Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction
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Purpose: The aims of the present study were 1) to quantitatively evaluate the extent of sinus pneumatization and 2) to determine the factors affecting sinus pneumatization. Methods: Based on implant treatment records, a list of patients who underwent implant placement on the posterior maxilla was obtained. Among them, patients with pre-extraction and post-extraction (before implant placement) panoramic radiographs were selected. After excluding radiographs with low resolution and image distortion, the radiographs before and after extraction were superimposed using computer software. Subsequently, the extent of sinus pneumatization (the vertical change of the sinus floor) was measured. Simple and multiple mixed models were used to determine the factors affecting sinus pneumatization. Results: A total of 145 patients were eligible for the present investigation. The average extent of sinus pneumatization was 1.56±3.93 mm at 176 tooth sites. Male sex, single tooth extraction, extraction of an endodontically compromised tooth, a class I root-sinus relationship, and sinus membrane thickening >10 mm favored pneumatization, but without statistical significance. The maxillary second molar presented the greatest pneumatization (2.25±4.39 mm) compared with other tooth types. This finding was confirmed in the multiple mixed model, which demonstrated a statistically significant impact of the extraction of a second molar compared with the extraction of a first premolar. Conclusions: Maxillary sinus pneumatization was 1.56±3.93 mm on average. The extraction of a second molar led to the greatest extent of pneumatization, which should be considered in the treatment plan for this tooth site.
Abstract
Purpose: The aims of the present study were 1) to quantitatively evaluate the extent of sinus pneumatization and 2) to determine the factors affecting sinus pneumatization. Methods: Based on implant treatment records, a list of patients who underwent implant placement on the posterior maxilla was obtained. Among them, patients with pre-extraction and post-extraction (before implant placement) panoramic radiographs were selected. After excluding radiographs with low resolution and image distortion, the radiographs before and after extraction were superimposed using computer software. Subsequently, the extent of sinus pneumatization (the vertical change of the sinus floor) was measured. Simple and multiple mixed models were used to determine the factors affecting sinus pneumatization. Results: A total of 145 patients were eligible for the present investigation. The average extent of sinus pneumatization was 1.56±3.93 mm at 176 tooth sites. Male sex, single tooth extraction, extraction of an endodontically compromised tooth, a class I root-sinus relationship, and sinus membrane thickening >10 mm favored pneumatization, but without statistical significance. The maxillary second molar presented the greatest pneumatization (2.25±4.39 mm) compared with other tooth types. This finding was confirmed in the multiple mixed model, which demonstrated a statistically significant impact of the extraction of a second molar compared with the extraction of a first premolar. Conclusions: Maxillary sinus pneumatization was 1.56±3.93 mm on average. The extraction of a second molar led to the greatest extent of pneumatization, which should be considered in the treatment plan for this tooth site.
참고문헌 (26)
- Lundgren S, "Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes", Periodontol 2000, 73, pp.103~120 (2017)
- Jun BC, "The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning", Otolaryngol Head Neck Surg, 132, pp.429~434 (2005)
- Nowak R, "Studies on the state of pneumatization of the sinus maxillaris", Anat Anz, 138, pp.143~151 (1975)
- Shapiro R, "A consideration of the systemic factors that influence frontal sinus pneumatization", Invest Radiol, 15, pp.191~202 (1980)
- Thomas A, "A comparative study of the pneumatization of the mastoid air cells and the frontal and maxillary sinuses", AJNR Am J Neuroradiol, 10, pp.S88~ (1989)
- Farina R, "Alveolar ridge dimensions in maxillary posterior sextants : a retrospective comparative study of dentate and edentulous sites using computerized tomography data", Clin Oral Implants Res, 22, pp.1138~1144 (2011)
- Levi I, "Dimensional changes of the maxillary sinus following tooth extraction in the posterior maxilla with and without socket preservation", Clin Implant Dent Relat Res, 19, pp.952~958 (2017)
- Sharan A, "Maxillary sinus pneumatization following extractions : a radiographic study", Int J Oral Maxillofac Implants, 23, pp.48~56 (2008)
- Cavalcanti MC, "Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss : a cross-sectional study", Braz Oral Res, 32, pp.e64~ (2018)
- Cha JK, "Alveolar ridge preservation in the posterior maxilla reduces vertical dimensional change : a randomized controlled clinical trial", Clin Oral Implants Res, 30, pp.515~523 (2019)
- Rasperini G, "Socket grafting in the posterior maxilla reduces the need for sinus augmentation", Int J Periodontics Restorative Dent, 30, pp.265~273 (2010)
- Ariji Y, "Computed tomographic indices for maxillary sinus size in comparison with the sinus volume", Dentomaxillofac Radiol, 25, pp.19~24 (1996)
- Hameed S, "Maxillary sinus floor and alveolar crest alterations following extraction of single maxillary molars : a retrospective CBCT analysis", Int J Periodontics Restorative Dent, 39, pp.545~551 (2019)
- Nimigean V, "The maxillary sinus floor in the oral implantology", Rom J Morphol Embryol, 49, pp.485~489 (2008)
- Rosen MD, "Change of volume of the maxillary sinus of the dog after extraction of adjacent teeth", Oral Surg Oral Med Oral Pathol, 8, pp.420~429 (1955)
- Xie Q, "Effect of head positioning in panoramic radiography on vertical measurements : an in vitro study", Dentomaxillofac Radiol, 25, pp.61~66 (1996)
- Reddy MS, "A comparison of the diagnostic advantages of panoramic radiography and computed tomography scanning for placement of root form dental implants", Clin Oral Implants Res, 5, pp.229~238 (1994)
- Vazquez L, "Accuracy of vertical height measurements on direct digital panoramic radiographs using posterior mandibular implants and metal balls as reference objects", Dentomaxillofac Radiol, 42, pp.20110429~ (2013)
- Herrmann I, "Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures", Int J Oral Maxillofac Implants, 20, pp.220~230 (2005)
- Schwartz SR, "Short implants: are they a viable option in implant dentistry?", Dent Clin North Am, 59, pp.317~328 (2015)
- 정연화, "Cone Beam형 전산화단층영상을 이용한 상악대구치 발치 후 상악동 함기화 평가", Imaging Science in Dentistry, 39(3), pp.109~113 (2009), 대한영상치의학회
- Peñarrocha-Oltra S, "Association between maxillary sinus pathology and odontogenic lesions in patients evaluated by cone beam computed tomography. A systematic review and meta-analysis", Med Oral Patol Oral Cir Bucal, 25, pp.e34~48 (2020)
- Huang YT, "Assessment of relationship between maxillary sinus membrane thickening and the adjacent teeth health by cone-beam computed tomography", J Dent Sci, 16, pp.275~279 (2021)
- Almasoud NN, "Alveolar bone density and its clinical implication in the placement of dental implants and orthodontic mini-implants", Saudi Med J, 37, pp.684~689 (2016)
- Eberhardt JA, "A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth", Oral Surg Oral Med Oral Pathol, 73, pp.345~346 (1992)
- Kwak HH, "Topographic anatomy of the inferior wall of the maxillary sinus in Koreans", Int J Oral Maxillofac Surg, 33, pp.382~388 (2004)