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Prevalence, location and morphology of maxillary sinus septa: systematic review and meta‐analysis

Identifieur interne : 000B31 ( Istex/Corpus ); précédent : 000B30; suivant : 000B32

Prevalence, location and morphology of maxillary sinus septa: systematic review and meta‐analysis

Auteurs : Bernhard Pommer ; Christian Ulm ; Martin Lorenzoni ; Richard Palmer ; Georg Watzek ; Werner Zechner

Source :

Journal of Clinical Periodontology [ 0303-6979 ] ; 2012-08.

RBID : ISTEX:16BFDF076A64D00C2891419F013ED51546C23233

English descriptors

Abstract

To gain further insights and resolve conflicting results in the literature regarding prevalence, predominant location and morphologic variability of maxillary sinus septa.

Url:

https://api.istex.fr/document/16BFDF076A64D00C2891419F013ED51546C23233/fulltext/pdf

DOI: 10.1111/j.1600-051X.2012.01897.x

Links to Exploration step

ISTEX:16BFDF076A64D00C2891419F013ED51546C23233

Le document en format XML

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<profileDesc><abstract style="main" xml:id="jcpe1897-abs-0001"><head>Abstract</head>

Aim
<p>To gain further insights and resolve conflicting results in the literature regarding prevalence, predominant location and morphologic variability of maxillary sinus septa.</p>


Material and Methods
<p>Electronic and hand searching of English literature identified 33 investigations published from 1995 to 2011. Septa were defined as at least 2–4 mm in height.</p>


Results
<p>Septa were present in 28.4% of 8923 sinuses investigated (95% confidence interval: 24.3–32.5%). Prevalence was significantly higher in atrophic sinuses compared with dentate maxillae (<hi rend="italic">p </hi>
< 0.001). Septa were located in premolar, molar and retromolar regions in 24.4%, 54.6% and 21.0% respectively. Orientation of septa was transverse in 87.6%, sagittal in 11.1% and horizontal in 1.3% of cases. Septa height measured 7.5 mm on average. Complete septa (dividing the sinus into two separate cavities) were found in only 0.3%. Other rare conditions included multiple septa in one sinus (4.2%) and bilateral septa (17.2%). Septa diagnosis using panoramic radiographs yielded incorrect results in 29% of cases.</p>


Conclusions
<p>In view of their high overall prevalence and significant morphologic variability, 3D radiographic imaging prior to sinus floor augmentation may help to reduce complication rates in the presence of maxillary sinus septa.</p>
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<line><i>Sensengasse 2a</i>
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<line>E‐mail: <email>bernhard.pommer@meduniwien.ac.at</email>
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<selfCitationGroup><citation type="self" xml:id="jcpe1897-cit-0045"><i>Pommer B, Ulm C, Lorenzoni M, Palmer R, Watzek G, Zechner W. Prevalence, location and morphology of maxillary sinus septa: systematic review and metaanalysis. J Clin Periodontol 2012; 39: 769–773. doi: 10.1111/j.1600-051X.2012.01897.x.</i>
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 <orgName>Vienna Medical University</orgName>
 <address><city>Vienna</city>
 <country>Austria</country>
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<affiliation countryCode="AT" type="organization" xml:id="jcpe1897-aff-0003"><orgDiv>Department of Prosthodontics</orgDiv>
 <orgName>University Dental Clinic Graz</orgName>
 <address><city>Graz</city>
 <country>Austria</country>
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 <address><city>London</city>
 <country>UK</country>
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<keywordGroup type="author"><keyword xml:id="jcpe1897-kwd-0001">dental implants</keyword>
<keyword xml:id="jcpe1897-kwd-0002">maxillary sinus floor elevation</keyword>
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<caption><b>Appendix S1.</b>
 Flow chart for literature search and selection.</caption>
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<caption><b>Appendix S2.</b>
 Distribution of septa to anterior, middle and posterior sinus regions in 14 studies (overall distribution [95% confidence interval]).</caption>
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<p>To gain further insights and resolve conflicting results in the literature regarding prevalence, predominant location and morphologic variability of maxillary sinus septa.</p>
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<p>Electronic and hand searching of English literature identified 33 investigations published from 1995 to 2011. Septa were defined as at least 2–4 mm in height.</p>
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<section xml:id="jcpe1897-sec-0003"><title type="main">Results</title>
<p>Septa were present in 28.4% of 8923 sinuses investigated (95% confidence interval: 24.3–32.5%). Prevalence was significantly higher in atrophic sinuses compared with dentate maxillae (<i>p </i>
< 0.001). Septa were located in premolar, molar and retromolar regions in 24.4%, 54.6% and 21.0% respectively. Orientation of septa was transverse in 87.6%, sagittal in 11.1% and horizontal in 1.3% of cases. Septa height measured 7.5 mm on average. Complete septa (dividing the sinus into two separate cavities) were found in only 0.3%. Other rare conditions included multiple septa in one sinus (4.2%) and bilateral septa (17.2%). Septa diagnosis using panoramic radiographs yielded incorrect results in 29% of cases.</p>
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<p>In view of their high overall prevalence and significant morphologic variability, 3D radiographic imaging prior to sinus floor augmentation may help to reduce complication rates in the presence of maxillary sinus septa.</p>
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<abstract>To gain further insights and resolve conflicting results in the literature regarding prevalence, predominant location and morphologic variability of maxillary sinus septa.</abstract>
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<abstract>Septa were present in 28.4% of 8923 sinuses investigated (95% confidence interval: 24.3–32.5%). Prevalence was significantly higher in atrophic sinuses compared with dentate maxillae (p < 0.001). Septa were located in premolar, molar and retromolar regions in 24.4%, 54.6% and 21.0% respectively. Orientation of septa was transverse in 87.6%, sagittal in 11.1% and horizontal in 1.3% of cases. Septa height measured 7.5 mm on average. Complete septa (dividing the sinus into two separate cavities) were found in only 0.3%. Other rare conditions included multiple septa in one sinus (4.2%) and bilateral septa (17.2%). Septa diagnosis using panoramic radiographs yielded incorrect results in 29% of cases.</abstract>
<abstract>In view of their high overall prevalence and significant morphologic variability, 3D radiographic imaging prior to sinus floor augmentation may help to reduce complication rates in the presence of maxillary sinus septa.</abstract>
<note type="additional physical form">Appendix S1. Flow chart for literature search and selection.Appendix S2. Distribution of septa to anterior, middle and posterior sinus regions in 14 studies (overall distribution [95% confidence interval]).</note>
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Prevalence, location and morphology of maxillary sinus septa: systematic review and meta‐analysis

Prevalence, location and morphology of maxillary sinus septa: systematic review and meta‐analysis

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