RESUMEN
Introdução: devido à íntima relação dos ápices radiculares dos dentes posterossuperiores com o seio maxilar, algumas sinusites maxilares podem ser de origem odontogênica, como extrações dentárias e lesões periodontais e periapicais (abscessos, granulomas e cistos radiculares). A tomografia computadorizada é o exame de escolha no auxílio do diagnóstico das sinusopatias. Objetivo: o objetivo desse trabalho é avaliar os aspectos que caracterizam uma sinusite odontogênica por meio de um relato de caso clínico
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Seno Maxilar , Sinusitis Maxilar/diagnósticoRESUMEN
OBJECTIVE: To evaluate the presence of anatomic variations and lesions of the maxillary sinus in cone beam computed tomography (CBCT) of the maxilla required for dental implant planning. MATERIAL AND METHODS: This transversal prevalence study evaluated a sample of 500 consecutive CBCT exams. The inclusion criteria were CBCT exams of the maxilla required for dental implant planning. The CBCT exams were independently evaluated by two oral and maxillofacial radiologists who assessed the presence of anatomic variations and lesions of the maxillary sinus. As most of the CBCT exams did not allow the evaluation of the area close to the maxillary sinus roof, anatomic variations that take place at this site were not assessed. RESULTS: The anatomic variations detected were pneumatization (83.2%), antral septa (44.4%), hypoplasia (4.8%), and exostosis (2.6%). The identified lesions were mucosal thickening (≤3 mm in 54.8% and >3 mm in 62.6%), polypoid lesions (21.4%), discontinuity of the sinus floor (17.4%), air-fluid level (4.4%), bone thickening of the maxillary sinus wall (3.8%), antroliths (3.2%), discontinuity of the sinus lateral wall (2.6%), sinus opacification (1.8%), and foreign body (1.6%). CONCLUSION: Anatomic variations and lesions of the maxillary sinus were common findings in CBCT exams of the maxilla required for dental implant planning. As some of these conditions can modify dental implant planning and must require specialized treatment, its recognition is noteworthy in dental practice, and especially in implantology. The amount and significance of the anatomic variations and lesions detected in this study reinforces the importance of computed tomography in preoperative dental implant planning.