The present study was undertaken to evaluate the anatomy of the maxillary sinus in relation to its position and the height of its septa, using cone beam computed tomography (CBCT).
Materials and methods
In this descriptive retrospective study, 300 CBCT images of maxillary sinuses of patients with posterior maxillary edentulism were evaluated. The maxillary sinus septa were evaluated in relation to their prevalence, height, and position; t-test and Mann–Whitney tests were used for the analysis of data.
Results
Sinus septa were detected in 44% of the subjects, with equal frequencies in the anterior, middle, and posterior positions. The mean height of the septa was 3.6 ± 1.56 mm.
Conclusion
In a population of Iranian subjects, in half of the cases, the sinus septa might be present in the anterior, middle, and posterior positions.
Clinical significance
In order to avoid intraoperative problems during sinus lift procedures, it is necessary to accurately evaluate the sinus, preferably with the use of CBCT.
How to cite this article
Taleghani F, Tehranchi M, Shahab S, Zohri Z. Prevalence, Location, and Size of Maxillary Sinus Septa: Computed Tomography Scan Analysis. J Contemp Dent Pract 2017;18(1):11-15.
A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008 Sep 1;35(Suppl 8):216-240.
Anatomical structures in the maxillary sinus related to lateral sinus elevation: a cone beam computed tomographic analysis. Clin Oral Implants Res 2013 Aug 1;24(A100):75-81.
Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. Int J Periodontics Restorative Dent 2008 Feb;28(1):9-17.
An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910 Jul;44(Pt 4):354.
Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000 Jun 1;11(3):256-265.
Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. Acta Medica (Hradec Kralove) 2002;45(4):173-176.
Prevalence, location, and size of maxillary sinus septa: panoramic radiograph versus computed tomography scan. J Oral Maxillofac Surg 2011 Feb 28;69(2):507-511.
Maxillary sinus septa: a 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002 Nov 1;17(6):854-860.
Maxillary sinus septa: prevalence, morphology, diagnostics and implantological implications. Systematic review. Folia Morphol 2014 Aug 1;73(3):259-266.
Septa within the sinus: effect on elevation of the sinus floor. Br J Oral Maxillofac Surg 2008 Sep 30;46(6):464-467.
Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants 2014 Jan 2;29 Suppl:55-77.
Clinical applications of cone-beam computed tomography in dental practice. J Canad Dent Assoc 2006 Feb 1;72(1):75.
Operational principles for cone-beam computed tomography. J Am Dent Assoc 2010 Oct 31;141:3S-6S.
Technology assessment committee of the society of interventional radiology. C-arm cone-beam CT: general principles and technical considerations for use in interventional radiology. J Vasc Intervent Radiol 2008 Jun 30;19(6):814-820.
Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 1999 Jul;28(4):245-248.
A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998 Nov 1;8(9):1558-1564.
Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008 Jul 31;106(1):106-114.
Update on the biological effects of ionizing radiation, relative dose factors and radiation hygiene. Austral Dent J 2012 Mar 1;57(s1):2-8.
Oral radiology: principles and interpretation. Elsevier Health Sciences; 2014 May 1.
Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006 May;77(5):903-908.
Carranza's clinical periodontology. Elsevier Health Sciences; 2011 Feb 14.
Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 2010 Mar 1;15(2):383-386.
Maxillary sinus septa prevalence and morphology – computed tomography based analysis. Int J Morphol 2015 Mar 1;33(1):144-148.
Analysis of the morphology of maxillary sinus septa on reconstructed cone-beam computed tomography images. J Oral Maxillofac Surg 2016 Apr 30;74(4):729-737.
Determi-nation of the prevalence, height, and location of the maxillary sinus septa using cone beam computed tomography. Implant Dent 2016 Jun 1;25(3):335-340.
Prevalence, height, and location of antral septa in Iranian patients undergoing maxillary sinus lift. J Periodontol Implant Dent 2009 Mar 12;1(1):43-47.
Prevalence, location and morphology of maxillary sinus septa: systematic review and meta-analysis. J Clin Periodontol 2012 Aug 1;39(8):769-773.
An analysis of frequency, morphology, and locations of maxillary sinus septa using cone beam computed tomography. Int J Oral Maxillofac Implants 2016 Mar-Apr;31(2):280-287.
Evaluation of anatomic variations in maxillary sinus with the aid of cone beam computed tomography (CBCT) in a population in south of Iran. J Dent 2016 Mar;17(1):7.
Assessment of maxillary sinus septa using cone-beam computed tomography: etiological consideration. Clin Implant Dent Relat Res 2009;11(s1):e52-e58.
The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999 Jun 30;57(6):667-671.
Patient selection and preparation. Tissue-integrated prosthesis: osseointegration in clinical dentistry. 1985:199-209.
Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT. Brazilian Oral Res 2013;27(5):431-437.