Author:
Altayar Bassam A.,Al-Tayar Barakat,Lin Weimin,Al-wesabi Saddam N.,Al-shujaa Eissa A.,Sakran Karim,Yuan Quan,Lyu Mingyue
Abstract
Abstract
Background
Maxillary sinus septa increase perforation risk of Schneiderian membrane during the sinus floor elevation (SFE). Cone Beam Computed Tomography (CBCT) allows for a more precise assessment of the septal position; thus, preoperative CBCT analysis is substantial to avoid possible complications. This study aims to investigate the 3D characteristics of the maxillary sinus septa based on CBCT images. To our knowledge, no study reported the CBCT-based investigation for the sinus septa among Yemeni population.
Materials and methods
This is a retrospective cross-sectional analysis of 880 sinus CBCT images 440 patients. The septa prevalence, locations, orientations, morphology, and associated factors were analyzed. The effect of age, gender, and dental status on the sinus septa and the relationship between sinus membrane pathology and sinus septa were also analyzed. Anatomage (Invivo version 6) was used for CBCT images analysis. Descriptive and analytical statistics were performed, and a P-value < 0.05 was significantly considered.
Results
The maxillary sinus septa were found among 63.9% of patients and 47% of sinuses. The average septa height was 5.2 mm. 15.7% of patients had septa in the right maxilla, 18% in the left, and 30.2% in both. Gender, age, and dental condition had no influence on the presence of septa, and septa presence did not influence sinus membrane pathology. Many septa originated from the floor (54.5%), located in the middle (43%), with coronal orientation (66%) and complete configuration (58.2%).
Conclusion
Based on our findings, the septa prevalence, locations, orientations, and morphology were significant and equivalent to the highest recorded in the literature yet. Thus, when sinus floor elevation is planned, CBCT imaging of the maxillary sinus is recommended for safe dental implantation.
Funder
Young Clinical Research Fund of the Chinese Stomatological Association
Natural Science Fund of Science&Technology Department of Sichuan Province
Publisher
Springer Science and Business Media LLC
Reference48 articles.
1. Testori T, Wallace SS, Del Fabbro M, Taschieri S, Trisi P, Capelli M, Weinstein RL. Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. Int J Periodontics Restorative Dent. 2008;28(1):9–17.
2. Sigaroudi AK, Kajan ZD, Rastgar S, Asli HN. Frequency of different maxillary sinus septal patterns found on cone-beam computed tomography and predicting the associated risk of sinus membrane perforation during sinus lifting. Imaging Sci Dentistry. 2017;47(4):261–7.
3. Underwood AS. An Inquiry into the anatomy and Pathology of the Maxillary Sinus. J Anat Physiol. 1910;44(Pt 4):354–69.
4. Al-Zahrani MS, Al-Ahmari MM, Al-Zahrani AA, Al-Mutairi KD, Zawawi KH. Prevalence and morphological variations of maxillary sinus septa in different age groups: a CBCT analysis. Ann Saudi Med. 2020;40(3):200–6.
5. Henriques I, Caramês J, Francisco H, Caramês G, Hernández-Alfaro F, Marques D. Prevalence of maxillary sinus septa: systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2022;51(6):823–31.
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