Panoramic and tomographic implant studies: role in the diagnosis of sinus disorders.
OBJECTIVE
To study the presence of sinus disorders and their diagnosis based on clinical and radiographic findings, correlating their presence with tomography tests and panoramic radiography.


METHODS
We conducted a retrospective study on 152 patients who were seeking implant treatment, thereby allowing us to evaluate 42 patients who had abnormal sinuses. The patients underwent an evaluation of their medical history as well a clinical examination, panoramic radiography and tomographic study.


RESULTS
The average age of the patient was 59.8 years old, and 54.76% of the group were males and 45.23% were females. Prior respiratory disorders were present in 52.38% of the patients, and 57.3% of the group presented dental disorders. In assessing the type of wound, we observed that 73.21% were mucosal hyperplasia and 26.78% were mucous cysts. Of the 56 sinuses affected, only 28.57% were diagnosed using panoramic radiography.


CONCLUSIONS
Panoramic radiography has limitations in the diagnosis of sinus disorders; computerized tomography (CT) remains the most effective diagnostic test.
Martínez-González
José-María
JM
Universidad Complutense de Madrid, Facultad de Odontologia, Pza. Ramon y Cajal s/n, 28040 Madrid, Spain. jmargo@odon.ucm.es
Barona-Dorado
Cristina
C
Arias-Irimia
Oscar
O
Martínez-Rodríguez
Natalia
N
Fernández-Domínguez
Manuel
M
D003757:Dental Implantation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging*; D011862:Radiography, Panoramic; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed