Changes in Maxillary Sinus Mucosal Thickening Following the Extraction of Teeth with Advanced Periodontal Disease: A Retrospective Study Using Cone-Beam Computed Tomography

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2021 Apr 16

PMID 33860050

Citations 2

Authors

Zheng Cao

Jie Yuan

Affiliations

Soon will be listed here.

Abstract

Objectives: To explore the alterations in maxillary sinus mucosal thickening after extracting teeth with severe periodontal disease using cone-beam computed tomography (CBCT).

Methods: 30 patients with severe periodontal disease of maxillary posterior teeth that needed to be extracted and who were radiographically diagnosed with mucosal thickening (MT) in the maxillary sinus participated in the study. CBCT scans were taken before tooth extraction and 2-29 months after tooth extraction. The postextraction follow-up time was divided into two groups: group 1 (<4 months) and group 2 (≥4 months). Dimensions of maxillary sinus MT, including the MT zone length (SL) and the maximum thickness of the MT zone (ST), were evaluated preextraction and postextraction; the residual ridge height (RRH) was evaluated at the sites of extracted and nonextracted teeth.

Result: Of the 24 patients with unilateral tooth extraction, there was a statistically significant difference in MT between the extraction and nonextraction sides ( < 0.05). The RRH at the site of the extracted teeth was significantly lower than that of the nonextracted teeth ( < 0.05). MT decreased significantly after tooth extraction on the extraction side but not on the nonextraction side. There was no significant difference between group 1 and group 2 regarding the reduction in mucosal thickness over time.

Conclusions: Severe periodontitis can cause MT in the maxillary sinus. The RRH was lower at the sites of extracted teeth. MT reduced quickly by a thorough debridement after tooth extraction in 4 months. MT will not decrease further over time.

Citing Articles

CBCT Evaluation of Periapical Pathologies in Maxillary Posterior Teeth and Their Relationship with Maxillary Sinus Mucosal Thickening.

Jouhar R, Alkhames H, Ahmed M, Mohammad Almadeh N, Faheemuddin M, Umer M Healthcare (Basel). 2023; 11(6).

PMID: 36981444 PMC: 10048390. DOI: 10.3390/healthcare11060787.

The Use of CBCT in Evaluating the Health and Pathology of the Maxillary Sinus.

Yeung A, Hung K, Li D, Leung Y Diagnostics (Basel). 2022; 12(11).

PMID: 36428879 PMC: 9689855. DOI: 10.3390/diagnostics12112819.

References

Pazera P, Bornstein M, Pazera A, Sendi P, Katsaros C . Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis using cone-beam computed tomography (CBCT). Orthod Craniofac Res. 2011; 14(1):17-24. DOI: 10.1111/j.1601-6343.2010.01502.x. View

Isola G, Polizzi A, Alibrandi A, Williams R, Leonardi R . Independent impact of periodontitis and cardiovascular disease on elevated soluble urokinase-type plasminogen activator receptor (suPAR) levels. J Periodontol. 2020; 92(6):896-906. DOI: 10.1002/JPER.20-0242. View

Janner S, Caversaccio M, Dubach P, Sendi P, Buser D, Bornstein M . Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011; 22(12):1446-53. DOI: 10.1111/j.1600-0501.2010.02140.x. View

Yoo J, Pi S, Kim Y, Jeong S, You H . Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus. J Periodontal Implant Sci. 2011; 41(1):23-9. PMC: 3051053. DOI: 10.5051/jpis.2011.41.1.23. View

Talo Yildirim T, Guncu G, Goksuluk D, Tozum M, Colak M, Tozum T . The effect of demographic and disease variables on Schneiderian membrane thickness and appearance. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017; 124(6):568-576. DOI: 10.1016/j.oooo.2017.09.002. View

Hsu Y, Pan W, Chan C, Pan Y, Lin C, Wang Y . Cone-beam computed tomography assessment of Schneiderian membranes: Non-infected and infected membranes, and membrane resolution following tooth extraction: A retrospective clinical trial. Biomed J. 2019; 42(5):328-334. PMC: 6889225. DOI: 10.1016/j.bj.2019.03.001. View

