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Published in: Clinical Oral Investigations 3/2018

01-04-2018 | Original Article

Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT)

Authors: Andy Wai Kan Yeung, Ray Tanaka, Pek-Lan Khong, Thomas von Arx, Michael M. Bornstein

Published in: Clinical Oral Investigations | Issue 3/2018

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Abstract

Objectives

The purpose of the present study was to evaluate the frequency, locations, and dimensions of mucous retention cysts of the maxillary sinus and analyze potential associated dental pathology.

Materials and methods

A total of 156 cone beam computed tomography (CBCT) scans were included in the analysis, resulting in an evaluation of 310 maxillary sinuses. The presence of mucous retention cysts (MRC) manifesting as dome-shaped radiopacities in the sinus was diagnosed. Their locations were recorded, and dimensions (mm) were measured in coronal and sagittal/axial slices. The patients were grouped into (a) patients/sinuses with MRCs (test), and (b) patients/sinuses with healthy or any other changes (control) for further comparison and evaluation.

Results

There were 40 sinuses (12.9%) with a presence of a total of 56 MRCs. The mean age of involved patients was 29.0 years. The analysis showed that gender, age, sinus side, status of dentition, endodontic status, and periodontal status did not have a significant influence on the presence of MRCs when compared between test and control groups. Age and endodontic status exhibited a significant association with cyst location.

Conclusions

Most of the sinuses analyzed (79.5%) did not present any MRC, and only 28.6% of the cysts diagnosed were found on the floor of the maxillary sinus. The mean dimension of the MRCs measured 6.28 ± 2.93 mm. No influencing factors on the presence or absence of MRCs were found in the present study.

