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Teeth in the maxillary sinus – imaging and management

Published online by Cambridge University Press:  29 June 2007

Lipa Bodner*
Affiliation:
Department of Oral and Maxillofacial Surgery, Soroka Medical Centre, Ben-Gurion University of the Negev, Beer-Sheva, Jerusalem, Israel.
Ferit Tovi
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Soroka Medical Centre, Ben-Gurion University of the Negev, Beer-Sheva, Jerusalem, Israel.
Jacob Bar-Ziv
Affiliation:
Department of Radiology, Hebrew University-Hadassah Medical Centre, Jerusalem, Israel.
*
Address for correspondence: Professor Lipa Bodner, Department of OMF Surgery, Soroka Medical Centre, P.O. Box 151, Beer-Sheva 84101, Israel. Fax: 972-7-6483366

Abstract

Purpose

To evaluate the images obtained by CT in diagnosis and treatment plan of teeth in the maxillary sinus.

Methods

Twelve patients with teeth in the maxillary sinus were studied by plain film radiography(PFR) and by CT with a dental software programme, which displays multiple panoramic and cross-sectional views of the mandible and maxilla. The three-dimensional morphology of the tooth, its inclination, proximity to the sinus wall, surgical planning and prediction of prognosis and complications were estimated on both PFR and on CT scans and scored.

Results

The radiographical features interpreted from PFR were fair or poorly diagnosed whereas CT provided excellent features. The surgical approach of choice was based on CT interpretation.

Conclusion

CT is useful for diagnosis and treatment planning of teeth in the maxillary antrum.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

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