beam Computed Tomography
Dentistry
Dentition
Female
Humans
Male
Maxillary sinus
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - pathology
Medicine
Original Article
Retrospective Studies
Root resorption
Sinuses
Software
Teeth
Tomography
Tooth Loss
title Is the pneumatisation of the maxillary sinus following tooth loss a reality? A retrospective analysis using cone beam computed tomography and a customised software program
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