Evaluation of maxillary sinus volume and dimensions in different vertical face growth patterns: a study of cone-beam computed tomography

Internal structural analysis of the nasomaxillary complex in patients with skeletal class III asymmetry: A study on asymmetry patterns

OBJECTIVES

To investigate the internal structure of the nasomaxillary complex, including the maxillary sinus, nasal cavity and nasal septum according to the facial asymmetry pattern and to evaluate its correlation with external maxillomandibular asymmetry in Class III patients based on cone-beam computerized tomography (CBCT) images.

MATERIALS AND METHODS

Facial asymmetry was analysed in a total of 100 Class III patients aged 16 years or older using CBCT scans. Patients were categorized into subgroups based on asymmetry pattern. Measurements of the nasomaxillary complex were obtained from the CBCT scans, including the volume and width of the maxillary sinuses and nasal cavities on deviated and non-deviated sides, as well as the displacement of the nasal septum. Statistical analysis was performed to compare the internal nasomaxillary variables within and between groups, and regression analysis was conducted to evaluate the correlation between facial asymmetry and the internal nasomaxillary variables.

RESULTS

Group comparisons showed that there were no significant differences in the volume of the maxillary sinus and nasal cavity. However, the direction and extent of nasal septum deviation, as well as the width of the nasal cavity, varied depending on the maxillary asymmetry pattern. Regression analysis indicated a correlation between nasal septum deviation and the difference in maxillary height, while the difference in nasal cavity width was correlated with the difference in maxillary width.

CONCLUSION

A comprehensive evaluation of the internal nasal anatomy is vital for understanding the intricate relationship between nasal structure and maxillary growth.

Variability associated with maxillary infrazygomatic crest and palatal bone width, height, and angulation in subjects with different vertical facial growth types: a retrospective cone-beam computed tomography study

OBJECTIVES

To assess the infrazygomatic crest (IZC) and palatal bone width, height, and angulation in patients with different vertical facial growth types as potential miniscrew insertion sites.

MATERIALS AND METHODS

In this retrospective cone-beam computed tomography study, 162 subjects (81 males and 81 females, mean age 16.05 ± 0.65 years) were included. They were divided into three groups (hypodivergent, normodivergent, and hyperdivergent) based on the Frankfort mandibular plane angle. Ten buccal bone measurements were made at two different coronal sections: maxillary first molar mesiobuccal and distobuccal roots (bilaterally). Six palatal bone measurements were made on a sagittal section at the maxillary central incisors (bilaterally). A total of 32 measurements per subject were considered in the study.

RESULTS

No significant difference was observed for the IZC (width and angle) at the maxillary first molar mesiobuccal root. A comparison of normodivergent and hyperdivergent groups for buccal width at the distobuccal root of the first molar showed significant differences. Palatal bone thickness at the level of 2 mm distal to the apex of the central incisor was significantly higher for the hyperdivergent group (10.43 mm) compared with the normodivergent (7.58 mm) and hypodivergent groups (7.83 mm).

CONCLUSIONS

Hyperdivergent subjects tend to present a longer and deeper IZC and increased palatal bone thickness compared with other groups. The recommended insertion angle for the IZC mini-implant at 3 mm from the alveolar crest should be between 75.5° and 77°.

[Maxillary sinus lesions and their association with apical lesions observed by cone beam computed tomography. A retrospective cross-sectional study]

Introduction

Through cone beam computed tomography, alterations in the maxillary sinuses, such as opacities, space occupation and thickening of the mucosa, can be observed. Some factors contribute to this thickening, standing out among dental factors, periodontitis, apical pathology and endodontic treatments.

Objective

To evaluate the association between changes observed in the maxillary sinuses and apical lesions using cone beam computed tomography.

Materials and methods

It was a descriptive study with a retrospective and cross-sectional, correlational, field, non-experimental design. The sample consisted of 115 tomographic volumes obtained using Planmeca ProMax 3D Classic equipment (Planmeca, Helsinki, Finland). The presence/absence of endodontic treatment in the present posterior teeth, presence/absence of periapical lesion associated with these teeth, the size of the periapical lesion, presence/absence of alteration in the maxillary sinus and its thickness were evaluated.

