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)

RichHTML

PDF (PC)

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
[1] Cheon KJ, Yang BE, Cho SW, et al. Lateral window design for maxillary sinus graft based on the implant position[J]. Int J Environ Res Public Health, 2020, 17(17):6335. doi: 10.3390/ijerph17176335.
doi: 10.3390/ijerph17176335
[2] Danesh-Sani SA, Movahed A, Elchaar ES, et al. Radiographic evaluation of maxillary sinus lateral wall and posterior superior alveolar artery anatomy: a cone-beam computed tomographic study[J]. Clin Implant Dent Relat Res, 2017, 19(1):151-160. doi: 10.1111/cid.12426.
doi: 10.1111/cid.2017.19.issue-1
[3] Yu SJ, Lee YH, Lin CP, et al. Computed tomographic analysis of maxillary sinus anatomy relevant to sinus lift procedures in edentulous ridges in Taiwanese patients[J]. J Periodontal Implant Sci, 2019, 49(4):237-247. doi: 10.5051/jpis.2019.49.4.237.
doi: 10.5051/jpis.2019.49.4.237
[4] Wallace SS, Tarnow DP, Froum SJ, et al. Maxillary sinus elevation by lateral window approach: evolution of technology and technique[J]. J Evid Based Dent Pract, 2012, 12(3 Suppl):161-171. doi: 10.1016/S1532-3382(12)70030-1.
doi: 10.1016/S1532-3382(12)70030-1
[5] Beck-Broichsitter BE, Gerle M, Wiltfang J, et al. Perforation of the schneiderian membrane during sinus floor elevation: a risk factor for long-term success of dental implants?[J]. Oral Maxillofac Surg, 2020, 24(2):151-156. doi: 10.1007/s10006-020-00829-8.
doi: 10.1007/s10006-020-00829-8 pmid: 32002693
[6] Lim EL, Ngeow WC, Lim D. The implications of different lateral wall thicknesses on surgical access to the maxillary sinus[J]. Braz Oral Res, 2017, 31:e97. doi: 10.1590/1807-3107bor-2017.vol31.0097.
[7] Saltagi MZ, Schueth E, Nag A, et al. The effects of age and race on calvarium, tegmen, and zygoma thickness[J]. J Craniofac Surg, 2021, 32(1):345-349. doi: 10.1097/SCS.0000000000006790.
doi: 10.1097/SCS.0000000000006790
[8] Kiakojori A, Nasab SPM, Abesi F, et al. Radiographic assessment of maxillary sinus lateral wall thickness in edentulous posterior maxilla[J]. Electron Physician, 2017, 9(12):5948-5953. doi: 10.19082/5948.
doi: 10.19082/5948
[9] Yang SM, Park SI, Kye SB, et al. Computed tomographic assessment of maxillary sinus wall thickness in edentulous patients[J]. J Oral Rehabil, 2012, 39(6):421-428. doi: 10.1111/j.1365-2842.2012.02295.x.
doi: 10.1111/j.1365-2842.2012.02295.x pmid: 22471834
[10] Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice[J]. J Can Dent Assoc, 2006, 72(1):75-80. doi: 10.1016/j.prosdent.2005.11.018.
[11] Borel C, Larbi A, Delclaux S, et al. Diagnostic value of cone beam computed tomography (CBCT) in occult scaphoid and wrist fractures[J]. Eur J Radiol, 2017, 97(97):59-64. doi: 10.1016/j.ejrad.2017.10.010.
doi: 10.1016/j.ejrad.2017.10.010
[12] Talo YT, Güncü GN, Colak M, et al. The relationship between maxillary sinus lateral wall thickness, alveolar bone loss, and demographic variables: a cross-sectional cone-beam computerized tomography study[J]. Med Princ Pract, 2019, 28(2):109-114. doi: 10.1159/000494325.
doi: 10.1159/000494325
[13] 胡志, 周泉生, 曹隆和, 等. 上颌窦增龄变化的影像学分析[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(16):1311-1314. doi: 10.13201/j.issn.1001-1781.2016.16.012.
Hu Z, Zhou QS, Cao LH, et al. The imaging analysis of the age-related changes on maxillary sinus[J]. J Clin Otorhinolaryngol Head Neck Surg, 2016, 30(16):1311-1314. doi: 10.13201/j.issn.1001-1781.2016.16.012.
[14] Kang SJ, Shin SI, Herr Y, et al. Anatomical structures in the maxillary sinus related to lateral sinus elevation: a cone beam computed tomographic analysis[J]. Clin Oral Implants Res, 2013, 24 Suppl A100(A100):75-81. doi: 10.1111/j.1600-0501.2011.02378.x.
doi: 10.1111/j.1600-0501.2011.02378.x
[15] Frank K, Gotkin RH, Pavicic T, et al. Age and gender differences of the frontal bone: a computed tomographic (CT)-Based study[J]. Aesthet Surg J, 2019, 39(7):699-710. doi: 10.1093/asj/sjy270.
doi: 10.1093/asj/sjy270
[1] LAI Zhanwen,HU Ziyang,PAN Xiao,HAO Yanqing,LIN Zitong. Evaluation of temporomandibular joint space and condylar morphology in patients with anterior open-bite based on cone-beam CT [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(7): 468-473.
[2] LI Meng,CHEN Xiaotao,TUEDI Ayguli. Research progress on micro-osteoperforation-assisted orthodontic treatment [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(7): 496-499.
[3] MENG Qingyan,LIU Jun. Research progress on factors related to the difficulty of orthodontic tooth movement [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(5): 340-345.
[4] SHU Jingjing,ZENG Feiyue,ZHANG Yanan,XU Qimei,TANG Jialu,XU Bin,SONG Liang. Comparison of diagnosing the relationship between the root of maxillary posterior tooth and maxillary sinus between panoramic radiography and cone beam computer tomography [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(4): 254-259.