Clinical relevance

Most MRCs were not located on the floor of maxillary sinus. Future studies should assess their impact on surgical interventions in the sinus.
Literature
1.
go back to reference Vogiatzi T, Kloukos D, Scarfe WC, Bornstein MM (2014) 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 29:1301–1314CrossRefPubMed Vogiatzi T, Kloukos D, Scarfe WC, Bornstein MM (2014) 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 29:1301–1314CrossRefPubMed
2.
go back to reference Benavides E, Rios HF, Ganz SD, An C-H, Resnik R, Reardon GT, Feldman SJ, Mah JK, Hatcher D, Kim M-J (2012) Use of cone beam computed tomography in implant dentistry: the International Congress of Oral Implantologists consensus report. Implant Dent 21:78–86CrossRefPubMed Benavides E, Rios HF, Ganz SD, An C-H, Resnik R, Reardon GT, Feldman SJ, Mah JK, Hatcher D, Kim M-J (2012) Use of cone beam computed tomography in implant dentistry: the International Congress of Oral Implantologists consensus report. Implant Dent 21:78–86CrossRefPubMed
3.
go back to reference Bornstein MM, Scarfe WC, Vaughn VM, Jacobs R (2014) Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants 29:55–77CrossRefPubMed Bornstein MM, Scarfe WC, Vaughn VM, Jacobs R (2014) Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants 29:55–77CrossRefPubMed
4.
go back to reference Harris D, Horner K, Gröndahl K, Jacobs R, Helmrot E, Benic GI, Bornstein MM, Dawood A, Quirynen M (2012) EAO guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res 23:1243–1253CrossRefPubMed Harris D, Horner K, Gröndahl K, Jacobs R, Helmrot E, Benic GI, Bornstein MM, Dawood A, Quirynen M (2012) EAO guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res 23:1243–1253CrossRefPubMed
5.
go back to reference Rigolone M, Pasqualini D, Bianchi L, Berutti E, Bianchi SD (2003) Vestibular surgical access to the palatine root of the superior first molar: “low-dose cone-beam” CT analysis of the pathway and its anatomic variations. J Endod 29:773–775CrossRefPubMed Rigolone M, Pasqualini D, Bianchi L, Berutti E, Bianchi SD (2003) Vestibular surgical access to the palatine root of the superior first molar: “low-dose cone-beam” CT analysis of the pathway and its anatomic variations. J Endod 29:773–775CrossRefPubMed
6.
go back to reference Kusnoto B, Kaur P, Salem A, Zhang Z, Galang-Boquiren MT, Viana G, Evans CA, Manasse R, Monahan R, BeGole E (2015) Implementation of ultra-low-dose CBCT for routine 2D orthodontic diagnostic radiographs: cephalometric landmark identification and image quality assessment. Semin Orthod 21:233–247CrossRef Kusnoto B, Kaur P, Salem A, Zhang Z, Galang-Boquiren MT, Viana G, Evans CA, Manasse R, Monahan R, BeGole E (2015) Implementation of ultra-low-dose CBCT for routine 2D orthodontic diagnostic radiographs: cephalometric landmark identification and image quality assessment. Semin Orthod 21:233–247CrossRef
7.
go back to reference Chindasombatjaroen J, Poomsawat S, Klongnoi B (2012) Calcifying cystic odontogenic tumor associated with other lesions: case report with cone-beam computed tomography findings. Oral Surg Oral Med Oral Pathol Oral Radiol 113:414–420CrossRefPubMed Chindasombatjaroen J, Poomsawat S, Klongnoi B (2012) Calcifying cystic odontogenic tumor associated with other lesions: case report with cone-beam computed tomography findings. Oral Surg Oral Med Oral Pathol Oral Radiol 113:414–420CrossRefPubMed
8.
go back to reference Rege ICC, Sousa TO, Leles CR, Mendonça EF (2012) Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 12:30CrossRefPubMedPubMedCentral Rege ICC, Sousa TO, Leles CR, Mendonça EF (2012) Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 12:30CrossRefPubMedPubMedCentral
9.
go back to reference Gardner DG (1984) Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 58:561–567CrossRefPubMed Gardner DG (1984) Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 58:561–567CrossRefPubMed
10.
go back to reference MacDonald-Jankowski D (1993) Mucosal antral cysts in a Chinese population. Dentomaxillofac Radiol 22:208–210CrossRefPubMed MacDonald-Jankowski D (1993) Mucosal antral cysts in a Chinese population. Dentomaxillofac Radiol 22:208–210CrossRefPubMed
11.
go back to reference MacDonald-Jankowski D (1994) Mucosal antral cysts observed within a London inner-city population. Clin Radiol 49:195–198CrossRefPubMed MacDonald-Jankowski D (1994) Mucosal antral cysts observed within a London inner-city population. Clin Radiol 49:195–198CrossRefPubMed
12.
go back to reference Rodrigues C, Freire G, Silva L, da Silveira MF, Estrela C (2014) Prevalence and risk factors of mucous retention cysts in a Brazilian population. Dentomaxillofac Radiol 38:480–483CrossRef Rodrigues C, Freire G, Silva L, da Silveira MF, Estrela C (2014) Prevalence and risk factors of mucous retention cysts in a Brazilian population. Dentomaxillofac Radiol 38:480–483CrossRef
13.
go back to reference Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A (2010) 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 109:e80–e87CrossRefPubMed Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A (2010) 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 109:e80–e87CrossRefPubMed
14.
go back to reference Jones N, Strobl A, Holland I (1997) A study of the CT findings in 100 patients with rhinosinusitis and 100 controls. Clin Otolaryngol Allied Sci 22:47–51CrossRefPubMed Jones N, Strobl A, Holland I (1997) A study of the CT findings in 100 patients with rhinosinusitis and 100 controls. Clin Otolaryngol Allied Sci 22:47–51CrossRefPubMed
15.
go back to reference Çaglayan F, Tozoglu Ü (2012) Incidental findings in the maxillofacial region detected by cone beam CT. Diagn Interv Radiol 18:159–163PubMed Çaglayan F, Tozoglu Ü (2012) Incidental findings in the maxillofacial region detected by cone beam CT. Diagn Interv Radiol 18:159–163PubMed
16.
go back to reference Kang B-C, Yoon S-J, Lee J-S, Al-Rawi W, Palomo JM (2011) The use of cone beam computed tomography for the evaluation of pathology, developmental anomalies and traumatic injuries relevant to orthodontics. Semin Orthod 17:20–33CrossRef Kang B-C, Yoon S-J, Lee J-S, Al-Rawi W, Palomo JM (2011) The use of cone beam computed tomography for the evaluation of pathology, developmental anomalies and traumatic injuries relevant to orthodontics. Semin Orthod 17:20–33CrossRef
17.