Results

Apical lesions were observed that averaged a size of 3.32 ± 1.82 mm, and almost half (44.35%) presented between 2 and 4 mm in size. The main alteration of the maxillary sinus that was observed was the thickening of the mucosa (58.26%). The average thickness of the thickening of the sinus mucosa was 3.51 ± 1.78 mm, with 72.17% of the cases with thickening greater than 2 mm.

Conclusion

There was an association between the changes observed in the maxillary sinuses and apical lesions. The larger and closer the lesion was to the sinus, the greater the thickening of the sinus mucosa.

Anatomical study of the maxillary sinus: which characteristics can influence its volume?

PURPOSE

To investigate whether there is a relationship between the volume of the maxillary sinus and individual parameters such as gender, side, posterior tooth absence, sinus membrane thickening, bony septa, vertical and sagittal skeletal patterns.

METHODS

The tomographic volume of the maxillary sinus from 211 individuals (422 sides) was evaluated using Horos DICOM Viewer Software. Bony septa and sinus membrane thickening were classified as absent or present. At the same time, loss of one or more teeth in the posterior region of the maxilla (except for the third molars) was considered. The t test was applied to analyze maxillary sinus volume according to gender, age, side, posterior tooth absence, sinus membrane thickening and bony septa. A one-way analysis of variance (ANOVA) with Tukey's post-hoc test was applied to compare sagittal and vertical patterns. Pearson's correlation coefficient was also used to verify the association between maxillary sinus volume, age and skeletal patterns.

RESULTS

Concerning the sagittal skeletal pattern, a statistically significant difference was observed between Classes II and III (p = 0.05) and it was confirmed by the Pearson's correlation coefficient (r = - 0.107/p = 0.029). No statistically significant differences were observed between the maxillary sinus volume according to gender (p = 0.06), side (p = 0.37), posterior tooth absence (p = 0.92), sinus membrane thickening (p = 0.47), bony septa (0.89) and vertical skeletal pattern (p = 0.67). No significant differences were observed with age (r = - 0.076/p = 0.109) and the vertical skeletal pattern (r = - 0.078/p = 0.108).

CONCLUSION

Maxillary sinus volume was influenced by the sagittal skeletal pattern and was higher in Class III individuals.

Maxillary Sinus Dimensions in Skeletal Class I Chinese Population with Different Vertical Skeletal Patterns: A Cone-Beam Computed Tomography Study

Due to the close relationship between the maxillary posterior teeth roots and the maxillary sinus floor, the maxillary sinus can significantly impact various dental treatments, including endodontic procedures and surgical apicectomy, periodontal flap surgery, surgical tooth extraction, dental implantation, and orthognathic surgeries. Specifically, in orthodontics, the location of the maxillary sinus floor may affect tooth movement and insertion of temporary anchorage devices (TADs). This study aims to evaluate the dimensions and location of the maxillary sinus in the Chinese orthodontic patient population with skeletal class I. Using cone-beam computed tomography (CBCT), the volumetric size, height, width, and depth of the sinus and the amount of alveolar bone below the sinus floor and buccal/palatal to the sinus wall were compared between patients of different genders and different vertical skeletal patterns. Unlike the previously reported skeletal class II population, the skeletal class I patients with different vertical patterns do not have significantly different size sinuses. On the other hand, males have larger maxillary sinuses in all parameters than females in the testing population. In addition, no significant correlation was noticed between the SN-MP angle and sinus dimensions or between the ANB angle and sinus dimensions. Nevertheless, the distance from the sinus floor to the alveolar bone crest is not correlated with skeletally sagittal or vertical parameters in females but negatively correlated with the skeletal sagittal parameter in males. In summary, different from the skeletal class II population, there is no significant difference in maxillary sinus size and location among different vertical skeletal patterns in the skeletal class I population. Compared to the skeletal class II population, a higher percentage of the skeletal class I population has an alveolar bone with less than 5 mm thickness, representing a narrowed safe zone of TADs placements.