Makary C, Rebaudi A, Menhall A, Naaman N . Changes in Sinus Membrane Thickness After Lateral Sinus Floor Elevation: A Radiographic Study. Int J Oral Maxillofac Implants. 2015; 31(2):331-7. DOI: 10.11607/jomi.4108. View

Goller-Bulut D, Sekerci A, Kose E, Sisman Y . Cone beam computed tomographic analysis of maxillary premolars and molars to detect the relationship between periapical and marginal bone loss and mucosal thickness of maxillary sinus. Med Oral Patol Oral Cir Bucal. 2015; 20(5):e572-9. PMC: 4598926. DOI: 10.4317/medoral.20587. View

Mogensen C, Tos M . Quantitative histology of the maxillary sinus. Rhinology. 1977; 15(3):129-40. View

10.

Shanbhag S, Karnik P, Shirke P, Shanbhag V . Cone-beam computed tomographic analysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: implications for sinus floor elevation. Clin Oral Implants Res. 2013; 25(6):755-60. DOI: 10.1111/clr.12168. View

11.

Huang H, Lee H, Liu C, Lin K . Normalization of maxillary sinus mucosa after functional endoscopic sinus surgery in pediatric chronic sinusitis. Int J Pediatr Otorhinolaryngol. 2005; 69(9):1219-23. DOI: 10.1016/j.ijporl.2005.03.031. View

12.

Ramanauskaite A, Ataman-Duruel E, Duruel O, Tozum M, Yildirim T, Tozum T . Effects of clinical local factors on thickness and morphology of Schneiderian membrane: A retrospective clinical study. Clin Implant Dent Relat Res. 2019; 21(4):715-722. DOI: 10.1111/cid.12807. View

13.

Yilmaz H, Tozum T . Are gingival phenotype, residual ridge height, and membrane thickness critical for the perforation of maxillary sinus?. J Periodontol. 2011; 83(4):420-5. DOI: 10.1902/jop.2011.110110. View

14.

Walter C, Weiger R, Zitzmann N . Periodontal surgery in furcation-involved maxillary molars revisited--an introduction of guidelines for comprehensive treatment. Clin Oral Investig. 2010; 15(1):9-20. DOI: 10.1007/s00784-010-0431-9. View

15.

Kretzschmar D, Kretzschmar J . Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96(2):128-35. DOI: 10.1016/s1079-2104(03)00306-8. View

16.

Feng Z, Weinberg A . Role of bacteria in health and disease of periodontal tissues. Periodontol 2000. 2006; 40:50-76. DOI: 10.1111/j.1600-0757.2005.00148.x. View

17.

Guarnieri R, Grande M, Ippoliti S, Iorio-Siciliano V, Riccitiello F, Farronato D . Influence of a Laser-Lok Surface on Immediate Functional Loading of Implants in Single-Tooth Replacement: Three-Year Results of a Prospective Randomized Clinical Study on Soft Tissue Response and Esthetics. Int J Periodontics Restorative Dent. 2015; 35(6):865-75. DOI: 10.11607/prd.2273. View

18.

Ren S, Zhao H, Liu J, Wang Q, Pan Y . Significance of maxillary sinus mucosal thickening in patients with periodontal disease. Int Dent J. 2015; 65(6):303-10. PMC: 9376544. DOI: 10.1111/idj.12186. View

19.

Iorio-Siciliano V, Blasi A, Nicolo M, Iorio-Siciliano A, Riccitiello F, Ramaglia L . Clinical Outcomes of Socket Preservation Using Bovine-Derived Xenograft Collagen and Collagen Membrane Post-Tooth Extraction: A 6-Month Randomized Controlled Clinical Trial. Int J Periodontics Restorative Dent. 2017; 37(5):e290-e296. DOI: 10.11607/prd.2474. View

20.

Tonetti M, Jung R, Avila-Ortiz G, Blanco J, Cosyn J, Fickl S . Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European Workshop in Periodontology. J Clin Periodontol. 2019; 46 Suppl 21:183-194. DOI: 10.1111/jcpe.13131. View