[5] XING Huiyan,HU Yuping,JIANG Wenqiong,ZHANG Ran,WEI Fangyuan,TAN Yanning,DENG Min,LI Shufang. CBCT study of the root and root canal morphology of mandibular second molars in a population in western Guangxi [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(12): 836-842.
[6] RONG Mingdeng,ZHOU Tengfei. Clinical guidelines for maxillary sinus floor elevation with sinus membrane lesions [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(9): 551-561.
[7] CHEN Songling,ZHU Shuangxi. The role of the membrane of the maxillary sinus in space osteogenesis under the sinus floor after elevation of the sinus floor [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(8): 477-486.
[8] CAO Zhiwei,YANG Yuqing,ZHOU Tao,WU Peiyao,XIE Liang. Research progress on trace elements-modified titanium implant surfaces [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 107-111.
[9] LIAN Keqian,ZHANG Xin,ZHOU Jieyu,LIAO Yanfen,SI Shanshan. Biocompatibility of bone marrow mesenchymal cells on polyetheretherketone and titanium surfaces in vitro [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 73-78.
[10] LIAO Chunhui,LI Mingfei,YE Jinmei,PENG Wei,CHEN Songling. The regulatory mechanisms of IGF1 in the osteogenic differentiation of canine MSMSCs via BMP2-Smad1/5 signaling pathway [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(1): 16-23.
[11] GUO Zehong,NING Yingyuan,XU Shulan,ZHAN jieling,DING Xianglong,GAO Yan. Clinical observation of alveolar ridge approach for odontogenic maxillary sinusitis and implant restoration [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(8): 505-509.
[12] SHEN Jiaoxiang,SU Jingjing,HUANG Wenxia. CBCT study of the alveolar bone remodeling after retraction of the maxillary incisors assisting with micro-implant anchorage in maxillary protrusion adults [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(12): 769-774.
[13] GU Xuening,QUAN Jiamiao,LI Song. Anatomical morphology and treatment options for dens invaginatus [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(10): 662-666.
[14] Jing ZHANG, Shuangxi ZHU, Qiong RONG, Wei PENG, Xiang LI, Songling CHEN. Role of miR-27a in the osteogenic differentiation of beagle maxillary sinus membrane stem cells [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(8): 484-490.
[15] Jing ZHANG, Shuangxi ZHU, Wei PENG, Xiang LI, Qiong RONG, Songling CHEN. Culture and identification of the osteogenic properties of beagle maxillary sinus membrane stem cells [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 422-427.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. journal1, 2016, 24(1): 58 -60 .
[2] Juan LI,Ting HUANG,Wen XUE,Hai-yan LI. Clinical efficacy of basic periodontal therapy combined with local medication for erosive oral lichen planus[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(3): 162 -165 .
[3] Ming CHEN,Xi CHEN,Zhen-ting ZHANG. The precision comparison of the denture occlusal plane preparation by the occlusal plane plate between experienced and newly-graduated dentists[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(3): 173 -176 .
[4] Zhong-juan TAN,Yue-ping ZHAO,Yuan-yuan LUO. The research progress of dental pulp regeneration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(6): 374 -377 .
[5] Lan LIAO, Lijun ZENG. Updated research on digitalization in aesthetic restoration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 409 -414 .
[6] Yan-mei DONG. Causes and management of post-treatment apical periodontitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(10): 561 -566 .
[7] LI Chun,LI Yan-hong,LIU Juan. Application of probiotics for dental caries prevention in children[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(9): 558 -560 .
[8] Mingyu SUN, Hanjiang WU. Research progresses in occult lymph node metastasis of oral squamous cancer[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(1): 61 -65 .
[9] Qian-qian HAN,Zhao LIU,Li JIANG,Hui-yi TANG,Xiao-na LI. Effects of LMK-235 on osteoblast/odontoblast differentiation in hPDLCs[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(7): 390 -394 .
[10] Nu MI,Ying GUO,Xiao-yu YANG. Clinical evaluation of anterior teeth aesthetic restoration with thin porcelain laminate veneer[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(10): 589 -593 .

Copyright © Editorial Board of Journal of Prevention and Treatment for Stomatological Diseases

This work is licensed under a Creative Commons Attribution 3.0 License.

Address:Guangzhou City Jiangnan Road South 366, Editorial office ofJournal of Prevention and Treatment for Stomatological Diseases, zip code: 510280　Fax:020-34304115　E-mail：kqjbfz@vip.126.com

Supported by:Beijing Magtech

This work is licensed under a Creative Commons Attribution 3.0 License.