A comparison of maxillary sinus diameters in Chinese and Yemeni patients with skeletal malocclusion

BACKGROUND

This study aimed to compare the maxillary sinus dimensions and surface area in accordance with skeletal malocclusion, gender and ethnicity factors in a sample of Chinese and Yemeni patients.

METHODS

This cross-sectional study analysed 180 maxillary sinuses using 180 lateral cephalometric radiographs. The patients were subdivided into two ethnic groups: Chinese and Yemeni. Each ethnic group comprised 90 patients, and men and women were divided equally. Each ethnic group was classified into three skeletal classes using ANB and Wits appraisal (skeletal Classes I, II and III). Pearson's correlation coefficient was also used to assess the relationship between maxillary sinus dimensions and cephalometric parameters.

RESULTS

Men had larger maxillary sinuses than women; skeletal Class II had a higher length and surface area increase than other skeletal classes, although skeletal Classes I and II were almost equal in height. Except for the maxillary sinus length, none of these findings were statistically significant. The maxillary sinuses in Chinese are larger than those in Yemenis (P = 0.000). These variables were positively correlated with SNA, SNB and Co-A. The maxillary sinus length and Co-Gn were positively correlated. The NA-APO and NA-FH angles were also correlated with the maxillary sinus surface area. However, the gonial and GoGn-Sn angles negatively affected the maxillary sinus dimension and surface area.

CONCLUSIONS

Men had larger maxillary sinuses than women in both ethnic groups, and Chinese individuals had larger maxillary sinuses than Yemenis. Skeletal Class II malocclusion of both ethnicities had larger maxillary sinus dimensions. Furthermore, the maxillary sinus dimensions correlated with cephalometric parameters.

Evaluation of maxillary sinus dimensions and volume using cone beam computed tomography in patients with unilaterally displaced palatal and buccal maxillary canines

OBJECTIVES

To evaluate and compare the maxillary sinus (MS) dimensions and volume in unilaterally displaced palatal and buccal maxillary canines.

METHODS

CBCT images for 133 patients were included in the study. Maxillary canines were unilaterally displaced palatally in 83 patients (PDCs) and buccally in 50 patients(BDCs). The following variables were measured: canine position in relation to MS walls, MS pneumatization and MS dimensions and volume.

RESULTS

MS was extended to the incisor region in 10% and 13% and to the canine region in 48% and 23% in BDCs and PDCs subjects, respectively. In BDC subjects, maxillary canine crown tip was more laterally (24.23 mm compared to 22.93 mm (p < 0.05)) and closer vertically (5.82 mm compared to 9.58 mm (p < 0.001)) to the MS, maxillary canine root tip was closer to the MS anterior (0 mm compared to 1.64 mm (p < 0.05)) and lateral (19.70 mm compared to 22.02 mm (p < 0.001)) walls and the MS volume (11.57mm³ compared to 9.09 mm³ (p < 0.001)) was increased in the displaced side compared to the non-displaced side. In PDC subjects, a significant difference between the displaced and non-displaced sides was detected in the vertical (3.28 mm compared to 5.89 mm (p < 0.001)) and lateral (21.63 mm compared to 24.25 mm (p < 0.001)) position of maxillary canine to the MS wall, the anterior (- 0.84 mm compared to 1.13 mm (p < 0.05)) and lateral (20.48 mm compared to 22.44 mm (p < 0.001)) position of canine root tip to the MS and the MS volume (7.71mm³ compared to 9.14mm³ (p < 0.001)). PDC sides differed from BDC sides in the lateral and vertical position of canine crown tip to MS and in MS volume. PDC showed negative association with MS volume and anteroposterior skeletal relationship and a positive association with MS height.

CONCLUSIONS

PDCs subjects have a reduced MS volume and BDCs subjects have an increased MS volume. PDCs are associated with reduced MS volume, increased MS height and Class III skeletal relationship.

