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Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans.

Identifieur interne : 000C60 ( PubMed/Curation ); précédent : 000C59; suivant : 000C61

Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans.

Auteurs : Michael S. Block [États-Unis] ; Kamran Dastoury [États-Unis]

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RBID : pubmed:25236817

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Abstract

The purposes of this retrospective review of cone-beam computed tomographic (CBCT) scans were to 1) determine the prevalence of sinus membrane thickening in a consecutive series of patients; 2) identify the prevalence of healthy or unhealthy teeth associated with sinus membrane thickening; and 3) document changes of the sinus membrane after the removal of unhealthy teeth.

DOI: 10.1016/j.joms.2014.06.442
PubMed: 25236817

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pubmed:25236817

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<title xml:lang="en">Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans.</title>
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<name sortKey="Block, Michael S" sort="Block, Michael S" uniqKey="Block M" first="Michael S" last="Block">Michael S. Block</name>
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<nlm:affiliation>Private Practice, Metairie, LA. Electronic address: drblock@cdrnola.com.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Louisiane</region>
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<wicri:cityArea>Private Practice, Metairie</wicri:cityArea>
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<name sortKey="Dastoury, Kamran" sort="Dastoury, Kamran" uniqKey="Dastoury K" first="Kamran" last="Dastoury">Kamran Dastoury</name>
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<nlm:affiliation>Resident, Department of Oral and Maxillofacial Surgery, Louisiana State Univeristy School of Dentistry, New Orleans, LA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<wicri:cityArea>Resident, Department of Oral and Maxillofacial Surgery, Louisiana State Univeristy School of Dentistry, New Orleans</wicri:cityArea>
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<title xml:lang="en">Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans.</title>
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<nlm:affiliation>Resident, Department of Oral and Maxillofacial Surgery, Louisiana State Univeristy School of Dentistry, New Orleans, LA.</nlm:affiliation>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
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<term>Cone-Beam Computed Tomography</term>
<term>Humans</term>
<term>Paranasal Sinuses (pathology)</term>
<term>Retrospective Studies</term>
<term>Tooth (pathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Dent (anatomopathologie)</term>
<term>Humains</term>
<term>Sinus de la face (anatomopathologie)</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Dent</term>
<term>Sinus de la face</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Paranasal Sinuses</term>
<term>Tooth</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Cone-Beam Computed Tomography</term>
<term>Humans</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Humains</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Études rétrospectives</term>
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<div type="abstract" xml:lang="en">The purposes of this retrospective review of cone-beam computed tomographic (CBCT) scans were to 1) determine the prevalence of sinus membrane thickening in a consecutive series of patients; 2) identify the prevalence of healthy or unhealthy teeth associated with sinus membrane thickening; and 3) document changes of the sinus membrane after the removal of unhealthy teeth.</div>
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<Month>02</Month>
<Day>05</Day>
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<Year>2014</Year>
<Month>12</Month>
<Day>03</Day>
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<ISSN IssnType="Electronic">1531-5053</ISSN>
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<Volume>72</Volume>
<Issue>12</Issue>
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<Year>2014</Year>
<Month>Dec</Month>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans.</ArticleTitle>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purposes of this retrospective review of cone-beam computed tomographic (CBCT) scans were to 1) determine the prevalence of sinus membrane thickening in a consecutive series of patients; 2) identify the prevalence of healthy or unhealthy teeth associated with sinus membrane thickening; and 3) document changes of the sinus membrane after the removal of unhealthy teeth.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Consecutive patients had CBCT scans examined and the sinuses were graded. Grade 1 represented membrane thickening of 0 to less than 2 mm; grade 2 represented thickening of 2 to 5 mm; grade 3 represented membrane or material thickening greater than 5 mm to the level of the ostium; and grade 4 represented soft tissue material superior to the ostium. Cross-sectional images were examined using software by the manufacturer of the CBCT scanner. Unhealthy teeth were identified. The examiner used a standardized approach in viewing the CBCT scans. Intraexaminer error was determined.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eight hundred thirty-one patients had 1,662 sinuses evaluated, with thickening of at least 1 sinus membrane in 46.7% (388 patients) and 30.1% (469) of all sinuses evaluated. The prevalence of patients and sinuses with sinus membrane thickening according to the grading criteria was grade 2 for 36.8% of patients and 24.3% of sinuses, grade 3 for 6.0% of patients and 3.7% of sinuses, and grade 4 for 3.6% of patients and 2.2% of sinuses. Unilateral sinus disease was more common than bilateral disease. Of those sinuses with thickening, 80.6% were grade 2, 12.2% were grade 3, and 7.2% were grade 4. Of the 469 sinuses with membrane thickening, 210 were adjacent to unhealthy teeth, 233 were adjacent to healthy teeth, and 26 were in edentulous maxillas. Of the 210 unhealthy teeth, 30 had postextraction CBCT scans available for evaluation. Grade 2 sinus membrane thickening showed a 75% resolution to grade 1 after adjacent tooth removal. Grade 3 sinuses resolved in 25% to grade 1 and grade 2, with 50% remaining at grade 3. There were 2 grade 4 sinuses with follow-up scans, with 1 resolving to grade 2 and the other remaining at grade 4.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Sinus membrane thickening is present in 46.7% of patients presenting to an oral and maxillofacial surgical practice. The prevalence of sinus membrane thickening was almost equal in association with unhealthy and healthy teeth. The removal of unhealthy teeth decreased, but did not completely resolve sinus membrane thickening.</AbstractText>
<CopyrightInformation>Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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