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Comparison of panoramic radiography and cone-beam computed tomography for assessing radiographic signs indicating root protrusion into the maxillary sinus

Imaging Science in Dentistry 2020년 50권 4호 p.309 ~ 318
정연화, 조봉혜, 황재준,
소속 상세정보
정연화 ( Jung Yun-Hoa ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Radiology
조봉혜 ( Cho Bong-Hae ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Radiology
황재준 ( Hwang Jae-Joon ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


Purpose: This study investigated correlations between findings on panoramic radiographs and cone-beam computed tomography (CBCT) to assess the relationship between the maxillary sinus floor and the roots of maxillary posterior teeth. In addition, radiographic signs indicating actual root protrusion into the maxillary sinus were evaluated on panoramic radiographs.

Materials and Methods: Paired panoramic radiographs and CBCT images from 305 subjects were analyzed. This analysis classified 2,440 maxillary premolars and molars according to their relationship with the maxillary sinus floor on panoramic radiographs and CBCT images. In addition, interruption of the sinus floor was examined on panoramic radiographs.

Results: Root protrusion into the maxillary sinus occurred most frequently in the mesiobuccal roots of the second molars. The classification according to panoramic radiographs and CBCT images was the same in more than 90% of cases when there was no contact between the root apex and the sinus floor. When the panoramic radiograph showed root protrusion into the sinus, the CBCT images showed the same classification in 67.5% of second molars, 48.8% of first molars, and 53.3% of second premolars. There was a statistically significant relationship between interruption of the sinus floor on panoramic radiographs and root protrusion into the sinus on CBCT images.

Conclusion: The presence of root protrusion into the sinus on panoramic radiographs demonstrated a moderate ability to predict root protrusion into the maxillary sinus. Interruption of the maxillary sinus floor could be considered an indicator of actual root protrusion into the maxillary sinus.

키워드

Maxillary Sinus; Molar; Radiography, Panoramic; Cone-Beam Computed Tomography

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