Sabiad , cilt.6, sa.2, ss.166-172, 2023 (Hakemli Dergi)
Objective: This study aims to evaluate maxillary sinus pneumatizations with Cone-beam Computed Tomography (CBCT) and correlate sinus pneumatizations with pathology. Material and Method: Maxillary sinus pneumatization can be listed as frontal process pneumatization (FPP), zygomatic process pneumatization (ZPP), nasal cavity pneumatizations (NCP), palatal process pneumatizations (PPP), orbital process pneumatization (OPP), palatal pneumatization to sphenomaxillary plate (SPP), pneumatization caused by tooth loss, and alveolar bone pneumatization (ABP). Istanbul University Faculty of Dentistry Department of Oral and Maxillofacial Radiology Volumetric Tomography images of patients entering the image region of the maxillary sinus were examined between December 2015 and December 2017 in this study. The images were examined with the software called OnDemand 3D™ (Cybermed, California, USA). CBCT device is Scanora 3Dx brand CBCT (Scanora® 3Dx, Soredex, Tuusula, Finland). It was subjected to appropriate statistical analysis retrospectively using CBCT images. Results: Our study has revealed that some pathologies such as mucosal thickening, polypoidal mucosal thickening, partial opacification, total opacification, and effusion are due to maxillary sinus pneumatization. Statistically significant differences were found between ABP, PPP, and ZPP with mucosal thickenings (p<0.05). Mucosal thickening is the most common which is seen with alveolar bone pneumatization statistically (36.5% on the right, 38% on the left). In addition, a significant correlation was found between ABP and total opacification on the left side (p=0.001). Conclusion: CBCT is the most appropriate imaging method for imaging the pneumatization of the maxillary sinus. Knowing maxillary sinus pneumatizations is of great importance in terms of dentistry in order to prevent complications that may occur during and after surgical operations. Our study will make an important contribution to the dentistry literature in order to define rare maxillary sinus pneumatizations and to explain the relationship of these pneumatizations with pathology.