Role of Cone-Beam Computed Tomography in the Detection of Maxillary Sinus Disease

Hanadi Sabban, Ibrahim Yamany

Abstract

Dentists must understand the role of maxillary sinus diseases and their relationship to teeth and supporting structures. The most maxillary sinus disease is Odontogenic maxillary sinusitis. Cone-beam computed tomography (CBCT) is the imaging choice in dental practice to evaluate maxillary sinuses and maxillofacial structures. Maxillary sinuses carry a variation of mucosal thickening. If the mucosa of maxillary sinuses exceeds more than 2 mm, it indicates the possibility of infection in the maxillary sinuses. More than 50% of patients visiting the dental practice have thickening of lining mucosa more than 2 mm. Limitation for CBCT includes difficulty to differentiate between soft-tissue attenuation. This review aims to emphasize the role of CBCT in the detection of maxillary sinus diseases in dental practice. In conclusion, the CBCT examination is the best and convenient imaging tool in the dental practice that can identify the presence of pathology in maxillary sinus before surgery or post-operative complication and follow-up. This literature review was done to emphasize the demand for CBCT as an imaging investigation tool. This imaging modality is increased nowadays due to its accurate diagnosis of dental disease and routine evaluation of alveolar bone for implant placement and sinus lift surgery.


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