Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT

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dc.contributor.authorGurhan, C.
dc.contributor.authorSener, E.
dc.contributor.authorMert, A.
dc.contributor.authorSen, G. B.
dc.date.accessioned2020-12-01T11:58:52Z
dc.date.available2020-12-01T11:58:52Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractAim To evaluate the effect of various parameters of periapical lesion(s) on the amount and type of mucosal thickening using cone beam CT images. Methodology CBCT scans of 1000 patients were evaluated retrospectively for the presence of apical lesions in maxillary posterior teeth associated with sinus mucosal thickening. the number of cases with pathological mucosal thickening was recorded and classified according to the amount and type of mucosal thickening. the parameters evaluated as the cause of mucosal thickening were the type and number of posterior teeth, number of root(s), diameter of the periapical lesion and distance between maxillary sinus and lesion. Descriptive statistics and multiple logistic regression was used for data analyses. Spearman's correlation coefficient was used for pair-wise comparisons. Intrarater reliability was tested by Cohen's kappa. Results Mucosal thickening associated with periapical lesions was determined in 48% of 202 cases. the most frequently detected extent of mucosal thickening was type 3 (42%), whereas flat type thickening (59%) was the most frequent type. the tooth most frequently associated with mucosal thickening was the maxillary first molar (44%). Parameters significantly affecting the extent of mucosal thickening were gender, number of roots, number of teeth with periapical lesions and diameter of periapical lesions (P < 0.05). the single parameter with an association with the type of mucosal thickening was the number of roots with an apical lesion (P < 0.05). Conclusion Mucosal thickening associated with periapical lesions was observed in almost 50% of all mucosal thickening cases. Therefore, collaboration amongst endodontists and otolaryngologists is mandatory to provide successful treatment and prevent recurrence of maxillary sinusitis.en_US
dc.identifier.doi10.1111/iej.13362en_US
dc.identifier.endpage1347en_US
dc.identifier.issn0143-2885
dc.identifier.issn1365-2591
dc.identifier.issue10en_US
dc.identifier.pmid32627204en_US
dc.identifier.scopus2-s2.0-85088694862en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1339en_US
dc.identifier.urihttps://doi.org/10.1111/iej.13362
dc.identifier.urihttps://hdl.handle.net/11454/62133
dc.identifier.volume53en_US
dc.identifier.wosWOS:000553220800001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Endodontic Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcone beam computed tomographyen_US
dc.subjectmaxillary sinusitisen_US
dc.subjectperiapical lesionen_US
dc.titleEvaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CTen_US
dc.typeArticleen_US

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