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Clinical efficacy of main radiological diagnostic methods for odontogenic maxillary sinusitis

  • Rhinology
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Abstract

The objective of the study was to compare the ability of dental, ENT and radiology specialists to identify the dental cause of maxillary sinusitis with conventional computed tomography, dental and panoramic radiographs. Out of 34 dental records from subjects treated at ENT and Oral and Maxillofacial Surgery Department, LUHS Kaunas Clinics, 22 females and 12 males with the diagnosis of odontogenic maxillary sinusitis, periapical (DPA), panoramic (DPR) and computed tomography (CT) images of posterior maxilla were selected for further studies. In total, 39 sinuses with an odontogenic and 37 sinuses with only rhinogenic cause (control group) were included in the study. Sinuses with mucosal thickening less than 3 mm were excluded from the research. Each image was evaluated by 5 endodontologists, 5 oral surgeons, 6 general dentists, 6 otorhinolaryngologists and an experienced oral radiologist. DPR and DPA views were not evaluated by ENT specialists. The dental cause of maxillary sinusitis was marked according to the given scale. Intraclass correlation coefficient and ROC curve statistical analysis were performed. The best accuracy was observed when CT views were evaluated by experienced oral radiologist and oral surgeons: the AUC was 0.958 and 0.859, respectively. DPR views showed the best accuracy when evaluated by oral surgeons (0.763) and DPA—by endodontologists (0.736). The highest inter-rater agreement was observed between experienced oral radiologist and oral surgeons/otorhinolaryngologists (0.87/0.78) evaluating CT. Sensitivity and specificity of CT were 89.7 and 94.6%, DPR—68.2 and 77.3%, DPA—77.9 and 67%. Identification of dental cause of maxillary sinusitis sometimes is a challenge, which depends on radiological method and, more importantly, on evaluator’s experience.

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References

  1. Sheikhi M, Pozve NJ, Khorrami L (2014) Using cone beam computed tomography to detect the relationship between the periodontal bone loss and mucosal thickening of the maxillary sinus. Dent Res J (Isfahan) 11:495–501

    Google Scholar 

  2. Gustavo, Cordero B, Ferrer SM, Fernández L (2016) Odontogenic sinusitis, oro-antral fistula and surgical repair by Bichat’s fat pad: literature review. Acta Otorrinolaringol 67:107–113. doi:10.1016/j.otoeng.2016.03.009 (English Ed)

  3. Patel NA, Ferguson BJ (2012) Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis. Curr Opin Otolaryngol Head Neck Surg 20:24–28. doi:10.1097/MOO.0b013e32834e62ed

    Article  PubMed  Google Scholar 

  4. Akhlaghi F, Esmaeelinejad M, Safai P (2015) Etiologies and treatments of odontogenic maxillary sinusitis: a systematic review. Iran Red Crescent Med J 17:e25536. doi:10.5812/ircmj.25536

    Article  PubMed  PubMed Central  Google Scholar 

  5. Brook I (2006) Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 135:349–355. doi:10.1016/j.otohns.2005.10.059

    Article  PubMed  Google Scholar 

  6. Cartwright S, Hopkins C (2016) Odontogenic Sinusitis an underappreciated diagnosis: our experience. Clin Otolaryngol 41:284–285. doi:10.1111/coa.12499

    Article  CAS  PubMed  Google Scholar 

  7. Ugincius P, Kubilius R, Gervickas A, Vaitkus S (2006) Chronic odontogenic maxillary sinusitis. Stomatologija 8:44–48

    PubMed  Google Scholar 

  8. Arunkumar KV (2016) Orbital infection threatening blindness due to carious primary molars: an interesting case report. J Maxillofac Oral Surg 15:72–75. doi:10.1007/s12663-015-0801-6

    Article  CAS  PubMed  Google Scholar 

  9. Onisor-Gligor F, Lung T, Pintea B et al (2012) Maxillary odontogenic sinusitis, complicated with cerebral abscess—case report. Chirurgia (Bucur) 107:256–259

    CAS  Google Scholar 

  10. Akhaddar A, Elasri F, Elouennass M et al (2010) Orbital abscess associated with sinusitis from odontogenic origin. Intern Med 49:523–524. doi:10.2169/internalmedicine.49.3198

    Article  PubMed  Google Scholar 

  11. Mehra P, Caiazzo A, Bestgen S (1999) Odontogenic sinusitis causing orbital cellulitis. J Am Dent Assoc 130:1086–1092

    Article  CAS  PubMed  Google Scholar 

  12. Shahbazian M, Jacobs R (2011) Diagnostic value of 2D and 3D imaging in odontogenic maxillary sinusitis: a review of literature. J Oral Rehabil. doi:10.1111/j.1365-2842.2011.02262.x

