Abstract:

Purpose: Patients with radiographically sinusitis findings are to evaluate the relationship between infections in the bacterial teeth and the bacterial sinusitis, using dental volumetric tomography (DVT) images. Tools and Methods: The DVT image of 1000 patients was scaned retrospectively in order to determine the thickness of the sinus mucus. The phenomena in which the thickness of the sinus mucus is 2 mm and above were considered pathological. In pathological events, those with apical injury in the neighboring sinus molar and/or premolar teeth were radiographically diagnosed with odontogenic maxillary sinusitis. Factors that can affect the thickness of the sinus mucus were assessed in 3 different titles, including demographic variables, the type of tooth and the parameters of apical lesion (the number of lesion tooth/root, the diameter of lesion, the distance of the lesion-sinus base). The data was studied by identifying statistics and linear regression analysis (p=0.05). In the observer's conformity assessment, Kappa test (κ) was used. The findings: 202 of the incidents found muscular thickness were found to have odontogenic maxillary sinusitis in 47.5%. Odontogenic muscles were the 1st molar type of tooth where sinusitis was observed (p<0.05). A statistically meaningful relationship with the amount of muscular thickness was identified between gender (men), the number of lesion root, the diameter of lesion and the number of lesioned teeth (p<0.05). Results: In the presence of widespread apical injury(s) affecting multiple roots in the 1.molar tooth, especially in male patients, the risk of developing sinusitis is increased, regardless of the distance of the injury to the sinus. Furthermore, consultation with a dentist and endodontic treatment option in unhealing or recurring incidences of persistent sinusitis must necessarily be considered. Keywords Apical injury, Mastiller sinusitis, DVT

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