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Journals / Selcuk Dental Journal / 2026 / Volume: 6 Issue: 4 Special Issue

Maksiller sinüzit ve odontojenik enfeksiyon ilişkisinin dental volümetrik tomografi görüntüleri ile değerlendirilmesi

Ceyda Gürhan0000-0002-4101-4965
Elif Şener0000-0003-1402-9392
Ali Mert0000-0002-6806-935X
Güniz Baksı Şen0000-0001-5720-2947
Pages
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Publication Date
2019-11-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

ANAHTAR KELİMELER Apikal lezyon, maksiller sinüzit, DVT

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Amaç: Radyografik olarak sinüzit bulguları bulunan hastaların maksiller posterior dişlerindeki enfeksiyonlar ile maksiller sinüzit ilişkisinin, dental volümetrik tomografi (DVT) görüntüleri kullanılarak değerlendirilmesidir.
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Key Findings & Data:Gereç ve Yöntemler: 1000 hastaya ait DVT görüntüsü, maksiller sinüs mukoza kalınlığını saptamak amacıyla retrospektif olarak tarandı.
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Conclusion & Impact:ANAHTAR KELİMELER Apikal lezyon, maksiller sinüzit, DVT
🔬Design:Experimental Field Trial
📍Scope:1000 hasta
⚙️Variables:Apikal lezyon · maksiller sinüzit · DVT

Özet

Amaç: Radyografik olarak sinüzit bulguları bulunan hastaların maksiller posterior dişlerindeki enfeksiyonlar ile maksiller sinüzit ilişkisinin, dental volümetrik tomografi (DVT) görüntüleri kullanılarak değerlendirilmesidir. Gereç ve Yöntemler: 1000 hastaya ait DVT görüntüsü, maksiller sinüs mukoza kalınlığını saptamak amacıyla retrospektif olarak tarandı. Sinüs mukozası kalınlığının 2 mm ve üzerinde olduğu olgular patolojik olarak kabul edildi. Patolojik olgular içerisinde sinüse komşu molar ve/veya premolar dişlerde apikal lezyonu bulunanlara, radyografik olarak odontojenik maksiller sinüzit tanısı kondu. Sinüs mukozası kalınlaşmasına etki edebilecek faktörler; demografik değişkenler, diş tipi ve apikal lezyona ait parametreler (lezyonlu diş/ kök sayısı, lezyon çapı, lezyon-sinüs tabanı mesafesi) olmak üzere 3 farklı başlıkta değerlendirildi. Veriler tanımlayıcı istatistik ve lineer regresyon analizi ile incelendi (p=0.05). Gözlemci içi uyum değerlendirmesinde Kappa testinden yararlanıldı ( κ ). Bulgular: Mukozal kalınlaşma saptanan 202 olgunun, % 47,5'inde odontojenik maksiller sinüzit olduğu saptandı. Odontojenik maksiller sinüzitin en sık gözlendiği diş tipi 1. molar dişlerdi (p<0.05). Mukozal kalınlaşma miktarı ile istatistiksel olarak anlamlı ilişki; cinsiyet (erkekler), lezyonlu kök sayısı, lezyon çapı ve lezyonlu diş sayısı arasında saptandı (p<0.05). Sonuçlar: Özellikle erkek hastalarda 1.molar dişte birden çok kökü etkileyen geniş apikal lezyon(lar) varlığında, lezyonun sinüse olan uzaklığından bağımsız olarak odontojenik maksiller sinüzit gelişme riski artmaktadır. Ayrıca, iyileşmeyen veya tekrarlayan inatçı sinüzit olgularında dişhekimi konsültasyonu ve endodontik tedavi opsiyonu mutlaka değerlendirilmelidir. ANAHTAR KELİMELER Apikal lezyon, maksiller sinüzit, DVT

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Cite This Article

Gürhan, C., Şener, E., Mert, A., Şen, G. B. (2019). Maksiller sinüzit ve odontojenik enfeksiyon ilişkisinin dental volümetrik tomografi görüntüleri ile değerlendirilmesi. Selcuk Dental Journal, Volume: 6 Issue: 4 Special Issue. https://ajindex.com/articles/1306376

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  33. Vallo J, Suominen-Taipale L, Huumonen S. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(3):80-7
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  35. Capelli M, Gatti P. Radiological study of maxillary sinus using CBCT: relationship between mucosal thickening and common anatomic variants in chronic rhinosinusitis. J Clin Diagn Res 2016;10(11):7-10
  36. Yıldırım E. Evaluation of the relationship between maxillary sinus floor position and maxillary sinusitis using cone beam computed tomography. Oral Radiol 2016
  37. Shahbazian M, Vandewoude C, Wyatt J, Jacobs R.Comparative assessment of panoramic radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Clin Oral Invest 2014;18:293–300
  38. Shahbazian M, Vandewoude C, Wyatt J. Comparative assessment of periapical radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Odontology 2015;103:97–104
  39. Lavasani SA, Tyler C, Roach SH.Cone-beam Computed Tomography: Anatomic Analysis of Maxillary Posterior Teeth-Impact on Endodontic Microsurgery. J Endod 2016;42(6):890-5
  40. Scarfe WC, Levin MD, Gane D, Farman AG. Use of Cone Beam Computed Tomography in Endodontics. International Journal of Dentistry 2009
  41. Guidelines on CBCT for Dental and Maxillofacial Radiology,Sedentexct 2012
  42. Estrela C, Bueno MR, Azevedo BC. A new periapical index based on cone beam computed tomography. J Endod 2008;34(11):1325-31
  43. Patel NA, Ferguson BJ. Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis. Curr Opin Otolaryngol Head Neck Surg 2012;20(1):24-8
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