Assessment of infrazygomatic crest dimensions in different vertical facial growth types for miniscrew insertion: A cone-beam computed tomography study

INTRODUCTION

This study aimed to assess the depth and height of the infrazygomatic crest (IZC) located in the posterior maxilla at the junction with the zygomatic process in patients with different vertical facial growth types as a potential miniscrew insertion site.

METHODS

The sample consisted of cone-beam computed tomography scans of 117 patients (42 males and 75 females), with a mean age of 22.9 ± 2.7. The population was divided into 3 groups according to the measured SN-GoGn angle: Decreased facial proportions (n = 28), average facial proportions (n = 62), and increased facial proportions (n = 27). Bone depth was assessed at 5 levels: apex, 1, 2, 3, and 4 mm vertically from the apex. The measurements were performed on the mesiobuccal and distobuccal roots of the first molar and the mesiobuccal root of the second molar. Repeated-measure analysis of variance followed by univariates analyses and Bonferroni multiple comparisons were performed to compare the mean bone thickness between groups. The IZC height was assessed through a vertical line ranging from the furcation of the maxillary first molar to the sinus floor. Analysis of variance followed by Tukey (honestly significant difference) post-hoc tests was used to compare the mean height between groups.

RESULTS

Mean bone depth between the 3 groups were significantly different at the mesiobuccal root region of the first molar at all the measured levels. It was smaller for average, intermediate for decreased, and elevated for increased facial proportions. No statistical difference was shown at the distobuccal root of the first molar except for the apex level and the mesiobuccal root of the second molar except for the apex and 4 mm levels. The mean bone height was significantly different between subjects with increased facial proportions and the 2 other groups.

CONCLUSIONS

Subjects with increased facial proportions tend to present a longer and deeper IZC followed by decreased facial proportions, then average facial proportions.

Maxillary Sinus Volume in Patients with Canted Occlusal Plane: A Cone‐Beam Computed Tomography Study

OBJECTIVES

To compare the maxillary sinus volume between both sides in adult patients with upper occlusal canting (>2 mm cant) and a control group (≤2 mm cant) using cone-beam computed tomography scans.

MATERIALS AND METHODS

This retrospective study included a total of 84 scans (42 scans per group) according to predetermined selection criteria. OnDemand 3-D™ software was used for volumetric and linear measurements of the maxillary sinus. Maxillary occlusal canting was determined at the level of the maxillary first molars. It was defined as the vertical difference between right and left sides relative to the Frankfort horizontal plane. Non-parametric tests were applied.

RESULTS

The median difference in the maxillary sinus volume between the sides was statistically significant between the control and cant groups (P < 0.001). Also, the median difference in the maxillary sinus craniocaudal height and apex sinus distance between the sides was statistically significant between the control and cant groups (P < 0.05 and P < 0.001, respectively).

CONCLUSION

In adult patients, maxillary occlusal canting of more than 2 mm was associated with asymmetric maxillary sinus volumes. In the cant group, maxillary first molars on the canted-down side were in close proximity to the sinus floor, which suggests a limited leeway for molar intrusion.

'Comparison and correlation of the maxillary sinus dimensions in various craniofacial patterns: A CBCT Study'

Background: To compare and correlate the maxillary sinus dimensions and basal bone height among various facial patterns using CBCT for advanced diagnosis and treatment planning in Orthodontics.

Methods: 66 CBCT images within age group of 18-30 years were divided into horizontal (Group 1), average (Group 2) and vertical (Group 3) facial growth patterns. Maxillary sinus dimensions were compared and correlated in all three groups. The sinus height and basal bone height were recorded at 3 locations-between 1 ^st premolar and 2 ^nd premolar (PM1-PM2), between 2 ^nd premolar and 1 ^st Molar (PM2-M1) and between 1 ^st and 2 ^nd molar (M1-M2).

Results: Overall reduction in sinus height and significantly reduced sinus volume was seen in Group-1. Longest maxillary sinus height in M1-M2 region and shortest in PM1-PM2 region was seen in Group-3. The basal bone height in PM1-PM2 region was significantly longer in Group-3 than in Group-1(p<.05).Shortest basal bone height in M1-M2 region was seen in Group-3. A significant negative correlation was seen between the maxillary sinus height and the basal bone height in Group-1 and Group-3(p<.05).