    Google Scholar 

  13. Tadinada A, Fung K, Thacker S et al (2015) Radiographic evaluation of the maxillary sinus prior to dental implant therapy: a comparison between two-dimensional and three-dimensional radiographic imaging. Imaging Sci Dent 45:169–174. doi:10.5624/isd.2015.45.3.169

    Article  PubMed  PubMed Central  Google Scholar 

  14. Arias-Irimia O, Barona-Dorado C, Santos-Marino JA et al (2010) Meta-analisis of the etiology of odontogenic maxillary sinusitis. Med Oral Patol Oral Cir Bucal 15:3–6. doi:10.4317/medoral.15.e70

    Google Scholar 

  15. Maillet M, Bowles WR, McClanahan SL et al (2011) Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod 37:753–757. doi:10.1016/j.joen.2011.02.032

    Article  PubMed  Google Scholar 

  16. Schwartz SF, Foster JK (1971) Roentgenographic interpretation of experimentally produced bony lesions. Part I. Oral Surgery. Oral Med Oral Pathol 32:606–612. doi:10.1016/0030-4220(71)90326-4

    Article  CAS  Google Scholar 

  17. Halse A, Molven O, Fristad I (2002) Diagnosing periapical lesions—disagreement and borderline cases. Int Endod J 35:703–709. doi:10.1046/j.1365-2591.2002.00552.x

    Article  CAS  PubMed  Google Scholar 

  18. Bender IB, Seltzer S (2003) Roentgenographic and direct observation of experimental lesions in bone: II. 1961. J Endod 29:707–712. doi:10.1097/00004770-200311000-00006 (discussion 701)

  19. Shahbazian M, Vandewoude C, Wyatt J, Jacobs R (2014) Comparative assessment of panoramic radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Clin Oral Investig 18:293–300. doi:10.1007/s00784-013-0963-x

    Article  PubMed  Google Scholar 

  20. Leonardi Dutra K, Haas L, Porporatti AL et al (2016) Diagnostic accuracy of cone-beam computed tomography and conventional radiography on apical periodontitis: a systematic review and meta-analysis. J Endod 42:356–364. doi:10.1016/j.joen.2015.12.015

    Article  PubMed  Google Scholar 

  21. Petersson A, Axelsson S, Davidson T et al (2012) Radiological diagnosis of periapical bone tissue lesions in endodontics: a systematic review. Int Endod J 45:783–801. doi:10.1111/j.1365-2591.2012.02034.x

    Article  CAS  PubMed  Google Scholar 

  22. Huang BY, Senior BA, Castillo M (2015) Current trends in sinonasal imaging. Neuroimaging Clin N Am 25:507–525. doi:10.1016/j.nic.2015.07.001

    Article  PubMed  Google Scholar 

  23. Goldstein GR, Iyer S, Doan PD, Scibetta S (2015) Detection of radiolucencies around endodontically treated teeth on routine CT scans. J Prosthodont 24:179–181. doi:10.1111/jopr.12219

    Article  PubMed  Google Scholar 

  24. Dawood A, Patel S, Brown J (2009) Cone beam CT in dental practice. Bdj 207:23–28. doi:10.1038/sj.bdj.2009.560

    Article  CAS  PubMed  Google Scholar 

  25. Pauwels R, Beinsberger J, Collaert B et al (2012) Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol 81:267–271. doi:10.1016/j.ejrad.2010.11.028

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors are grateful to Rūta Tamašauskaitė for developing the needed software and database for this research.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Lithuanian University of Health Sciences, Eivenių street 2, 44307, Kaunas, Lithuania

    Regimantas Simuntis, Ričardas Kubilius & Paulius Tušas

  2. Department of Otolaryngology, Lithuanian University of Health Sciences, Kaunas, Lithuania

    Evaldas Padervinskis & Saulius Vaitkus

  3. Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

    Silvija Ryškienė

Authors
  1. Regimantas Simuntis
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  2. Ričardas Kubilius
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  3. Evaldas Padervinskis
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  4. Silvija Ryškienė
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  5. Paulius Tušas
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  6. Saulius Vaitkus
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Correspondence to Paulius Tušas.

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The authors have no funding or financial relationships to disclose.

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All authors declare that he/she has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

The protocol of the study was approved by the local Lithuanian University of Health Sciences center of Bioethics: Number P2-86/2004 and by the Lithuanian University of Health Sciences center of Science and study coordination. Informed consent was not required. Consent for involvement in the study had no further implications on patient‘s treatment.

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Simuntis, R., Kubilius, R., Padervinskis, E. et al. Clinical efficacy of main radiological diagnostic methods for odontogenic maxillary sinusitis. Eur Arch Otorhinolaryngol 274, 3651–3658 (2017). https://doi.org/10.1007/s00405-017-4678-5

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  • DOI: https://doi.org/10.1007/s00405-017-4678-5

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