Thesis--Oslo. / Includes reprints of six supporting articles. Includes bibliographical references.

Thesis--Oslo. / Includes reprints of six supporting articles. Includes bibliographical references.

Thesis (doctoral)--Ludwig Maximilians-Universität zu München, 1979.

With the continuous evolution of sinus augmentation procedures in the field of implant dentistry it is imperative to have a comprehensive understanding of the maxillary sinus area. Both lateral wall and crestal approach sinus augmentation procedures have proven to be extremely successful for guided bone regeneration in the maxillary sinus. However, complications stemming from augmentation procedures are related to the presence of pre-existing maxillary sinus pathologies. The purpose of this study was to expand upon the current knowledge base in regards to the prevalence of maxillary sinus pathologies in patients presenting to an implant dentistry practice. To this end, computerized tomography (CT) scans of patients presenting to the Misch International Implant Institute (MIII) were analyzed for the existence of maxillary sinus pathology. Scans of 275 patients presenting to the MIII for maxillary sinus augmentation were evaluated by up-to three different examiners, all of whom were calibrated to the study design and well versed in the use of software to analyze CT scans. Age and gender were also evaluated to see if they had any relationship on the incidence of pathology. Scans were classified into one of five categories based upon the type of sinus pathology detected. The categories of sinus findings were: healthy, mucosal thickening > 5 mm, polypoidal mucosal thickening, partial opacification and/or air fluid level, and complete opacification. Overall, 54.9% of scans were classified as healthy, and 45.1% of scans were classified as exhibiting sinus pathology. Men were more likely to exhibit pathology compared to females (p<0.01). However, age did not appear to have any relation on the prevalence of sinus pathology. The prevalence of sinus pathology reported in this study appears to be within the range shown in previous medical and dental literature. However, due to the different populations studied in the literature and the varying definitions of what constitutes pathology, there is no consensus as to the exact prevalence of sinus pathology. Therefore, it may be more important for the dentist who is evaluating a CT scan prior to maxillary sinus augmentation to understand which patients will benefit from referral to another specialist (such as an otolaryngologist) for evaluation and co-management. It is proposed that based on the findings of this study, 45.1% of patients would require further consultation prior to proceeding with maxillary sinus augmentation surgery. / Oral Biology

No description available.

Thesis (M.D.S.)--University of Hong Kong, 2004. / Also available in print.

Objective: Applications of Cone-beam computerized tomography (CBCT) have increased dramatically in dentistry. Incidental findings (IFs) beyond the area of interest may be encountered. The maxillary sinus incidental findings in CBCT were considered the highest in the literature. This systematic review aims to analyze present literature on IFs in the maxillary sinus using CBCT Methods: Electronic databases was searched for studies on the maxillary sinus incidental findings in CBCT to assess the prevalence and significance of the incidental findings. Results: The initial search retrieved 239 abstracts, of which only 9 studies met the inclusion criteria. The sample size ranged from 34-1029 participants with a mean age of 35.4. The prevalence of incidental findings in the maxillary sinus was between 27 to 62.4%. Such findings in the maxillary sinus vary in importance and the need for intervention. The most common incidental findings were the thickening of the mucosal membrane followed by the polypoid lesion. / Oral Biology

ABSTRACT Objectives: Cone beam computerized tomography use is becoming more common in preparation for surgical planning and treatment diagnosis by clinicians. The scanning result gives clinicians a more accurate understanding of each patients’ anatomy, which aids in designing better treatment plan, avoidance of vital anatomy, etc. Modern treatments involving extraction of teeth has become more sophisticated due to advent of dental implant treatment. Along with the procedure, more sophisticated treatment techniques involving manipulation of sinus has flourished. Traditional periapical and panoramic radiograph are not as adapt at identifying sinus pathologies. As patients age, proximity of sinus floor and apex of teeth may become closely related where possibility of one affecting another is observed. This study aims to study the prevalence of odontogenic related pathologies in relation to maxillary sinus in the population who had CBCT images taken at Temple University Kornberg School of Dentistry. The study also looks in detail the relationship of such pathology in relation to teeth status, age, gender, and ethnicity. Methods: 821 CBCT scans completed at Temple University Kornberg School of Dentistry Department of Oral Maxillofacial Radiology from January 1st, 2009 to July 31, 2013 were evaluated with iCAT computer imaging software. Patients under 18, no posterior dentition, or complete edentulous were excluded from the study. A total of four hundred fourty four (444) CBCT scans were included in the study. Patients with odontogenic related maxillary sinus pathology were selected and teeth status, age, gender and ethnicity recorded. Individual scans had sinus pathology identified and examined for proximity and relationship to respective tooth/teeth. Each individual tooth’s status were also recorded. Chi-square test was conducted to verify validity Results: After reviewing 680 scans, only 444 were included in the study due to exclusions. Scans were subdivided by age (18-35: 77, 36-53: 113, 54-71: 188, 72&gt; : 46), gender (280 male and 164 female), ethnicity (African American 86, Asian 45, Caucasian 291, Hispanic 22), tooth status (caries, 26, crown 87, healthy 31, impacted 11, root canal 88, restoration 58), tooth position ( 3rd molar 9, 2nd molar 86, 1st molar 138, 2nd premolar 20, 1st premolar 6, canine 3). Overall 63.06% of scans were classified as healthy, and 36.04% were classified as presenting odontogenic related maxillary sinus pathology. None of the parameters showed significant predilection to odontogenic related pathology, however, 1st molar has the highest risk of exhibiting pathology in the maxillary sinus with 2nd molar second. The pathology incidence rates are slightly higher in male patients 41% vs 34%. Age is not a significant factor as all age groups demonstrates similar incidence rate except 72&gt; group. Dentition status showed root canal and crown being the most commonly associated with pathology at 29% each. In Caucasian population, crown and root canal was most commonly related. African American was restoration and healthy teeth. Asian population had the most link with large restorations. Conclusions: Maxillary 1st molar is the most commonly involved tooth with maxillary sinus pathologies with 2nd molar as second most common. Caucasian individuals had the most odontogenic related pathologies. In general, crown and root canal are associated with a significant number of pathologies found in the sinus and should be evaluated prior to any surgical evaluation prior to any sinus manipulative surgery or odontogenic treatment. / Oral Biology

