Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study

Purpose: The aim of this study was to measure the thickness of the mucous membrane lining the maxillary sinus and to correlate this thickening of the Schneiderian membrane with the presence or absence of periodontal bone loss of adjacent teeth, by using cone beam computed tomography (CBCT). Methods:...

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Main Authors: Vrushali N. Lathiya, Abhay P. Kolte, Rajashri A. Kolte, Dhawal R. Mody
Format: Article
Language:English
Published: Elsevier 2019-04-01
Series:Saudi Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905218304115
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author Vrushali N. Lathiya
Abhay P. Kolte
Rajashri A. Kolte
Dhawal R. Mody
author_facet Vrushali N. Lathiya
Abhay P. Kolte
Rajashri A. Kolte
Dhawal R. Mody
author_sort Vrushali N. Lathiya
collection DOAJ
description Purpose: The aim of this study was to measure the thickness of the mucous membrane lining the maxillary sinus and to correlate this thickening of the Schneiderian membrane with the presence or absence of periodontal bone loss of adjacent teeth, by using cone beam computed tomography (CBCT). Methods: 255 CBCT images were analyzed of which 140 images were selected for the study. Based upon the absence of radiographic periodontal bone loss and presence of 50% or more bone loss, these CBCT images were respectively divided into two groups viz. Group I (Healthy) and Group II (Periodontal Bone Loss Group), each group consisting of 70 images each. The thickening of the mucous membrane lining of the floor of maxillary sinus was measured at four points on the CBCT. These points were the anterior most point of the thickened mucosa, the posterior most point of the thickened mucosa, at the midpoint (MP) (point midway between the anterior most and the posterior most point) and the point of maximum thickness of the sinus mucosa. Results: The age adjusted mean thickness for Group II was significantly greater than that of Group I (p < 0.001) at all the four points. There was a positive association between presence of periodontal bone loss and thickening of Schneiderian membrane at the floor of the sinus. There was a weak positive association between age and mucosal thickness. Of all the four points measured, the maximum correlation between age and thickness was obtained at MP (r = 0.171), which was statistically significant (p = 0.044). Conclusion: The present study concluded that there is a positive association between presence of periodontal bone loss and thickening of mucosa of floor of maxillary sinus and also exhibited a weak positive relation between age and increased mucosal thickening of floor of maxillary sinus. Keywords: Cone beam computed tomography, Maxillary sinus, Mucosal thickening, Periodontitis
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spelling doaj.art-fb9457a0682144099c02e51317c27ddb2022-12-22T03:18:23ZengElsevierSaudi Dental Journal1013-90522019-04-01312228235Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective studyVrushali N. Lathiya0Abhay P. Kolte1Rajashri A. Kolte2Dhawal R. Mody3Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, IndiaCorresponding author at: Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Digdoh Hills, Hingna Road, Nagpur 440017, India.; Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, IndiaDepartment of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, IndiaDepartment of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, IndiaPurpose: The aim of this study was to measure the thickness of the mucous membrane lining the maxillary sinus and to correlate this thickening of the Schneiderian membrane with the presence or absence of periodontal bone loss of adjacent teeth, by using cone beam computed tomography (CBCT). Methods: 255 CBCT images were analyzed of which 140 images were selected for the study. Based upon the absence of radiographic periodontal bone loss and presence of 50% or more bone loss, these CBCT images were respectively divided into two groups viz. Group I (Healthy) and Group II (Periodontal Bone Loss Group), each group consisting of 70 images each. The thickening of the mucous membrane lining of the floor of maxillary sinus was measured at four points on the CBCT. These points were the anterior most point of the thickened mucosa, the posterior most point of the thickened mucosa, at the midpoint (MP) (point midway between the anterior most and the posterior most point) and the point of maximum thickness of the sinus mucosa. Results: The age adjusted mean thickness for Group II was significantly greater than that of Group I (p < 0.001) at all the four points. There was a positive association between presence of periodontal bone loss and thickening of Schneiderian membrane at the floor of the sinus. There was a weak positive association between age and mucosal thickness. Of all the four points measured, the maximum correlation between age and thickness was obtained at MP (r = 0.171), which was statistically significant (p = 0.044). Conclusion: The present study concluded that there is a positive association between presence of periodontal bone loss and thickening of mucosa of floor of maxillary sinus and also exhibited a weak positive relation between age and increased mucosal thickening of floor of maxillary sinus. Keywords: Cone beam computed tomography, Maxillary sinus, Mucosal thickening, Periodontitishttp://www.sciencedirect.com/science/article/pii/S1013905218304115
spellingShingle Vrushali N. Lathiya
Abhay P. Kolte
Rajashri A. Kolte
Dhawal R. Mody
Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study
Saudi Dental Journal
title Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study
title_full Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study
title_fullStr Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study
title_full_unstemmed Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study
title_short Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography – A retrospective study
title_sort analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography a retrospective study
url http://www.sciencedirect.com/science/article/pii/S1013905218304115
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