An analysis of the relevance and proximity between maxillary posterior root apices to the maxillary sinus and the buccal cortical bone plate

IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Wan-Chuen Liao , Shu-Hui Chang , Hsiao-Hua Chang , Chi-Hung Chen , Yu-Hwa Pan , Pei-Cheng Yeh , Jiiang-Huei Jeng , Mei-Chi Chang
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引用次数: 0

Abstract

Background/purpose

Understanding the relationship between maxillary sinus and posterior root apices is critical in preventing dental treatment complications. This study aimed to analyze and showcase the relationship between the posterior root apices and the maxillary sinus floor, the distance to the buccal cortical bone, and their correlation with age, gender, and sides.

Materials and methods

Cone-beam computed tomography images were collected from 94 patients with a total of 478 maxillary posterior teeth and 997 roots. The shortest distance from root apices to the closest border of maxillary sinus and the outer buccal cortical bone margin were measured and grouped for statistical analysis for the differences (P < 0.05).

Results

The root apices of maxillary molars and single-rooted second premolars were located closer to the maxillary sinus compared to first premolars (P < 0.01). The buccal root of two-rooted first premolar had the shortest horizontal distance to the buccal cortical bone among all roots (P < 0.01). The lowest position of the maxillary sinus floor was mostly located at the palatal side (P < 0.01) and between the buccal and palatal root apices (P < 0.01) in the maxillary premolars and molars, respectively. Increasing age would lead to longer distances between the root apices and the maxillary sinus (P < 0.01). Additionally, male patients had thicker buccal cortical bone than female patients (P < 0.01).

Conclusion

Different tooth positions, age, and gender significantly impact the relationships between root apices and the maxillary sinus and buccal cortical plates, informing patient-centered and individually tailored approaches for more effective and safer surgical endodontic treatment.

上颌后牙根尖与上颌窦和颊皮质骨板之间的相关性和邻近性分析
背景/目的 了解上颌窦和后牙根尖之间的关系对于预防牙科治疗并发症至关重要。本研究旨在分析和展示后牙根尖与上颌窦底之间的关系、到颊皮质骨的距离,以及它们与年龄、性别和两侧的相关性。材料和方法收集了 94 名患者共 478 颗上颌后牙和 997 根牙根的锥束计算机断层扫描图像。测量从根尖到上颌窦最近边界和颊皮质骨外缘的最短距离,并对差异进行分组统计分析(P < 0.05)。在所有牙根中,双根第一前磨牙的颊根到颊皮质骨的水平距离最短(P < 0.01)。上颌窦底的最低位置大多位于腭侧(P < 0.01),上颌前磨牙和磨牙的颊根尖和腭根尖之间(P < 0.01)。年龄的增加会导致根尖与上颌窦之间的距离变长(P < 0.01)。结论不同的牙齿位置、年龄和性别对牙根尖与上颌窦和颊面骨皮质板之间的关系有显著影响,这为以患者为中心、为个体量身定制更有效、更安全的外科根管治疗方法提供了依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Dental Sciences
Journal of Dental Sciences 医学-牙科与口腔外科
CiteScore
5.10
自引率
14.30%
发文量
348
审稿时长
6 days
期刊介绍: he Journal of Dental Sciences (JDS), published quarterly, is the official and open access publication of the Association for Dental Sciences of the Republic of China (ADS-ROC). The precedent journal of the JDS is the Chinese Dental Journal (CDJ) which had already been covered by MEDLINE in 1988. As the CDJ continued to prove its importance in the region, the ADS-ROC decided to move to the international community by publishing an English journal. Hence, the birth of the JDS in 2006. The JDS is indexed in the SCI Expanded since 2008. It is also indexed in Scopus, and EMCare, ScienceDirect, SIIC Data Bases. The topics covered by the JDS include all fields of basic and clinical dentistry. Some manuscripts focusing on the study of certain endemic diseases such as dental caries and periodontal diseases in particular regions of any country as well as oral pre-cancers, oral cancers, and oral submucous fibrosis related to betel nut chewing habit are also considered for publication. Besides, the JDS also publishes articles about the efficacy of a new treatment modality on oral verrucous hyperplasia or early oral squamous cell carcinoma.
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