IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY

In order to determine the effects of frontal sinus morphology on the morpho-functionality of the dento-maxillary apparatus and the therapeutic management of pathologies in the orthodontic or maxillofacial surgery area, paraclinical evaluation is extremely important. During time, radiography – a rela...

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Main Authors: Ana Maria Fătu, Magda Ecaterina Antohe, Laura Elisabeta Checherita, Liliana Georgeta Foia, Victor Vlad Costan, Ovidiu Stamatin, Andrei Rosu, Silvia Teslaru, Iulian Costin Lupu, Sorina Mihaela Solomon, Irina Gradinaru, Cristian Marius Toma, Cristina Gena Dascalu, Laurian Francu, Mihai Bogdan Vascu
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2023-07-01
Series:Romanian Journal of Oral Rehabilitation
Subjects:
Online Access:https://rjor.ro/imagistic-investigations-of-frontal-sinus-architecture-and-pathology-an-interdisciplinary-approach-to-practical-dentistry/
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author Ana Maria Fătu
Magda Ecaterina Antohe
Laura Elisabeta Checherita
Liliana Georgeta Foia
Victor Vlad Costan
Ovidiu Stamatin
Andrei Rosu
Silvia Teslaru
Iulian Costin Lupu
Sorina Mihaela Solomon
Irina Gradinaru
Cristian Marius Toma
Cristina Gena Dascalu
Laurian Francu
Mihai Bogdan Vascu
author_facet Ana Maria Fătu
Magda Ecaterina Antohe
Laura Elisabeta Checherita
Liliana Georgeta Foia
Victor Vlad Costan
Ovidiu Stamatin
Andrei Rosu
Silvia Teslaru
Iulian Costin Lupu
Sorina Mihaela Solomon
Irina Gradinaru
Cristian Marius Toma
Cristina Gena Dascalu
Laurian Francu
Mihai Bogdan Vascu
author_sort Ana Maria Fătu
collection DOAJ
description In order to determine the effects of frontal sinus morphology on the morpho-functionality of the dento-maxillary apparatus and the therapeutic management of pathologies in the orthodontic or maxillofacial surgery area, paraclinical evaluation is extremely important. During time, radiography – a relatively old method, allowed complex explorations of the extreme cephalic area, providing details of cephalometric and facial indexes and information regarding the pneumatization and neuro- and viscera-cranium at the same time. Aim: This manuscript focuses on the correlation of elements related to craniofacial anomalies, in which frontal sinus malformations hold a particularly important place, with various dental anomalies which are particularly important aspects in optimizing the diagnostic and therapeutic protocol in both, orthodontic and orthognathic surgical approaches. Materials and methods: We set out to examine the frontal sinus, including a number of 112 patients, aged 4 to 78 years old, with malocclusions, the research being performed in the Radiology Clinic of Emergency Clinical Hospital “Sf. Spiridon” Iasi, during 2018-2020. We used in our research the landmarks represented by the frontal median septum and the upper orbital margin, on the basis of which we calculated the dimensions of the frontal sinus. The cases were as follows: 66 women (58,9%) and 46 men (41,1%), and age distribution was as follows: •4 – 9 years (20 cases – 17,9%); •10 – 19 years (22 cases – 19,6%); •20 – 45 years (31 cases – 27,7%); •46 – 60 years (19 cases – 17,0%); •over 60 years (20 cases – 17,9%). Results and discussions: The data obtained in our study are superimposable on those found in the literature, noting a frequency of absence of bilateral frontal sinus in 9,8% of cases, the elements of specificity belonging to the percentage of 6,1% for women and 15,2% for men, all cases being between 5-15 years. There are not significant differences between the planimetric measurements at patients with sinusitis compared with the others; instead, we found statistically significant differences between the planimetric measurements concerning the right sinus as well as the left sinus at the 3 classes of malocclusion – the patients in the I-st class have the smallest sinuses, the patients in the II-nd class have intermediary mesurements, while the patients in the III-rd class have the biggest measurements of the sinuses. Conclusions: In dental practice, cascading effects are extremely important, starting from frontal sinus malformations, which lead to different types of dento-dental anomalies, the implications being found in specific orthodontic therapy and orthognathic surgery.
