Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (11): 761-765.doi: 10.12016/j.issn.2096-1456.2021.11.006

• Clinical Study • Previous Articles     Next Articles

A study of the maxillary sinus lateral wall thickness using cone-beam CT

WANG Yanlin1(),SUN Xiaojun1,2()   

  1. 1. School of Stomatology, Shanxi Medical University, Taiyuan 030001, China
    2. Department of Stomatology, The First Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2021-03-14 Revised:2021-05-09 Online:2021-11-20 Published:2021-07-20
  • Contact: Xiaojun SUN E-mail:wylaoda1160@163.com;xis1972sun@163.com
  • Supported by:
    Scientific Research Project of Returnees Studying Abroad in Shanxi Province(2017-112)

Abstract:

Objective To investigate the relationship between the thickness of the lateral wall of the maxillary sinus and patient age and sex at different tooth sites to provide a reference for sinus floor elevations. Methods Cone-beam CT(CBCT) imaging data were collected from 222 patients admitted to the Department of Stomatology, the First Hospital of Shanxi Medical University, from March 2020 to October 2020. The thicknesses of the maxillary sinus lateral wall of the first premolar, second premolar, first molar and second molar were observed and measured on the coronal plane of CBCT images, and the relationship between the maxillary sinus lateral wall thickness and patient sex was analyzed. The patients were divided into the following groups according to their age: ①the young group (18~29 years old), ②the middle-aged group (30~59 years old), and ③the elderly group (≥ 60 years old). The difference in the maxillary sinus lateral wall thickness was compared among these three age groups.Results The mean thicknesses of the maxillary sinus lateral wall at the first premolar, second premolar, first molar and second molar were (1.61 ± 0.58) mm, (1.68 ± 0.66) mm, (2.00 ± 0.76) mm and (1.71 ± 0.71) mm, respectively. The maximum thickness of the lateral wall was located at the first molar (P< 0.05). The thickness of the maxillary sinus lateral wall in the young group was significantly thicker than that in the middle-aged group and the elderly group at the first premolar and first molar (P < 0.05). The thickness of the maxillary sinus lateral wall in males was significantly thicker than that in females at the second molar [(1.78 ± 0.80) mm vs. (1.63 ± 0.62) mm, P=0.029].Conclusion The mean thickness of the lateral wall changes at different reference points. The maxillary sinus lateral wall is the thickest at M1. The thickness of the maxillary sinus lateral wall decreased with age, and the thickness of the lateral wall was higher in males than in females.

Key words: maxillary sinus, maxillary sinus lateral wall, bone thickness, sinus floor elevation, lateral window approach, membrane perforation, dental implants, cone-beam CT

CLC Number: 

  • R78

Figure 1

Schematic diagram of the lateral wall thickness measurement of the maxillary sinus a: on the coronal plane, the thickness of the maxillary sinus lateral wall was measured 5 mm vertically upward from the lowest point of the maxillary sinus; b: the thickness of the maxillary sinus lateral wall was measured at the measuring point"

Table 1

Comparison of the lateral wall thickness of maxillary sinus in different tooth positions $\bar{x}±s$,mm "

Tooth Site n Lateral wall thickness H P
First premolar 328 1.61 ± 0.58 < 0.001
Second premolar 436 1.68 ± 0.66 38.67
First molar 444 2.00 ± 0.76 1)2)
Second molar 440 1.71 ± 0.71 3)

Table 2

Comparison of the lateral wall thickness of the maxillary sinus at different ages $\bar{x}±s$, mm"

Tooth Site Age(years) n Lateral wall thickness F P
First premolar

18~29
30~59
60~74
164
116
48
1.72 ± 0.62
1.53 ± 0.53 1)
1.48 ± 0.49 1)
5.556 0.004
Second premolar

18~29
30~59
60~74
196
176
64
1.72 ± 0.66
1.69 ± 0.68
1.57 ± 0.60
1.269 0.282
First molar

18~29
30~59
60~74
200
180
64
2.10 ± 0.80
1.95 ± 0.72
1.85 ± 0.72 1)
3.331 0.037
Second molar

18~29
30~59
60~74
200
180
60
1.69 ± 0.77
1.67 ± 0.65
1.88 ± 0.69
2.047 0.130

Table 3

Comparison of the lateral wall thickness of maxillary sinus between males and females $\bar{x}±s$,mm "

Tooth Site Gender n Lateral wall thickness t P
First premolar
Male
Female
168
160
1.57 ± 0.52
1.59 ± 0.56
-0.308
0.758
Second premolar
Male
Female
220
216
1.67 ± 0.70
1.69 ± 0.63
-0.443
0.658
First molar
Male
Female
220
224
2.05 ± 0.83
1.95 ± 0.69
1.443
0.150
Second molar
Male
Female
216
224
1.78 ± 0.80
1.63 ± 0.62
2.190
0.029
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