Conclusion: There is a correlation between the maxillary sinus height and basal bone height with that of facial pattern which needs to be considered during orthodontic treatment planning and while carrying out facial growth modification procedures in younger patients.

Assessment of the relationship between the maxillary sinus and the canine root tip using cone beam computed tomography

BACKGROUND

The purpose of the present study is to investigate the relationship between the maxillary sinus and the canine root apices in cone beam computed tomographic images (CBCT) and to assess the amount of extension of the maxillary sinus to the anterior region of the jaw in different sexes and age groups.

METHODS

CBCT of 300 individuals (154 males and 146 females) over 20 years (with a mean age of 35.12 ± 8.40 years) were evaluated. The subjects were categorized into three age groups (20-30, 30-40, and 40-50 years). When the maxillary sinus extended to the canine area, the vertical distance between them was measured, and their relationship was classified into three types: I (more than 2 mm distance), II (less than 2 mm distance or in-contact), and III (interlock).

RESULTS

413 out of 600 maxillary sinuses (68.8%) were extended into the canine area or beyond. Among them, 15 maxillary sinuses pneumatized into the incisor area (2.5%). The prevalence of the maxillary sinuses extended to the anterior region of the jaw was not significantly different between genders. However, it was significantly less frequent in the older age group and more frequent on the left side. In addition, the mean amount of anterior extension of the maxillary sinus (mm) was significantly lower in the older age group. Type I was the most frequent vertical relationship between the maxillary sinuses and canine apices with no significant difference in gender, side, and age groups.

CONCLUSIONS

In most cases, the maxillary sinus extended to the canine area and sometimes reached the incisor region. This necessitates paying more attention to the maxillary anterior sextant during surgical procedures.

Morphometric and volumetric evaluation of maxillary sinus in patients with chronic obstructive pulmonary disease using cone-beam CT

OBJECTIVES

The purpose of present study is to assess the maxillary sinuses patients with COPD morphometrically and volumetrically using cone-beam computed tomography (CBCT) images and compared these findings according to in age and gender of control groups.

METHODS

CBCT images of 80 individuals that exist from 40 patients with COPD and 40 healthy individuals (6 females, 34 males) in the tomography archive were retrospectively analyzed. The volume and surface area of maxillary sinuses in COPD and control group were measured by semi-automatic segmentation method and obtained findings were statistically examinated according to age, gender.

RESULTS

The study was observed that there was no statistically significant difference between the right maxillary sinus area and the groups, but left maxillary sinus and total sinus area of COPD group were observed to be significantly lower than the control group (p < 0.05). Maxillary sinus volume was found to be statistically significantly lower in patients with COPD than in healthy controls (p < 0.05).

CONCLUSIONS

CBCT is a practical and effective imaging method for the evaluation of maxillary sinuses. It is thought that inflammatory diseases that cause sinonasal changes such as COPD may affect maxillary sinus sizes.

A 3D comparison of dimension of infrazygomatic crest region in different vertical skeletal patterns: A retrospective study

INTRODUCTION

Infrazygomatic crest (IZC) dimension is an important factor in the safety and stability of bone screws. The dimension is known to vary according to the dimensions of the maxillary sinus, which in turn depends on the vertical facial skeletal pattern.

OBJECTIVE

The objective of the study was to compare the infrazygomatic crest thickness (IZC) above the mesiobuccal root of the first and second maxillary molar in different vertical skeletal patterns.

MATERIALS AND METHODS

This was a retrospective study conducted in Saveetha Dental College, Chennai. Cone beam computed tomography (CBCT) and lateral cephalograms of 36 subjects were collected and divided into 3 groups (12 subjects in each group) depending on their vertical skeletal pattern, namely normal, low and high angle. Vertical skeletal pattern was assessed using lateral cephalogram whereas IZC thickness was measured using CBCT. Mann Whitney U test was done to compare the bone thickness in the right and left sides and also to compare the same above the mesiobuccal root of the first and second molar. Kruskal Wallis and post hoc tests were done to compare bone thickness among the three groups. P-value was set at 0.05 for all the analysis.

