Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
The Relationship Between Periodontal Bone Loss and Sinus Membrane Thickness: A Cone Beam Computed Tomography-Based Retrospective Study*
Periodontal Kemik Kaybı ile Sinüs Membran Kalınlığı Arasındaki İlişkinin Konik Işınlı Bilgisayarlı Tomografi ile Retrospektif Olarak İncelenmesi
Huriye ÇAKIRa , Vecihe Merve BALTA UYSALa, Enver Alper SİNANOĞLUb , Yener OĞUZc , Esra GÜZELDEMİR AKÇAKANATa
aKocaeli University Faculty of Dentistry, Department of Periodontology, Kocaeli, Türkiye
bKocaeli University Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Kocaeli, Türkiye
cPrivate Dentist, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(2):273-80
doi: 10.5336/dentalsci.2023-98925
Article Language: EN
Full Text
ABSTRACT
 Objective: Sinus membrane thickening exceeding 2 mm is considered a pathological condition, influenced by various factors. This study aimed to investigate the potential association between periodontal bone loss and sinus membrane thickness. Material and Methods: Cone beam computed tomography (CBCT) images of 249 maxillary sinuses and 327 teeth were examined into this study. Periodontal bone loss was assessed in 4 groups as follows; normal: 0-1.5 mm, mild bone loss: 1.6-3 mm, moderate bone loss: 3.1-4.5 mm, severe bone loss: more than 4.5 mm, while sinus membrane thickness was evaluated in 5 groups as follows; no mucosal thickening, 10 mm (severe). Relationships between periodontal bone loss, age, sex, and sinus mucosa thickness were analyzed. Results: The mean (SD) sinus membrane thickness and periodontal bone loss was 3.09±4.47 mm and 4.73±1.95 mm, respectively. No statistically significant relationship was seen between periodontal bone loss and maxillary sinus mucosal thickness, and between age and sinus membrane thickness. The incidence of severe thickening (>10 mm) was significantly higher in men compared to women. Conclusion: Within the limitations of this study, there might be no association between periodontal bone loss and sinus mucosa thickness. Additionally, the presence of periodontal bone loss may not be an indicative of the risk of sinus membrane perforation related to sinus membrane thickness.

Keywords: Cone-beam computed tomography; maxillary sinus; alveolar bone loss; periodontitis
ÖZET
 Amaç: Çeşitli faktörlerin etkisi ile 2 mm'yi aşan sinüs zarı kalınlaşması patolojik bir durum olarak kabul edilir. Bu çalışma, periodontal kemik kaybı ile sinüs zarı kalınlığı arasındaki potansiyel ilişkiyi araştırmayı amaçlamaktadır. Gereç ve Yöntemler: Bu çalışmada, 249 maksiller sinüs ve 327 dişin konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri incelendi. Periodontal kemik kaybı normal (0-1,5 mm), hafif kemik kaybı (1,6-3 mm), orta düzey kemik kaybı (3,1-4,5 mm), ciddi kemik kaybı (4,5 mm'den fazla) olmak üzere 4 grup olarak değerlendirildi. Sinüs zarı kalınlığı ise 5 grupta değerlendirildi; mukozal kalınlaşma yok, 10 mm (ciddi). Periodontal kemik kaybı, yaş, cinsiyet ve sinüs mukozası kalınlığı arasındaki ilişkiler analiz edildi. Bulgular: Ortalama (±SS) sinüs zarı kalınlığı ve periodontal kemik kaybı sırasıyla 3,09±4,47 mm ve 4,73±1,95 mm olarak tespit edildi. Periodontal kemik kaybı ile maksiller sinüs mukozal kalınlığı arasında ve yaş ile sinüs zarı kalınlığı arasında istatistiksel olarak anlamlı bir ilişki gözlenmedi. Ciddi kalınlaşma (>10 mm) insidansının, kadınlara göre erkeklerde önemli ölçüde daha yüksek olduğu görüldü. Sonuç: Bu çalışmanın sınırları içerisinde periodontal kemik kaybı ile sinus mukozası kalınlığı arasında bir ilişki olabileceği düşünülmemektedir. Ayrıca, periodontal kemik kaybı olmasının, sinüs zarı kalınlığı ile ilişkili sinüs zarı perforasyonu riskinin bir belirtisi olmayabileceği değerlendirilmiştir.

Anahtar Kelimeler: Konik ışın bilgisayarlı tomografi; maksiller sinüs; alveolar kemik kaybı; periodontitis
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