Abstract
Introduction
Few studies have compared the relationship of MSV in the different craniofacial patterns. Hence, the purpose of this research was to evaluate maxillary sinus volume in different craniofacial patterns using cone-beam computed tomography.
Materials and methods
This cross-sectional study included 100 pre-orthodontic patients mean aged 26.40 ± 6.77 (age ranged 21–64) years divided into different anteroposterior and vertical skeletal groups. From the cone beam computed tomography images using MIMICS 14.1 software, three-dimensional image of the maxillary sinus was constructed, and its volume was calculated.
Results
The mean maxillary sinus volume was 20,279.50 ± 7800.33 mm3. Among the anteroposterior skeletal groups, the mean maxillary sinus volume in skeletal Class II group is significantly larger than class III group (P < 0.05). Among the vertical skeletal groups, High-angle groups tend to have the largest maxillary sinus volume, though there were no significant differences among the groups (P > 0.05). Similarly, males have significantly larger maxillary sinus volume than females (P < 0.05). There was a positive correlation between ANB and maxillary sinus volume (P < 0.01).
Conclusion
Maxillary sinus volume is significantly larger in skeletal class II than in skeletal class III group and in males than in females (P < 0.05). These inferences have several implications in orthodontics, endodontics and oral surgery.
Similar content being viewed by others
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Billings B, Helms L, Utreja A, Eckert G, Ghoneima A. Three-dimensional evaluation of molar buccolingual inclinations after orthodontic treatment using edgewise mechanics. IntOrthod. 2017;15:529–42.
Sarment D. Cone beam computed tomography: oral and maxillofacial diagnosis and applications. Iowa, USA: Wiley Blackwell; 2014.
DA Mcgrowan B, James J, editors. The maxillary sinus and its dental implications. London, United Kingdom: Wright; 1993.
Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008;23:48–56.
Ariji Y, Kuroki T, Moriguchi S, Ariji E, Kanda S. Age changes in the volume of the human maxillary sinus: a study using computed tomography. DentomaxillofacRadiol. 1994;23:163–8.
Oz AZ, Oz AA, El H, Palomo JM. Maxillary sinus volume in patients with impacted canines. Angle Orthod. 2017;87:25–32.
Hamdy RM, Abdel-Wahed N. Three-dimensional linear and volumetric analysis of maxillary sinus pneumatization. J Adv Res. 2014;5:387–95.
Sharan A, Madjar D. Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2006;102:375–81.
Park IH, Song JS, Choi H, Kim TH, Hoon S, Lee SH, et al. Volumetric study in the development of paranasal sinuses by CT imaging in Asian: a pilot study. Int J PediatrOtorhinolaryngol. 2010;74:1347–50.
Cohen O, Warman M, Fried M, Shoffel-Havakuk H, Adi M, Halperin D, et al. Volumetric analysis of the maxillary, sphenoid and frontal sinuses: a comparative computerized tomography based study. Auris Nasus Larynx. 2018;45:96–102.
Mohlhenrich SC, Heussen N, Peters F, Steiner T, Holzle F, Modabber A. Is the maxillary sinus really suitable in sex determination? A three-dimensional analysis of maxillary sinus volume and surface depending on sex and dentition. J CraniofacSurg. 2015;26:e723–6.
Rani SU, Rao GV, Kumar DR, Sravya T, Sivaranjani Y, Kumar MP. Age and gender assessment through three-dimensional morphometric analysis of maxillary sinus using magnetic resonance imaging. J Forensic Dent Sci. 2017;9:46.
Barghouth G, Prior JO, Lepori D, Duvoisin B, Schnyder P, Gudinchet F. Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves. EurRadiol. 2002;12:1451–8.
Gulec M, Tassoker M, Magat G, Lale B, Ozcan S, Orhan K. Three-dimensional volumetric analysis of the maxillary sinus: a cone-beam computed tomography study. Folia Morphol (Warsz). 2019. https://doi.org/10.5603/FM.a2019.0106.