RESULTS

Significant difference in IZC bone thickness above the first molar region was noted between high angle and average angle groups (P-value 0.001) and high angle and low angle (P-value 0.001). Above the second molar region, a significant difference was seen between high angle and average angle groups (P-value 0.001). Significant difference in bone thickness was also observed among the first molar and second molar region in all the three groups (P-value<0.05).

CONCLUSION

IZC thickness was the least in high-angle subjects. Clinically, it is desirable to place the IZC screw above the mesiobuccal root of the maxillary second molar especially in high-angle subjects.

3D Evaluation of the Relationship between Different Vertical Growth Patterns and Cranial Base Angulations

Objectives This study aimed to compare cranial base angulations in subjects with high-angle, low-angle, and normal-angle vertical growth patterns using cone beam computed tomography (CBCT).

Design This study is a retrospective clinical research.

Settings This study was carried out at the Dentistry Faculty of Eskisehir Osmangazi University.

Participants According to skeletal vertical face growth patterns, 78 subjects (48 females and 30 males, average age: 13.19 ± 1.73 years) were divided equally into three groups: high angle, low angle, and normal angle groups.

Main Outcome Measures Cephalometric images were derived from CBCT, and patients were classified according to the SN-GoGn angle (sella-nasion, gonion gnathion angle). Sagittal, axial, and coronal cranial base angulations were measured in three-dimensional (3D) CBCT images. Data were analyzed using the Kolmogorov–Smirnov normality, Kruskal–Wallis, and Mann-Whitney U statistical tests.

Results There were statistically significant differences between the low-angle and high-angle groups according to sagittal cranial base angulation parameters (p = 0.01). Conversely, there were no statistically significant differences between vertical facial growth patterns according to coronal and axial cranial angle variables (p > 0.05).

Conclusion According to the study results, there were no effects of cranial base angulations in two planes (coronal and axial) on different vertical skeletal growth patterns. In the sagittal cranial base angulation parameter, the high-angle group showed greater angulation values than the low-angle group. CBCT may be helpful for evaluating, diagnosing, and predicting 3D cranial base differences.

Frontal sinus: is it a predictor for vertical malocclusions?

The aim of the present study was to evaluate 3D frontal sinus morphology in consideration with different vertical facial developments. The study was conducted with the pre-treatment CBCT images of 87 patients, who were divided into 3 groups according to the sum of the posterior angle. The frontal sinus measurements were performed on the axial, sagittal, and coronal sections of the CBCT images. Craniofacial measurements were performed on the lateral cephalograms, obtained from the CBCT scans. Normal distribution of the data was confirmed by the Kolmogorov-Smirnov test. ANOVA, followed by post hoc Duncan tests, was used to compare the differences among the three groups. The relationships between sinus dimensions and craniofacial parameters were assessed by the Pearson's correlation coefficient (P < 0.05). The maximum anterior-posterior dimension of the frontal sinuses (0.017), the width of the right (0.020) and left (0.041) frontal sinuses, and the anterior-posterior dimension of the left (0.038) frontal sinus were significantly smaller in the hyperdivergent group compared to hypodivergent group. There was no significant difference between groups in terms of the height of the frontal sinuses. Significant correlation was noted between the maximum anterior-posterior dimension of the frontal sinus and SN-PP, N-Me, N-ANS, SN-GoGn, Post. sum, and Jarabak's ratio. No significant correlation between the height of the frontal sinuses and the craniofacial measurements was found. Individuals with vertical growth pattern presented decreased anterior-posterior dimension of the frontal sinuses, revealing significant correlations with vertical craniofacial parameters.

Volumetric study of the maxillary sinus in patients with sinus pathology

Objectives

The aim of this study is 1) to obtain the area and volumes of the maxillary sinuses in patients affected by clinically unilateral sinus pathology by comparing the results to the contralateral sinus and 2) to determine the importance of the volumetric measures when diagnosing the percentage of sinus obliteration.

