Correlation of cone beam computed tomography (CBCT) findings in the maxillary sinus with dental diagnoses: a retrospective cross-sectional study
Correlation of cone beam computed tomography (CBCT) findings in the maxillary sinus with dental diagnoses: a retrospective cross-sectional study
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DOI：
10.1007/s00784-011-0620-1
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发表时间：
2012-08-01
影响因子：
3.4
通讯作者：
Schulze, Ralf K.
中科院分区：
文献类型：
--
作者：
Bruellmann, Dan Dominik;Schmidtmann, Irene;Schulze, Ralf K.
本研究旨在评估锥形束计算机断层扫描（CBCT）中发现的上颌窦粘膜增生与上颌后牙相关临床诊断的一致性。回顾性评价了2006年至2008年期间接受CBCT检查的204例患者。使用患者记录将临床和CBCT结果相关联。计算绝对频率、比值比（OR）和95%置信区间（95% CI）进行统计学评价。牙周炎和鼻窦炎的放射学征象之间有明显的相关性。与健康牙齿的患者相比，龋齿和非活髓牙齿的患者更可能发生基底粘膜壁增厚（OR = 5.2; 95%CI = 1.2-23.1）。基底粘膜壁增厚的可能性也高于总粘膜增厚（OR = 10.4; 95% CI = 2.6-42.2）。与健康牙齿的患者相比，龋齿和牙髓治疗的患者更容易表现出基底壁的参与（OR = 9.2; 95%CI = 3.3-25.2）。CBCT检查揭示了上颌窦基底粘膜增厚与上颌后牙或牙周炎的相关性。涉及鼻窦的慢性症状是患者咨询医生的最常见原因之一。慢性口面疼痛的一个原因是未确诊的鼻窦疾病的流行。
This study was conducted to assess the coincidence of mucosal hyperplasia in the maxillary sinus and related clinical diagnoses of posterior maxillary teeth found in cone beam computed tomography (CBCT) scans. A total of 204 patients who underwent CBCT examinations between 2006 and 2008 were evaluated retrospectively. Clinical and CBCT findings were correlated using patient records. Absolute frequencies, odds ratios (OR), and 95% confidence intervals (95% CI) were calculated for statistical evaluations. There was a pronounced association between periodontitis and radiological signs of sinusitis. Basal mucosal wall thickening was more likely in patients with decayed and non-vital teeth compared to patients with sound teeth (OR = 5.2; 95% CI = 1.2-23.1). Basal mucosal wall thickening was also more likely than total mucosal thickening (OR = 10.4; 95% CI = 2.6-42.2). Patients with decayed and endodontically treated teeth were more likely to exhibit involvement of the basal wall (OR = 9.2; 95% CI = 3.3-25.2) than were patients with healthy teeth. CBCT examinations revealed a correlation between basal mucosal thickening in the maxillary sinus and decayed posterior maxillary teeth or periodontitis. Chronic symptoms involving the sinuses are one of the most common reasons for patients to consult physicians. One reason for chronic orofacial pain is the prevalence of undiagnosed sinus conditions.