The influence of different extraction indications on the morphological changes in the maxillary sinus: A retrospective cohort study.

IF 3.4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of periodontal research Pub Date : 2024-10-28 DOI:10.1111/jre.13348

Meng Wang, Fei-Fei Mao, Xiao-Hui Jin, Jia-Ping Huang, Anna Dai, Pei-Hui Ding

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Abstract

Aims: The comprehensive effects of maxillary posterior tooth extraction on the maxillary sinus (MS) morphology remain to be thoroughly elucidated. This retrospective cohort study aimed at evaluating the influence of different extraction indications on the morphological changes in the MS by utilizing cone-beam computed tomography (CBCT).

Methods: One hundred and seventy-eight of maxillary posterior tooth extractions underwent CBCT scans before and after extraction using 3D Slicer software. Parameters such as maxillary sinus pneumatization (MSP, the primary outcome measure), buccal bone height (BBH), palatal bone height (PBH), mucosal thickness (MT), and other anatomical structures were measured for patients undergoing extraction due to periodontitis, periapical lesions, or tooth fracture. Multiple linear regression analysis was employed to assess the effect of extraction indications on the MS.

Results: While the primary outcome, MSP, did not reveal statistically significant differences across various indications for tooth extraction (p > .05), extraction itself resulted in MSP (p < .05). The rate of this pneumatization was influenced by the position of the extraction site (p < .05). Additionally, baseline values of bone height and mucosal thickness showed an inverse correlation with the rate of change in these parameters following tooth extraction (p < .001).

Conclusions: Tooth extraction led to increased pneumatization of the maxillary sinus while simultaneously reducing bone height and mucosal thickness. However, these outcomes were not influenced by the reason for tooth extraction.

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不同拔牙适应症对上颌窦形态变化的影响：一项回顾性队列研究

目的：上颌后牙拔除对上颌窦（MS）形态的综合影响仍有待彻底阐明。这项回顾性队列研究旨在利用锥束计算机断层扫描（CBCT）评估不同拔牙适应症对上颌窦形态变化的影响：方法：178 名上颌后牙拔除者在拔牙前后使用 3D Slicer 软件进行了 CBCT 扫描。测量了因牙周炎、根尖周病变或牙齿折断而拔牙的患者的上颌窦气化（MSP，主要结果测量指标）、颊骨高度（BBH）、腭骨高度（PBH）、粘膜厚度（MT）和其他解剖结构等参数。采用多元线性回归分析评估拔牙适应症对 MS 的影响：结果：虽然主要结果 MSP 在不同的拔牙适应症之间没有统计学意义上的显著差异（p > .05），但拔牙本身会导致 MSP 的增加（p 结论：拔牙会导致气囊结构的增加（p 结论：拔牙会导致气囊结构的增加（p 结论：拔牙会导致气囊结构的增加）：拔牙导致上颌窦气化增加，同时降低了骨高度和粘膜厚度。然而，这些结果并不受拔牙原因的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of periodontal research 医学-牙科与口腔外科

CiteScore

6.90

自引率

5.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The Journal of Periodontal Research is an international research periodical the purpose of which is to publish original clinical and basic investigations and review articles concerned with every aspect of periodontology and related sciences. Brief communications (1-3 journal pages) are also accepted and a special effort is made to ensure their rapid publication. Reports of scientific meetings in periodontology and related fields are also published. One volume of six issues is published annually.