Materials and methods

A single-centre observational retrospective clinical study was conducted in 214 patients with clinically unilateral sinus pathologies. Linear (mm), area (mm2) and volume (mm3) measurements were taken from Cone Beam Computed Tomography (CBCT) images of the affected sinus as well as from the contralateral ones. Histopathological study was performed using haematoxylin/eosin and PAS or Groccot stains. The lesions were classified into non-specific sinusitis, polyps, inverted papilloma, fungal sinusitis, cysts, mucocele and other lesions. Chi-squared test, ANOVA for independent samples and Pearson test were used for the statistical analysis.

Results

A total of 100 sinuses were measured in 50 patients (28 men and 22 women, with an age of 43.6 years (SD = 18.3), 50 pathological and 50 healthy contralateral sinuses. The three-dimensional occupation volume of the affected sinuses was 97.1 mm³ (62.5%) vs. 40.6 mm³ (22.8%) in the healthy ones (p<0.0001). The medial-lateral width of the sinus in the frontal plane was significantly higher in the cysts group (32.4 mm, CI: 23–41.8 mm).

Conclusion

In medical terms, the global percentage of occupation determined using the classic manual determination method does not differ from the three-dimensional percentage calculated using specific complex software.

Evaluation of Anatomical and Volumetric Characteristics of the Nasopalatine Canal in Anterior Dentate and Edentulous Individuals: A CBCT Study

OBJECTIVE

To examine the nasopalatine canal (NPC) anatomical and volumetric measurements in anterior edentulous (AE) and anterior dentate (AD) individuals and to compare these findings according to sex, age, shape, and severity of resorption in the premaxilla.

METHODS

Two hundred cone beam computed tomography images were divided into 2 groups: AE and AD. The diameter, the length of the NPC and the width, the length of the buccal bone anterior to the NPC were measured and recorded. Linear and volumetric measurement results were evaluated in terms of age, sex, dental status, shape, and severity of resorption.

RESULTS

No significant differences were observed between the AE and AD groups in terms of the NPC volume (P = 0.289). In the AE group, the spindle shape had the highest volume, and in the same group, with aging, the volume significantly increased (P = 0.00). The mean NPC volume was found to be statistically significantly larger in males than females (P = 0.02). A statistically significant relation was observed between NPC volume and resorption status.

CONCLUSION

Severe bone resorption due to sustained edentation complicated implant surgery because of the increase in incisive and nasal foramen diameters and decrease in buccal residual bone dimensions. The NPC volume was found fewer in edentulous patients, and by the resorption, the volume was decreased.

The Association between Maxillary Sinus Dimensions and Midface Parameters during Human Postnatal Growth

Objective

The aim of the study based on CT images was to assess the age-related changes in maxillary sinus diameters in relation to diameters of the facial skeleton.

Materials and Methods

The retrospective analysis of CT images of the head of 170 patients aged 0-18 years (85 females and 85 males) was performed. Specific orientation points (zy, zm, pr, ns, n, and P) were identified in every patient and the following distances were measured: zy-zy, maximum facial width; zm-zm, midfacial width; n-pr, upper facial height; ns-pr, alveolar facial height; and ns-P, distance not indicated in craniometry.

Results

The maxillary sinuses of every patient were bilaterally measured in three planes. Three diameters were obtained: maximum transverse (horizontal) diameter called MSW, maximum vertical diameter called MSH, and maximum anteroposterior diameter (length) called MSL. In females, the correlation of MSW, MSH, and MSL and zy-zy, as well as n-pr distances, is very strong. Moreover, the significant correlation was found between all measurements of maxillary sinus and ns-pr as well as ns-P distances in females. The correlation between MSL and all measurements of midface as well as MSH and MSW and all measurements except ns-P is stronger in females than in males. In males, all measurements of maxillary sinus correlate with ns-P distance very strongly.

Conclusions

The statistical analysis (correlation and determination coefficient) showed that all measurements of maxillary sinuses correlate with midface dimensions.