O aumento da freqüência de cirurgias de sinus lift para reabilitação com implantes proporcionou uma maior preocupação com a fisiologia do seio maxilar. O objetivo deste estudo é avaliar a eficácia da radiografia panorâmica na detecção de sinusites maxilares. Para o estudo foram utilizados exames pareados (panorâmica + Tomografia Computadorizada) de pacientes encaminhados ao centro de radiologia para planejamento imaginologico para implantes. As 100 radiografias panorâmicas foram avaliadas por três examinadores distintos quanto a quatro padrões radiográficos: (A) padrão compatível com a normalidade, (B) presença de velamento parcial ou total opacificação do seio maxilar, (C) presença de fenômeno de retenção de muco e (D) presença de comunicação buco sinusal. Os diagnósticos obtidos pelos examinadores foram comparados com os achados radiográficos das TCs (padrão ouro). Os resultados obtidos foram submetidos à análise de concordânica de Kappa. Concluímos que a sensibilidade diagnóstica deste exame é diretamente proporcional à experência do examinador. Concluímos também que a radiografia panorâmica utilizada isoladamente não oferece recursos diagnósticos suficientes para a detecção de sinusites maxilares. / Due to the higher frequency of sinus lift surgeries for oral rehabilitation with implants, there is more concern to the physiology of the maxillary sinus. The purpose of the present study is to evaluate the panoramic x-ray efficacy at detecting maxillary sinusitis. For this study, one hundred paired exams (panoramic xray + Computed Tomography) from patients referred to a radiodiagnostic centre for dental implant placement planning were used. All panoramic x-rays were evaluated by three different observers and diagnosed for four radiographic findings: (A) healthy sinus, (B) mucosal swelling or total opacification of the maxillary sinus, (C) presence of mucosal cysts and (D) presence of buco antral communication. The diagnoses obtained by the three observers were compared to the CT findings (gold standard). We the used Kappa analysis to determine the agreement between the observers and the gold standard. We concluded that the more experience the observer has, the higher his agreement with the CT is. We also concluded that used by itself, the panoramic x-ray does not provide enough resources to detect maxillary sinusitis.

O aumento da freqüência de cirurgias de sinus lift para reabilitação com implantes proporcionou uma maior preocupação com a fisiologia do seio maxilar. O objetivo deste estudo é avaliar a eficácia da radiografia panorâmica na detecção de sinusites maxilares. Para o estudo foram utilizados exames pareados (panorâmica + Tomografia Computadorizada) de pacientes encaminhados ao centro de radiologia para planejamento imaginologico para implantes. As 100 radiografias panorâmicas foram avaliadas por três examinadores distintos quanto a quatro padrões radiográficos: (A) padrão compatível com a normalidade, (B) presença de velamento parcial ou total opacificação do seio maxilar, (C) presença de fenômeno de retenção de muco e (D) presença de comunicação buco sinusal. Os diagnósticos obtidos pelos examinadores foram comparados com os achados radiográficos das TCs (padrão ouro). Os resultados obtidos foram submetidos à análise de concordânica de Kappa. Concluímos que a sensibilidade diagnóstica deste exame é diretamente proporcional à experência do examinador. Concluímos também que a radiografia panorâmica utilizada isoladamente não oferece recursos diagnósticos suficientes para a detecção de sinusites maxilares. / Due to the higher frequency of sinus lift surgeries for oral rehabilitation with implants, there is more concern to the physiology of the maxillary sinus. The purpose of the present study is to evaluate the panoramic x-ray efficacy at detecting maxillary sinusitis. For this study, one hundred paired exams (panoramic xray + Computed Tomography) from patients referred to a radiodiagnostic centre for dental implant placement planning were used. All panoramic x-rays were evaluated by three different observers and diagnosed for four radiographic findings: (A) healthy sinus, (B) mucosal swelling or total opacification of the maxillary sinus, (C) presence of mucosal cysts and (D) presence of buco antral communication. The diagnoses obtained by the three observers were compared to the CT findings (gold standard). We the used Kappa analysis to determine the agreement between the observers and the gold standard. We concluded that the more experience the observer has, the higher his agreement with the CT is. We also concluded that used by itself, the panoramic x-ray does not provide enough resources to detect maxillary sinusitis.