Oksayan R, Sokucu O, Yesildal S. Evaluation of maxillary sinus volume and dimensions in different vertical face growth patterns: a study of cone-beam computed tomography. ActaOdontolScand. 2017;75:345–9.
Kulczyk T, Przystanska A, Rewekant A, Turska-Malinska R, Czajka-Jakubowska A. Maxillary sinuses and midface in patients with cleidocranialdysostosis. Ann Anat. 2018;215:78–82.
Pandis N. Sample calculations for comparison of 2 means. Am J OrthodDentofacialOrthop. 2012;141:519–21.
Saccucci M, Cipriani F, Carderi S, Di Carlo G, D’Attilio M, Rodolfino D, et al. Gender assessment through three-dimensional analysis of maxillary sinuses by means of cone beam computed tomography. Eur Rev Med PharmacolSci. 2015;19:185–93.
Oktay H. The study of the maxillary sinus areas in different orthodontic malocclusions. Am J OrthodDentofacialOrthop. 1992;102:143–5.
Endo T, Abe R, Kuroki H, Kojima K, Oka K, Shimooka S. Cephalometric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology. 2010;98:65–72.
Wanzeler AMV, Alves-Junior SM, Ayres L, da Costa Prestes MC, Gomes JT, Tuji FM. Sex estimation using paranasal sinus discriminant analysis: a new approach via cone beam computerized tomography volume analysis. Int J Legal Med. 2019;133:1977–84.
AktunaBelgin C, Colak M, Adiguzel O, Akkus Z, Orhan K. Three-dimensional evaluation of maxillary sinus volume in different age and sex groups using CBCT. Eur Arch Otorhinolaryngol. 2019;76:1493–9.
Urooge A, Patil BA. Sexual dimorphism of maxillary sinus: a morphometric analysis using cone beam computed tomography. J ClinDiagn Res. 2017;11:Zc67–70.
Park JH, Tai K, Kanao A, Takagi M. Space closure in the maxillary posterior area through the maxillary sinus. Am J OrthodDentofacialOrthop. 2014;145:95–102.
Oh H, Herchold K, Hannon S, Heetland K, Ashraf G, Nguyen V, et al. Orthodontic tooth movement through the maxillary sinus in an adult with multiple missing teeth. Am J OrthodDentofacialOrthop. 2014;146:493–505.
Ahn NL, Park HS. Differences in distances between maxillary posterior root apices and the sinus floor according to skeletal pattern. Am J OrthodDentofacialOrthop. 2017;152:811–9.
Park YC, Lee SY, Kim DH, Jee SH. Intrusion of posterior teeth using mini-screw implants. Am J OrthodDentofacialOrthop. 2003;123:690–4.
Kim SH, Yoon HG, Choi YS, Hwang EH, Kook YA, Nelson G. Evaluation of interdental space of the maxillary posterior area for orthodontic mini-implants with cone-beam computed tomography. Am J OrthodDentofacialOrthop. 2009;135:635–41.
Chung KR, Kim YS, Linton JL, Lee YJ. The miniplate with tube for skeletal anchorage. J ClinOrthod. 2002;36:407–12.
Junqueira RB, Souza-Nunes LA, Scalioni FAR, Damasceno NNL, Verner FS, Carvalho ACP, et al. Anatomical evaluation of the relationship between the maxillary posterior teeth and maxillary sinus. Gen Dent. 2020;68:66–71.
Acknowledgements
Not applicable.
Funding
This study was supported by Department of Stomatology, the Third affiliated Hospital of Sun Yatsen University, Gguangzhou, PR. China.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no competing interests.
Ethics approval
This study was approved by the Ethical Committee of the Sun Yatsen University.
Consent for publication
Written informed consent was obtained from the patients for publication of their x-ray and CBCT for this research.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Shrestha, B., Shrestha, R., Lin, T. et al. Evaluation of maxillary sinus volume in different craniofacial patterns: a CBCT study. Oral Radiol 37, 647–652 (2021). https://doi.org/10.1007/s11282-020-00506-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11282-020-00506-2