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spelling doaj.art-afab93141849494298993dbf767214ce2023-07-19T10:33:20ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612023-07-01152191203IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRYAna Maria Fătu0Magda Ecaterina Antohe1Laura Elisabeta Checherita2Liliana Georgeta Foia3Victor Vlad CostanOvidiu Stamatin4Andrei Rosu5Silvia Teslaru6Iulian Costin Lupu7Sorina Mihaela Solomon8Irina Gradinaru9Cristian Marius Toma10Cristina Gena Dascalu11Laurian Francu12Mihai Bogdan Vascu13Department of Implantology, Removable Dentures, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania;Department of Implantology, Removable Dentures, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania;2 nd Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; 1st Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa ”University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Implantology, Removable Dentures, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania;1st Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa ”University of Medicine and Pharmacy, 700115 Iasi, Romania2 nd Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; Department of Implantology, Removable Dentures, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania;2 nd Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; Department of Implantology, Removable Dentures, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania;Department for Institutional Development “Grigore T. Popa ”University of Medicine and Pharmacy, 16 Universității Street, 700115, Iasi, RomaniaDepartment of Medical Informatics and Biostatistics, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115, Iasi, Romania;1st Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa ”University of Medicine and Pharmacy, 700115 Iasi, Romania2 nd Dental Medicine Department, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; In order to determine the effects of frontal sinus morphology on the morpho-functionality of the dento-maxillary apparatus and the therapeutic management of pathologies in the orthodontic or maxillofacial surgery area, paraclinical evaluation is extremely important. During time, radiography – a relatively old method, allowed complex explorations of the extreme cephalic area, providing details of cephalometric and facial indexes and information regarding the pneumatization and neuro- and viscera-cranium at the same time. Aim: This manuscript focuses on the correlation of elements related to craniofacial anomalies, in which frontal sinus malformations hold a particularly important place, with various dental anomalies which are particularly important aspects in optimizing the diagnostic and therapeutic protocol in both, orthodontic and orthognathic surgical approaches. Materials and methods: We set out to examine the frontal sinus, including a number of 112 patients, aged 4 to 78 years old, with malocclusions, the research being performed in the Radiology Clinic of Emergency Clinical Hospital “Sf. Spiridon” Iasi, during 2018-2020. We used in our research the landmarks represented by the frontal median septum and the upper orbital margin, on the basis of which we calculated the dimensions of the frontal sinus. The cases were as follows: 66 women (58,9%) and 46 men (41,1%), and age distribution was as follows: •4 – 9 years (20 cases – 17,9%); •10 – 19 years (22 cases – 19,6%); •20 – 45 years (31 cases – 27,7%); •46 – 60 years (19 cases – 17,0%); •over 60 years (20 cases – 17,9%). Results and discussions: The data obtained in our study are superimposable on those found in the literature, noting a frequency of absence of bilateral frontal sinus in 9,8% of cases, the elements of specificity belonging to the percentage of 6,1% for women and 15,2% for men, all cases being between 5-15 years. There are not significant differences between the planimetric measurements at patients with sinusitis compared with the others; instead, we found statistically significant differences between the planimetric measurements concerning the right sinus as well as the left sinus at the 3 classes of malocclusion – the patients in the I-st class have the smallest sinuses, the patients in the II-nd class have intermediary mesurements, while the patients in the III-rd class have the biggest measurements of the sinuses. Conclusions: In dental practice, cascading effects are extremely important, starting from frontal sinus malformations, which lead to different types of dento-dental anomalies, the implications being found in specific orthodontic therapy and orthognathic surgery.https://rjor.ro/imagistic-investigations-of-frontal-sinus-architecture-and-pathology-an-interdisciplinary-approach-to-practical-dentistry/frontal sinus; computer tomography; imaging in dentistry; malocclusion; oral complex rehabilitation;
spellingShingle Ana Maria Fătu
Magda Ecaterina Antohe
Laura Elisabeta Checherita
Liliana Georgeta Foia
Victor Vlad Costan
Ovidiu Stamatin
Andrei Rosu
Silvia Teslaru
Iulian Costin Lupu
Sorina Mihaela Solomon
Irina Gradinaru
Cristian Marius Toma
Cristina Gena Dascalu
Laurian Francu
Mihai Bogdan Vascu
IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY
Romanian Journal of Oral Rehabilitation
frontal sinus; computer tomography; imaging in dentistry; malocclusion; oral complex rehabilitation;
title IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY
title_full IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY
title_fullStr IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY
title_full_unstemmed IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY
title_short IMAGISTIC INVESTIGATIONS OF FRONTAL SINUS ARCHITECTURE AND PATHOLOGY – AN INTERDISCIPLINARY APPROACH TO PRACTICAL DENTISTRY
title_sort imagistic investigations of frontal sinus architecture and pathology an interdisciplinary approach to practical dentistry
topic frontal sinus; computer tomography; imaging in dentistry; malocclusion; oral complex rehabilitation;
url https://rjor.ro/imagistic-investigations-of-frontal-sinus-architecture-and-pathology-an-interdisciplinary-approach-to-practical-dentistry/
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