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International Journal of Implant Dentistry
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Open Access 01-12-2017 | Research

Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography—influence of professional training

Authors: Michael Dau, Paul Marciak, Bial Al-Nawas, Henning Staedt, Abdulmonem Alshiri, Bernhard Frerich, Peer Wolfgang Kämmerer

Published in: International Journal of Implant Dentistry | Issue 1/2017

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Abstract

Background

A comparison of panoramic radiography (PAN) alone and PAN together with small field of view cone beam computed tomography (sFOV-CBCT) for diagnosis of symptomatic pathologies of the maxillary sinus was carried out by clinicians of different experience.

Methods

Corresponding radiographic images (PAN/sFOV-CBCT) of 28 patients with symptomatic maxillary sinus pathologies were chosen and analyzed by two general practitioners (GP), two junior maxillofacial surgeons (MS1), and three senior maxillofacial surgeons (MS2) via questionnaire.

Results

Visibility of maxillary pathologies in PAN was significantly different between the groups (GP 39%, MS1 48%, MS2 61%; p < 0.05). The number of incidental findings varied within examiner groups in PAN with a significant increase in MS2 (p = 0.027). The majority of examiners rated an additional sFOV-CBCT as “reasonable”/“required” with a significant influence of the examining groups (GP 98.2%, MS1 94.6%, MS2 80.9%; p = 0.008). In 58% of cases, an additional sFOV-CBCT was seen as “affecting therapy” with significant differences between the groups (GP 68%, MS1 50%, MS2 55%; p < 0.001).

