Skip to main content
Top
Published in: BMC Oral Health 1/2020

Open Access 01-12-2020 | Digital Volume Tomography | Research article

Schneiderian membrane thickness variation following endodontic procedures: a retrospective cone beam computed tomography study

Authors: Thera Van Den Munckhof, Shanon Patel, Garrit Koller, Erwin Berkhout, Francesco Mannocci, Federico Foschi

Published in: BMC Oral Health | Issue 1/2020

Login to get access

Abstract

Background

To assess the change of the Schneider membrane thickness measured by CBCT before and after root canal treatment, retreatment and pulp capping procedures.

Methods

This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness.

Results

A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P < 0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness.

Conclusions

Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up.
The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane.
Literature
1.
go back to reference Horner K, O'Malley L, Taylor K, Glenny AM. Guidelines for clinical use of CBCT: a review. Dentomaxillofac Radiol. 2015;44(1):20140225.CrossRef Horner K, O'Malley L, Taylor K, Glenny AM. Guidelines for clinical use of CBCT: a review. Dentomaxillofac Radiol. 2015;44(1):20140225.CrossRef
2.
go back to reference Hashem D, Brown JE, Patel S, Mannocci F, Donaldson AN, Watson TF, Banerjee A. An in vitro comparison of the accuracy of measurements obtained from high- and low-resolution cone-beam computed tomography scans. J Endod. 2013;39(3):394–7.CrossRef Hashem D, Brown JE, Patel S, Mannocci F, Donaldson AN, Watson TF, Banerjee A. An in vitro comparison of the accuracy of measurements obtained from high- and low-resolution cone-beam computed tomography scans. J Endod. 2013;39(3):394–7.CrossRef
3.
go back to reference Durack C, Patel S. Cone beam computed tomography in endodontics. Braz Dent J. 2012;23(3):179–91.CrossRef Durack C, Patel S. Cone beam computed tomography in endodontics. Braz Dent J. 2012;23(3):179–91.CrossRef
4.
go back to reference Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007;40(10):818–30.CrossRef Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007;40(10):818–30.CrossRef
5.
go back to reference Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics - a review. Int Endod J. 2015;48(1):3–15.CrossRef Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics - a review. Int Endod J. 2015;48(1):3–15.CrossRef
6.
go back to reference de Paula-Silva FW, Wu MK, Leonardo MR, da Silva LA, Wesselink PR. Accuracy of periapical radiography and cone-beam computed tomography scans in diagnosing apical periodontitis using histopathological findings as a gold standard. J Endod. 2009;35(7):1009–12.CrossRef de Paula-Silva FW, Wu MK, Leonardo MR, da Silva LA, Wesselink PR. Accuracy of periapical radiography and cone-beam computed tomography scans in diagnosing apical periodontitis using histopathological findings as a gold standard. J Endod. 2009;35(7):1009–12.CrossRef
7.
go back to reference Tsai P, Torabinejad M, Rice D, Azevedo B. Accuracy of cone-beam computed tomography and periapical radiography in detecting small periapical lesions. J Endod. 2012;38(7):965–70.CrossRef Tsai P, Torabinejad M, Rice D, Azevedo B. Accuracy of cone-beam computed tomography and periapical radiography in detecting small periapical lesions. J Endod. 2012;38(7):965–70.CrossRef
8.
go back to reference Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography - part 1: pre-operative status. Int Endod J. 2012;45(8):702–10.CrossRef Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography - part 1: pre-operative status. Int Endod J. 2012;45(8):702–10.CrossRef
9.
go back to reference Patel S, Wilson R, Dawood A, Foschi F, Mannocci F. The detection of periapical pathosis using digital periapical radiography and cone beam computed tomography - part 2: a 1-year post-treatment follow-up. Int Endod J. 2012;45(8):711–23.CrossRef Patel S, Wilson R, Dawood A, Foschi F, Mannocci F. The detection of periapical pathosis using digital periapical radiography and cone beam computed tomography - part 2: a 1-year post-treatment follow-up. Int Endod J. 2012;45(8):711–23.CrossRef
10.
go back to reference Pauwels R, Zhang G, Theodorakou C, Walker A, Bosmans H, Jacobs R, Bogaerts R, Horner K, Consortium SP. Effective radiation dose and eye lens dose in dental cone beam CT: effect of field of view and angle of rotation. Br J Radiol. 2014;87(1042):20130654.CrossRef Pauwels R, Zhang G, Theodorakou C, Walker A, Bosmans H, Jacobs R, Bogaerts R, Horner K, Consortium SP. Effective radiation dose and eye lens dose in dental cone beam CT: effect of field of view and angle of rotation. Br J Radiol. 2014;87(1042):20130654.CrossRef
11.
go back to reference Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011;22(12):1446–53.CrossRef Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011;22(12):1446–53.CrossRef
12.
go back to reference Raghav M, Karjodkar FR, Sontakke S, Sansare K. Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images. Contemporary Clin Dentistry. 2014;5(3):361–5.CrossRef Raghav M, Karjodkar FR, Sontakke S, Sansare K. Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images. Contemporary Clin Dentistry. 2014;5(3):361–5.CrossRef
13.
go back to reference Srouji S, Kizhner T, Ben David D, Riminucci M, Bianco P, Livne E. The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study. Calcif Tissue Int. 2009;84(2):138–45.CrossRef Srouji S, Kizhner T, Ben David D, Riminucci M, Bianco P, Livne E. The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study. Calcif Tissue Int. 2009;84(2):138–45.CrossRef
14.
go back to reference Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaert P et al: European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl 2012 (23):3 p preceding table of contents, 1–298. Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaert P et al: European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl 2012 (23):3 p preceding table of contents, 1–298.
