TY - JOUR
T1 - Cone-beam Computed Tomographic Analysis to Detect the Association between Primary and Secondary Endodontic Infections and Mucosal Thickness of Maxillary Sinus
AU - Garcia-Font, Marc
AU - Abella, Francesc
AU - Patel, Shanon
AU - Rodríguez, Marta
AU - González Sanchez, José Antonio
AU - Duran-Sindreu, Fernando
PY - 2020/9
Y1 - 2020/9
N2 - Introduction: This retrospective study used cone-beam computed tomographic (CBCT) imaging to evaluate the differences in the mucosal thickness of the Schneiderian membrane in primary and secondary endodontic lesions. Methods: A total of 121 CBCT scans were analyzed. Clinical features such as sex, age, size and volume of the periapical lesion, dimension of the bone, morphology, and relationship between the roots and the mucosal thickness were recorded and analyzed in primary and secondary endodontic lesions in CBCT sagittal and coronal planes. Data were analyzed using the chi-square test, the Mann-Whitney U test, and multiple logistic regression (P <.05). Results: Statistical analysis revealed no significant differences in membrane thickness between the primary and secondary lesions in the sagittal and coronal planes (P =.08 and.06). Differences between age groups were statistically significant in both groups (P <.05). The volume of the periapical lesions of the secondary endodontic lesions were statistically greater than that of the primary lesions (P <.05). Mucosal thickness prevalence increased when the volume of the lesion was greater, and the bone dimension was narrower in maxillary second premolars and first and second molars. Teeth with 2 or more affected roots were directly related to increased sinus mucosa thickening. Conclusions: CBCT images showed no differences in mucosal thickening between primary and secondary endodontic lesions.
AB - Introduction: This retrospective study used cone-beam computed tomographic (CBCT) imaging to evaluate the differences in the mucosal thickness of the Schneiderian membrane in primary and secondary endodontic lesions. Methods: A total of 121 CBCT scans were analyzed. Clinical features such as sex, age, size and volume of the periapical lesion, dimension of the bone, morphology, and relationship between the roots and the mucosal thickness were recorded and analyzed in primary and secondary endodontic lesions in CBCT sagittal and coronal planes. Data were analyzed using the chi-square test, the Mann-Whitney U test, and multiple logistic regression (P <.05). Results: Statistical analysis revealed no significant differences in membrane thickness between the primary and secondary lesions in the sagittal and coronal planes (P =.08 and.06). Differences between age groups were statistically significant in both groups (P <.05). The volume of the periapical lesions of the secondary endodontic lesions were statistically greater than that of the primary lesions (P <.05). Mucosal thickness prevalence increased when the volume of the lesion was greater, and the bone dimension was narrower in maxillary second premolars and first and second molars. Teeth with 2 or more affected roots were directly related to increased sinus mucosa thickening. Conclusions: CBCT images showed no differences in mucosal thickening between primary and secondary endodontic lesions.
KW - Cone-beam computed tomography
KW - maxillary sinus
KW - mucosal thickness
KW - primary endodontic infections
KW - secondary endodontic infections
UR - http://www.scopus.com/inward/record.url?scp=85087961317&partnerID=8YFLogxK
U2 - 10.1016/j.joen.2020.05.015
DO - 10.1016/j.joen.2020.05.015
M3 - Article
AN - SCOPUS:85087961317
SN - 0099-2399
VL - 46
SP - 1235
EP - 1240
JO - JOURNAL OF ENDODONTICS
JF - JOURNAL OF ENDODONTICS
IS - 9
ER -