Conclusions

PAN alone is not sufficient for the evaluation of pathologies of the maxillary sinus. But, depending on the examiners’ clinical experience, it remains a useful diagnostic tool. Along with the observers’ training, significant benefits of an additional sFOV-CBCT for evaluation of symptomatic maxillary sinus pathologies were detected.
Literature
1.
Dragan E, et al. Maxillary sinus anatomic and pathologic CT findings in edentulous patients scheduled for sinus augmentation. Rev Med Chir Soc Med Nat Iasi. 2014;118(4):1114–21.PubMed
2.
Raghav M, et al. Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images. Contemp Clin Dent. 2014;5(3):361–5.CrossRefPubMedPubMedCentral
3.
Lyros I, et al. An incidental finding on a diagnostic CBCT: a case report. Aust Orthod J. 2014;30(1):67–71.PubMed
4.
Steier L, et al. Maxillary sinus unilateral aplasia as an incidental finding following cone-beam computed (volumetric) tomography. Aust Endod J. 2014;40(1):26–31.CrossRefPubMed
5.
Vogiatzi T, et al. Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: a systematic review. Int J Oral Maxillofac Implants. 2014;29(6):1301–14.PubMed
6.
Warhekar S, et al. Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in Indore City (m.p). J Clin Diagn Res. 2015;9(2):ZC21–4.PubMedPubMedCentral
7.
Shiki K, et al. The significance of cone beam computed tomography for the visualization of anatomical variations and lesions in the maxillary sinus for patients hoping to have dental implant-supported maxillary restorations in a private dental office in Japan. Head Face Med. 2014;10:20.CrossRefPubMedPubMedCentral
8.
9.
Kuhnel TS, Reichert TE. Trauma of the midface. Laryngorhinootologie. 2015;94 Suppl 1:S206–47.PubMed
10.
Dau M, et al. Presurgical evaluation of bony implant sites using panoramic radiography and cone beam computed tomography-influence of medical education. Dentomaxillofac Radiol. 2017;46(2):20160081.CrossRefPubMed
11.
Kammerer PW, et al. Surgical evaluation of panoramic radiography and cone beam computed tomography for therapy planning of bisphosphonate-related osteonecrosis of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(4):419–24.CrossRefPubMed
12.
13.
Guerra-Pereira I., et al. Ct maxillary sinus evaluation—a retrospective cohort study. Med Oral Patol Oral Cir Bucal. 2015;20(4):e419–26.
14.
Gang TI, et al. The effect of radiographic imaging modalities and the observer’s experience on postoperative maxillary cyst assessment. Imaging Sci Dent. 2014;44(4):301–5.CrossRefPubMedPubMedCentral
15.
Batra PS, et al. Computed tomography imaging practice patterns in adult chronic rhinosinusitis: survey of the American Academy of Otolaryngology-Head and Neck Surgery and American Rhinologic Society Membership. Int Forum Allergy Rhinol. 2015;5(6):506–12.CrossRefPubMed
16.
Whitesides LM, Aslam-Pervez N, Warburton G. Cone-beam computed tomography education and exposure in oral and maxillofacial surgery training programs in the United States. J Oral Maxillofac Surg. 2015;73(3):522–8.CrossRefPubMed
17.
18.
De Cock J, et al. A comparative study for image quality and radiation dose of a cone beam computed tomography scanner and a multislice computed tomography scanner for paranasal sinus imaging. Eur Radiol. 2015;25(7):1891–900.CrossRefPubMed
19.
Roberts JA, et al. Effective dose from cone beam CT examinations in dentistry. Br J Radiol. 2009;82(973):35–40.CrossRefPubMed
20.
Deman P, et al. Dose measurements for dental cone-beam CT: a comparison with MSCT and panoramic imaging. Phys Med Biol. 2014;59(12):3201–22.CrossRefPubMed
21.
Shin HS, et al. Effective doses from panoramic radiography and CBCT (cone beam CT) using dose area product (DAP) in dentistry. Dentomaxillofac Radiol. 2014;43(5):20130439.CrossRefPubMedPubMedCentral
22.
Al-Okshi A, et al. Using GafChromic film to estimate the effective dose from dental cone beam CT and panoramic radiography. Dentomaxillofac Radiol. 2013;42(7):20120343.CrossRefPubMedPubMedCentral
23.
Poleti ML, et al. Anatomical variation of the maxillary sinus in cone beam computed tomography. Case Rep Dent. 2014;2014:707261.PubMedPubMedCentral
24.
Friedland B, Metson R. A guide to recognizing maxillary sinus pathology and for deciding on further preoperative assessment prior to maxillary sinus augmentation. Int J Periodontics Restorative Dent. 2014;34(6):807–15.CrossRefPubMed
25.
26.
Jafari-Pozve N, et al. Aplasia and hypoplasia of the maxillary sinus: a case series. Dent Res J (Isfahan). 2014;11(5):615–7.
27.
Rivis M, Valeanu AN. Giant maxillary cyst with intrasinusal evolution. Rom J Morphol Embryol. 2013;54(3 Suppl):889–92.PubMed
28.
Yilmaz SY, Misirlioglu M, Adisen MZ. A diagnosis of maxillary sinus fracture with cone-beam CT: case report and literature review. Craniomaxillofac Trauma Reconstr. 2014;7(2):85–91.CrossRefPubMedPubMedCentral
29.
Lana JP, et al. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res. 2012;23(12):1398–403.CrossRefPubMed
30.
Jadhav AB, Lurie AG, Tadinada A. Chronic osteitic rhinosinusitis as a manifestation of cystic fibrosis: a case report. Imaging Sci Dent. 2014;44(3):243–7.CrossRefPubMedPubMedCentral
31.
World Medical A. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4.CrossRef
32.
Kammerer PW, et al. Clinical parameter of odontoma with special emphasis on treatment of impacted teeth—a retrospective multicentre study and literature review. Clin Oral Investig. 2016;20(7):1827–35.CrossRefPubMed
33.
Schafer T, et al. Incidental finding of a foreign object on a panoramic radiograph. Pediatr Dent. 2015;37(5):453–4.PubMed
34.
Turgeon DP, Lam EW. Influence of experience and training on dental students’ examination performance regarding panoramic images. J Dent Educ. 2016;80(2):156–64.PubMed
35.
Wolf MK, et al. Preoperative 3D imaging in maxillary sinus: brief review of the literature and case report. Quintessence Int. 2015;46(7):627–31.
36.
Sharma BN, et al. Computed tomography in the evaluation of pathological lesions of paranasal sinuses. J Nepal Health Res Counc. 2015;13(30):116–20.PubMed
37.
Zojaji R, et al. Diagnostic accuracy of cone-beam computed tomography in the evaluation of chronic rhinosinusitis. ORL J Otorhinolaryngol Relat Spec. 2015;77(1):55–60.CrossRefPubMed
38.
Noar JH, Pabari S. Cone beam computed tomography—current understanding and evidence for its orthodontic applications? J Orthod. 2013;40(1):5–13.CrossRefPubMed
39.
Guerrero ME, Noriega J, Jacobs R. Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images. Imaging Sci Dent. 2014;44(3):213–20.CrossRefPubMedPubMedCentral
40.
Machtei EE, Oettinger-Barak O, Horwitz J. Axial relationship between dental implants and teeth/implants: a radiographic study. J Oral Implantol. 2014;40(4):425–31.CrossRefPubMed
41.
Stratemann SA, et al. Evaluating the mandible with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2010;137(4 Suppl):S58–70.CrossRefPubMed
42.
Quintero JC, et al. Craniofacial imaging in orthodontics: historical perspective, current status, and future developments. Angle Orthod. 1999;69(6):491–506.PubMed
43.
Tadinada A, et al. Radiographic evaluation of the maxillary sinus prior to dental implant therapy: a comparison between two-dimensional and three-dimensional radiographic imaging. Imaging Sci Dent. 2015;45(3):169–74.CrossRefPubMedPubMedCentral
44.
Ritter L, et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(5):634–40.CrossRefPubMed
45.
Maillet M, et al. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod. 2011;37(6):753–7.CrossRefPubMed
46.
Varela-Centelles P, et al. Detection of the posterior superior alveolar artery in the lateral sinus wall using computed tomography/cone beam computed tomography: a prevalence meta-analysis study and systematic review. Int J Oral Maxillofac Surg. 2015;44(11):1405–10.CrossRefPubMed
47.
Shahidi S, et al. Evaluation of anatomic variations in maxillary sinus with the aid of cone beam computed tomography (CBCT) in a population in south of Iran. J Dent (Shiraz). 2016;17(1):7–15.
48.
Hssaine K, et al. Paranasal sinus mucoceles: about 32 cases. Rev Stomatol Chir Maxillofac Chir Orale. 2016;117(1):11–4.PubMed
Metadata
Title
Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography—influence of professional training
Authors
Michael Dau
Paul Marciak
Bial Al-Nawas
Henning Staedt
Abdulmonem Alshiri
Bernhard Frerich
Peer Wolfgang Kämmerer
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2017
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-017-0075-5

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