15.
go back to reference Kretzschmar DP, Kretzschmar JL. Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(2):128–35.CrossRef Kretzschmar DP, Kretzschmar JL. Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(2):128–35.CrossRef
16.
go back to reference Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, Zheng G, Wang H, Huang D. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod. 2012;38(8):1069–74.CrossRef Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, Zheng G, Wang H, Huang D. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod. 2012;38(8):1069–74.CrossRef
17.
go back to reference Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. 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):e80–7.CrossRef Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. 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):e80–7.CrossRef
18.
go back to reference Bomeli SR, Branstetter BF, Ferguson BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope. 2009;119(3):580–4.CrossRef Bomeli SR, Branstetter BF, Ferguson BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope. 2009;119(3):580–4.CrossRef
19.
go back to reference Hoskison E, Daniel M, Rowson JE, Jones NS. Evidence of an increase in the incidence of odontogenic sinusitis over the last decade in the UK. J Laryngol Otol. 2012;126(1):43–6.CrossRef Hoskison E, Daniel M, Rowson JE, Jones NS. Evidence of an increase in the incidence of odontogenic sinusitis over the last decade in the UK. J Laryngol Otol. 2012;126(1):43–6.CrossRef
20.
go back to reference Pokorny A, Tataryn R. Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin. Int Forum Allergy Rhinol. 2013;3(12):973–9.CrossRef Pokorny A, Tataryn R. Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin. Int Forum Allergy Rhinol. 2013;3(12):973–9.CrossRef
21.
go back to reference Bornstein MM, Wasmer J, Sendi P, Janner SF, Buser D, von Arx T. Characteristics and dimensions of the Schneiderian membrane and apical bone in maxillary molars referred for apical surgery: a comparative radiographic analysis using limited cone beam computed tomography. J Endod. 2012;38(1):51–7.CrossRef Bornstein MM, Wasmer J, Sendi P, Janner SF, Buser D, von Arx T. Characteristics and dimensions of the Schneiderian membrane and apical bone in maxillary molars referred for apical surgery: a comparative radiographic analysis using limited cone beam computed tomography. J Endod. 2012;38(1):51–7.CrossRef
22.
go back to reference Nurbakhsh B, Friedman S, Kulkarni GV, Basrani B, Lam E. Resolution of maxillary sinus mucositis after endodontic treatment of maxillary teeth with apical periodontitis: a cone-beam computed tomography pilot study. J Endod. 2011;37(11):1504–11.CrossRef Nurbakhsh B, Friedman S, Kulkarni GV, Basrani B, Lam E. Resolution of maxillary sinus mucositis after endodontic treatment of maxillary teeth with apical periodontitis: a cone-beam computed tomography pilot study. J Endod. 2011;37(11):1504–11.CrossRef
23.
go back to reference Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Archives Otolaryngol Head Neck Surg. 1988;114(8):856–9.CrossRef Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Archives Otolaryngol Head Neck Surg. 1988;114(8):856–9.CrossRef
24.
go back to reference Hashem D, Mannocci F, Patel S, Manoharan A, Brown JE, Watson TF, Banerjee A. Clinical and radiographic assessment of the efficacy of calcium silicate indirect pulp capping: a randomized controlled clinical trial. J Dent Res. 2015;94(4):562–8.CrossRef Hashem D, Mannocci F, Patel S, Manoharan A, Brown JE, Watson TF, Banerjee A. Clinical and radiographic assessment of the efficacy of calcium silicate indirect pulp capping: a randomized controlled clinical trial. J Dent Res. 2015;94(4):562–8.CrossRef
25.
go back to reference Patel S, Brown J, Semper M, Abella F, Mannocci F. European Society of Endodontology position statement: use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. Int Endod J. 2019;52(12):1675–8.CrossRef Patel S, Brown J, Semper M, Abella F, Mannocci F. European Society of Endodontology position statement: use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. Int Endod J. 2019;52(12):1675–8.CrossRef
26.
go back to reference Hastan D, Fokkens WJ, Bachert C, Newson RB, Bislimovska J, Bockelbrink A, Bousquet PJ, Brozek G, Bruno A, Dahlen SE, et al. Chronic rhinosinusitis in Europe--an underestimated disease. A GA(2) LEN study. Allergy. 2011;66(9):1216–23.CrossRef Hastan D, Fokkens WJ, Bachert C, Newson RB, Bislimovska J, Bockelbrink A, Bousquet PJ, Brozek G, Bruno A, Dahlen SE, et al. Chronic rhinosinusitis in Europe--an underestimated disease. A GA(2) LEN study. Allergy. 2011;66(9):1216–23.CrossRef
27.
go back to reference Schneider AC, Bragger U, Sendi P, Caversaccio MD, Buser D, Bornstein MM. 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. 2013;28(2):587–96.CrossRef Schneider AC, Bragger U, Sendi P, Caversaccio MD, Buser D, Bornstein MM. 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. 2013;28(2):587–96.CrossRef
28.
go back to reference Legert K, Melen I, Heimdahl A, Stierna P. Development and characterization of an animal model of dental sinusitis. Acta Otolaryngol. 2005;125(11):1195–202.CrossRef Legert K, Melen I, Heimdahl A, Stierna P. Development and characterization of an animal model of dental sinusitis. Acta Otolaryngol. 2005;125(11):1195–202.CrossRef
Metadata
Title
Schneiderian membrane thickness variation following endodontic procedures: a retrospective cone beam computed tomography study
Authors
Thera Van Den Munckhof
Shanon Patel
Garrit Koller
Erwin Berkhout
Francesco Mannocci
Federico Foschi
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01122-6

Other articles of this Issue 1/2020

BMC Oral Health 1/2020 Go to the issue