Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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THE CLINICAL STUDY OF MAXILLARY SINUS SEPTA USED IN PANORAMA, CT

Panorama, CT를 이용한 상악동내 중격의 임상적 연구

  • Jung, Jin-Won (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center) ;
  • Song, Kyoung-Ho (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center) ;
  • Lee, Seul-Ki (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center) ;
  • Kim, Jwa-Young (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center) ;
  • Yang, Byoung-Eun (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center) ;
  • Kim, Sung-Gon (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center) ;
  • Song, Sang-Hun (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
  • 정진원 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실) ;
  • 송경호 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실) ;
  • 이슬기 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실) ;
  • 김좌영 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실) ;
  • 양병은 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실) ;
  • 김성곤 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실) ;
  • 송상훈 (한림대학교 의과대학 한림대학교성심병원 구강악안면외과학교실)
  • Published : 2008.06.30
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Abstract

Purpose: The aim of this study was to examine the incidence, location and morphology of antral septa using radiographic exam.(Panorama, CT) in the dentate/non-atrophic and edentulous/atrophic maxillary segments. Material & methods: 232 sinuses were subdivided into two groups(group1 : 175 sinuses were classified as complete & partial dentate maxillary segments, group2 : 57 sinuses were classified as complete edentulous maxillary segments) and were investigated for the incidence, location and morphology of maxillary sinus septa. Results: A total of 80 septa were observed in 232 maxillary sinuses, which corresponded to 30.65% of the sinuses(71 of 232). 67.5% of the total septa was observed in the complete & partial dentate groups, but 32.5% of the total septa was observed in the complete edentulous group. Upon analysis of the anatomical location of the septa, it was seen that 14 septa(17.5%) were located in the P1 area, 15 septa(18.7%) were located in the P2 area, 19 septa(23.8%) were located in the M1 area and 32 septa(40%) were located in the M2 area & dista area of M2. we found 45 septa in the apical lesion of teeth, Group 1. However the remaining 9 septa were found in the edentulous area. Conclusion: CT is a better method than panoramic radiography for detecting the presence of the maxillary sinus septa. Maxillary sinus septa are more commonly detected in complete edentulous maxillary segments than in complete & partial dentate maxillary segments. Also maxillary sinus septa are more commonly detected posteriorly than anteriorly.

Keywords

References

  1. Tatum OH: Maxillary and sinus implant reconstruction. Dent Clin North Am 1986;30:207
  2. Boyne P, James RA: Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Maxillofac Surg 1980;17:113
  3. Ardekian L, Oved-peleg E, Mactei EE, Peled M: The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral maxillofac surg 2006;64:277-282 https://doi.org/10.1016/j.joms.2005.10.031
  4. Jung JH, Choi BH, Zhu SJ: The effects of exposing dental implants to the maxillary sinus cavity on sinus complicaions Oral surg Oral med Oral pathol Oral radiol Endod 2006;102:602-605 https://doi.org/10.1016/j.tripleo.2005.10.061
  5. Wiltfang J, Schultze-mosgau S, Merten HA: Endoscopic and ultrasonographic evaluation of maxillary sinus after combined sinus floor augmentation and implant insertion. Oral surg Oral med Oral pathol Oral radiol Endod 2000;89:288-291 https://doi.org/10.1016/S1079-2104(00)70090-4
  6. Underwood AS: An inquiry into the anatomy and pathology of the maxillary sinus. J Oral Maxillofac Surg 1910;44:354-369
  7. Krennmair G, Ulm C, Lugmayr H: Macillary sinus septa: incidence, morphology and clinical implicaion. J Cranio-maxillofacial surgery 1997;25:261-265 https://doi.org/10.1016/S1010-5182(97)80063-7
  8. Velasquez-plata D. Hovey LR, Peach CC, Alder ME: Maxillary sinus septa : A 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implant 2002;17:854-860
  9. Krennmair G: The incidence, location, and height of maxillary sinus septa in edentulous and dentate maxilla. J Oral maxillofac surg 1999;57:667-671; discussion 671-672 https://doi.org/10.1016/S0278-2391(99)90427-5
  10. Kim MJ, Jung UW: Prevalence, height, location and morphology. A reformatted Computed Tomography Scan Analysis. J Periodontal 2006;77:903-908 https://doi.org/10.1902/jop.2006.050247
  11. 김수관. 상악동 골이식술. 1판. 서울:대한나래출판사. 2004
  12. Ulm CW, Solar P, Krennmar G, Matejka M, Watzek G: Incidence and suggested surgical management of septa in sinuslift procedures. Int J Oral Maxillofac Implant 1995;10:462-465
  13. Timmenga NM. Raghoebar GM, Boering G. Weissenbruch RV: Maxillary sinus fuction after sinus lifts for the insertion of dental implants. J Oral maxillofac surg 1997;55:936-939 https://doi.org/10.1016/S0278-2391(97)90063-X
  14. Raghoebar GM, Weissenbruch RV, Vissink A: Rhino-sinusitis related to endosseous implants expending into the nasal cavity. Int J Oral Maxillofac Surg 2004;33:312-314 https://doi.org/10.1006/ijom.2002.0485
  15. Schwarz MS, Rothman SLG, Rhodes ML, Chafetz N: Computed tomography: Part II. Preoperative assessment of the maxilla for endosseous implant surgery. Int J Oral Maxillofac Implants 1987;2:143-148