go back to reference Pelinsari Lana J, Moura Rodrigues Carneiro P, de Carvalho MV, Eduardo Alencar de Souza P, Ricardo Manzi F, Campolina Rebello Horta M (2012) Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res 23:1398–1403CrossRef Pelinsari Lana J, Moura Rodrigues Carneiro P, de Carvalho MV, Eduardo Alencar de Souza P, Ricardo Manzi F, Campolina Rebello Horta M (2012) Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res 23:1398–1403CrossRef
18.
go back to reference Hauman C, Chandler N, Tong D (2002) Endodontic implications of the maxillary sinus: a review. Int Endod J 35:127–141CrossRefPubMed Hauman C, Chandler N, Tong D (2002) Endodontic implications of the maxillary sinus: a review. Int Endod J 35:127–141CrossRefPubMed
19.
go back to reference Moskow BS (1992) A histomorphologic study of the effects of periodontal inflammation on the maxillary sinus mucosa. J Periodontol 63:674–681CrossRefPubMed Moskow BS (1992) A histomorphologic study of the effects of periodontal inflammation on the maxillary sinus mucosa. J Periodontol 63:674–681CrossRefPubMed
20.
go back to reference Nascimento EHL, Pontual MLA, Pontual AA, Freitas DQ, Perez DEC, Ramos-Perez FM (2016) Association between odontogenic conditions and maxillary sinus disease: a study using cone-beam computed tomography. J Endod 42:1509–1515CrossRefPubMed Nascimento EHL, Pontual MLA, Pontual AA, Freitas DQ, Perez DEC, Ramos-Perez FM (2016) Association between odontogenic conditions and maxillary sinus disease: a study using cone-beam computed tomography. J Endod 42:1509–1515CrossRefPubMed
21.
go back to reference Bornstein MM, Horner K, Jacobs R (2017) Use of cone beam computed tomography in implant dentistry: current concepts, indications and limitations for clinical practice and research. Periodontol 2000 73:51–72CrossRefPubMed Bornstein MM, Horner K, Jacobs R (2017) Use of cone beam computed tomography in implant dentistry: current concepts, indications and limitations for clinical practice and research. Periodontol 2000 73:51–72CrossRefPubMed
22.
go back to reference Schneider AC, Brägger U, Sendi P, Caversaccio MD, Buser D, Bornstein MM (2013) Characteristics and dimensions of the sinus membrane in patients referred for single-implant treatment in the posterior maxilla: a cone beam computed tomographic analysis. Int J Oral Maxillofac Implants 28:587–596CrossRefPubMed Schneider AC, Brägger U, Sendi P, Caversaccio MD, Buser D, Bornstein MM (2013) Characteristics and dimensions of the sinus membrane in patients referred for single-implant treatment in the posterior maxilla: a cone beam computed tomographic analysis. Int J Oral Maxillofac Implants 28:587–596CrossRefPubMed
23.
go back to reference Soikkonen K, Ainamo A (1995) Radiographic maxillary sinus findings in the elderly. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 80:487–491CrossRefPubMed Soikkonen K, Ainamo A (1995) Radiographic maxillary sinus findings in the elderly. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 80:487–491CrossRefPubMed
24.
go back to reference Mancl LA, Leroux B, DeRouen T (2000) Between-subject and within-subject statistical information in dental research. J Dent Res 79:1778–1781CrossRefPubMed Mancl LA, Leroux B, DeRouen T (2000) Between-subject and within-subject statistical information in dental research. J Dent Res 79:1778–1781CrossRefPubMed
25.
go back to reference Fleiss JL, Levin B, Paik MC (2013) Statistical methods for rates and proportions, 3rd edn. John Wiley & Sons, New Jersey Fleiss JL, Levin B, Paik MC (2013) Statistical methods for rates and proportions, 3rd edn. John Wiley & Sons, New Jersey
26.
go back to reference Wang JH, Jang YJ, Lee BJ (2007) Natural course of retention cysts of the maxillary sinus: long-term follow-up results. Laryngoscope 117:341–344CrossRefPubMed Wang JH, Jang YJ, Lee BJ (2007) Natural course of retention cysts of the maxillary sinus: long-term follow-up results. Laryngoscope 117:341–344CrossRefPubMed
27.
go back to reference Patel S, Durack C, Abella F, Roig M, Shemesh H, Lambrechts P, Lemberg K (2014) European Society of Endodontology position statement: the use of CBCT in endodontics. Int Endod J 47:502–504CrossRefPubMed Patel S, Durack C, Abella F, Roig M, Shemesh H, Lambrechts P, Lemberg K (2014) European Society of Endodontology position statement: the use of CBCT in endodontics. Int Endod J 47:502–504CrossRefPubMed
28.
go back to reference Mardinger O, Manor I, Mijiritsky E, Hirshberg A (2007) Maxillary sinus augmentation in the presence of antral pseudocyst: a clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:180–184CrossRefPubMed Mardinger O, Manor I, Mijiritsky E, Hirshberg A (2007) Maxillary sinus augmentation in the presence of antral pseudocyst: a clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:180–184CrossRefPubMed
30.
go back to reference Pikos MA (2008) Maxillary sinus membrane repair: update on technique for large and complete perforations. Implant Dent 17:24–31CrossRefPubMed Pikos MA (2008) Maxillary sinus membrane repair: update on technique for large and complete perforations. Implant Dent 17:24–31CrossRefPubMed
31.
go back to reference Maiorana C, Beretta M, Benigni M, Cicciù M, Stoffella E, Grossi G (2012) Sinus lift procedure in presence of mucosal cyst: a clinical prospective study. JIACD 4:54–60 Maiorana C, Beretta M, Benigni M, Cicciù M, Stoffella E, Grossi G (2012) Sinus lift procedure in presence of mucosal cyst: a clinical prospective study. JIACD 4:54–60
32.
go back to reference Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J (2008) Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 19:1285–1289CrossRefPubMed Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J (2008) Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 19:1285–1289CrossRefPubMed
33.
go back to reference Weitz DS, Geminiani A, Papadimitriou DE, Ercoli C, Caton JG (2014) The incidence of membrane perforation during sinus floor elevation using sonic instruments: a series of 40 cases. Int J Periodontics Restor Dent 34:105–112CrossRef Weitz DS, Geminiani A, Papadimitriou DE, Ercoli C, Caton JG (2014) The incidence of membrane perforation during sinus floor elevation using sonic instruments: a series of 40 cases. Int J Periodontics Restor Dent 34:105–112CrossRef
Metadata
Title
Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT)
Authors
Andy Wai Kan Yeung
Ray Tanaka
Pek-Lan Khong
Thomas von Arx
Michael M. Bornstein
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 3/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-017-2206-z

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