Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: a systematic review.

Vogiatzi, Theodosia; Kloukos, Dimitrios; Scarfe, William C; Bornstein, Michael M. (2014). Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: a systematic review. International journal of oral & maxillofacial implants, 29(6), pp. 1301-1314. Quintessence Publ. 10.11607/jomi.3644

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PURPOSE To analyze available evidence on the incidence of anatomical variations or disease of the maxillary sinuses as identified by cone beam computed tomography (CBCT) in dentistry. MATERIALS AND METHODS A focused question was developed to search the electronic databases MEDLINE, EMBASE, the Cochrane Oral Health Group Trials Register, and CENTRAL and identify all relevant papers published between 1980 and January 19, 2013. Unpublished literature at ClinicalTrials.gov, in the National Research Register, and in the Pro-Quest Dissertation Abstracts and Thesis database was also included. Studies were included irrespective of language. These results were supplemented by hand and gray literature searches. RESULTS Twenty-two studies were identified. Twenty were retrospective cohort studies, one was a prospective cohort study, and one was a case control study. The main indication for CBCT was dental implant treatment planning, and the majority of studies used a small field of view for imaging. The most common anatomical variations included increased thickness of the sinus membrane, the presence of sinus septa, and pneumatization. Reported sinus disease frequency varied widely, ranging from 14.3% to 82%. There was a wide range in the reported prevalence of mucosal thickening related to apical pathology, the degree of lumenal opacification, features of sinusitis, and the presence of retention cysts and polyps. More pathologic findings in the maxillary sinus were reported in men than in women, and the medial wall and sinus floor were most frequently affected. CONCLUSION CBCT is used primarily to evaluate bony anatomy and to screen for overt pathology of the maxillary sinuses prior to dental implant treatment. Differences in the classification of mucosal findings are problematic in the consistent and valid assessment of health and disease of the maxillary sinus.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology
04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Kloukos, Dimitrios and Bornstein, Michael M.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0882-2786

Publisher:

Quintessence Publ.

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

27 Jan 2015 14:11

Last Modified:

25 Jan 2017 12:15

Publisher DOI:

10.11607/jomi.3644

PubMed ID:

25397794

Uncontrolled Keywords:

cone beam computed tomography, dental implants, maxillary sinus, mucosal thickness, sinus floor elevation, sinus membrane

URI:

https://boris.unibe.ch/id/eprint/61636

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