Maksiller Sinüs Augmentasyonunun Preoperatif Radyolojik İncelemesinde Panoramik Radyografi ile Konik Işınlı Bilgisayarlı Tomografinin Etkinliğinin Değerlendirilmesi

Yıl 2020, Cilt: 4 Sayı: 3, 292 - 297, 31.12.2020

Ebru Sağlam , Nesrin Saruhan

https://doi.org/10.34084/bshr.824792

Öz

Amaç: Bu çalışmanın amacı, maksiller sinüs augmentasyonun preoperatif radyolojik incelemesinde panoramik radyografi (PAN) ile konik ışınlı bilgisayarlı tomografinin (KIBT) etkinliğinin değerlendirilmesidir.
Yöntem: PAN’da maksiller sinüs augmentasyonu endikasyonu konulan ve maksiller sinüse ait herhangi bir patoloji tespit edilmeyen 78 katılımcının maksiller posterior segmentleri çalışmaya dahil edildi. Hastaların KIBT verileri maksiler sinüs augmentasyonu ve sinüs patolojileri açısından yeniden değerlendirilerek PAN ile karşılaştırıldı.
Bulgular: Yaşları minimum 19 maksimum 75 (ortalama 54,3±10,7) olan katılımcıların 121 maksiller posterior segmenti değerlendirilmiştir. Bu maksiller posterior segmentlerin 61’i (%50,4) kadın 60’ı (%49,6) erkek katılımcıda; 69’u (%57) sol 52’si (%43) sağ bölgede bulunmaktaydı. KIBT verileri maksiller sinüs augmentasyonunun endikasyonu ve maksiller sinüs patolojileri açısından değerlendirildiğinde; 106’sının (%87,6) endike olduğu, 15’inde ise (%12,4) maksiller sinüs patolojisi olduğu görüldü.
Sonuç: Maksiller sinüs augmentasyonunun preoperatif radyolojik değerlendirilmesinde; PAN sıklıkla kullanılan konvansiyonel bir yöntemdir ancak KIBT daha kesin ve net bilgi vermektedir.

Anahtar Kelimeler

Maksiller sinüs, Sinüs taban yükseltmesi, Panoramik radyografi, Konik ışınlı bilgisayarlı tomografi

Evaluation of the Effectiveness of Panoramic Radiography and Cone-Beam Computed Tomography in Preoperative Radiological Examination of Maxillary Sinus Augmentation

Öz

Aim: The aim of this study is to evaluate the efficacy of panoramic radiography (PAN) and cone-beam computed tomography (CBCT) in the preoperative radiological examination of maxillary sinus augmentation.
Methods: The maxillary posterior segments of 78 participants who were indicated for maxillary sinus augmentation in PAN and who had no pathology of the maxillary sinus were included in the study. CBCT data of the patients were re-evaluated in terms of maxillary sinus augmentation and sinus pathologies and compared with PAN.
Results: 121 maxillary posterior segments of the participants with a minimum age of 19 and a maximum of 75 years (mean age 54.3 ± 10.7) were evaluated. 61 (50.4%) of these maxillary posteri- or segments were in female and 60 (49.6%) in male participants; 69 (57%) of them were in the left and 52 (43%) of them were in the right region. When CBCT data were evaluated in terms of indication of maxillary sinus augmentation and sinus pathologies; it was observed that 106 of them (87.6%) were indicated and 15 of them (12.4%) had maxillary sinus pathology.
Conclusion: In the preoperative radiological evaluation of maxillary sinus augmentation; PAN is a commonly used conventional method, but CBCT provides more precise and clear information.

Anahtar Kelimeler

Maxillary sinus, Sinus floor augmentation, Panoramic radiography, Cone-Beam computed tomography

Kaynakça

• Tatum Jr H. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986;30(2):207-29.
• Harris D, Buser D, Dula K, et al. EAO Guidelines for the use of Diagnostic Imaging in Implant Dentistry: A consensus workshop organized by the European Association for Osseointegration in Trinity College Dublin. Clin Oral Implants Res. 2002;13(5):566-70.
• Kumar AT, Anand U. Maxillary sinus augmentation. Journal of the International Clinical Dental Research Organization 2015;7(3):81.
• Shahbazian M, Vandewoude C, Wyatt J, et al. Comparative assessment of panoramic radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Clin Oral Investig. 2014;18(1):293-300.
• Sharan A, Madjar D. Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(3):375-81.
• Beason R, Brooks S. Preoperative implant site assessment in southeast Michigan. J Dent Res 2001;80:137.
• Constantine S, Clark B, Kiermeier A, et al. Panoramic radiography is of limited value in the evaluation of maxillary sinus disease. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;127(3):237-46.
• Vazquez L, Saulacic N, Belser U, et al. Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: a prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res. 2008;19(1):81-85.
• Cha J-Y, Mah J, Sinclair P. Incidental findings in the maxillofacial area with 3-dimensional cone-beam imaging. Am J Orthod Dentofacial Orthop. 2007;132(1):7-14. 10. Stern A, Green J. Sinus lift procedures: an overview of current techniques. Dental Clinics 2012;56(1):219-33.
• Schwartz‐Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol. 2004;75(4):511-16.
• Gijbels F, De Meyer A-M, Serhal CB, et al. The subjective image quality of direct digital and conventional panoramic radiography. Clin Oral Investig. 2000;4(3):162-67.
• Temmerman A, Hertelé S, Teughels W, et al. Are panoramic images reliable in planning sinus augmentation procedures? Clin Oral Implants Res. 2011;22(2):189-94.
• Nedbalski TR, Laskin DM. Use of panoramic radiography to predict possible maxillary sinus membrane perforation during dental extraction. Quintessence Int. 2008;39(8).
• Bhattacharyya N, Fried MP. The accuracy of computed tomography in the diagnosis of chronic rhinosinusitis. Laryngoscope 2003;113(1):125-29.
• Xu J, Reh D, Carey JP, et al. Technical assessment of a cone‐beam CT scanner for otolaryngology imaging: image quality, dose, and technique protocols. Med Phys. 2012;39(8):4932-42.
• Cote MT, Segelnick SL, Rastogi A, et al. New York State Ear, Nose, and Throat Specialists' Views on Pre–Sinus Lift Referral. J Periodontol. 2011;82(2):227-33.
• Alkurt MT, Peker I, Degerli S, et al. Comparison of cone-beam computed tomography and panoramic radiographs in detecting maxillary sinus septa. J Istanb Univ Fac Dent. 2016;50(3):8.