Relationship between periapical lesions and sinus changes on multi-slice computed tomography sean.

Autor:	Melo VC, Bueno CE; Faculdade Sao Leopoldo Mandíc, Instituto de Pesquisas Sao Leopoldo Mandic, Departament of Endodontics, Campiñas, Brazil., De Martin AS; Faculdade Sao Leopoldo Mandíc, Instituto de Pesquisas Sao Leopoldo Mandic, Departament of Endodontics, Campiñas, Brazil., Pessoa Stringheta C, Rocha DG; PUC Campinas, Center of Life Sciences, Programa de pós-graduagao em Ciencias da Saúde, Campinas, Brazil., Nascimento WM; Faculdade Sao Leopoldo Mandíc, Instituto de Pesquisas Sao Leopoldo Mandic, Departament of Endodontics, Campiñas, Brazil., Sousa GH; Faculdade Anhanguera/ Pitágoras, Brasil., Neri L; Centro Universitário Governador Ozanam Coelho, Ubá, Brasil., Pelegrine RA; Faculdade Sao Leopoldo Mandíc, Instituto de Pesquisas Sao Leopoldo Mandic, Departament of Endodontics, Campiñas, Brazil., Chaves HG; Universidade Federal Fluminense, Universidade Federal de Minas Gerais., Gomes WD; Universidade Federal Fluminense, Universidade Federal de Minas Gerais., Limoeiro AG; Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of Sao Paulo, Bauru, SP Brazil. grasielalimoeiro@gmail.com., Fontana CE; PUC Campinas, Center of Life Sciences, Programa de pós-graduagao em Ciencias da Saúde, Campinas, Brazil.
Jazyk:	angličtina
Zdroj:	Acta odontologica latinoamericana : AOL [Acta Odontol Latinoam] 2024 Apr; Vol. 37 (1), pp. 79-87.
DOI:	10.54589/aol.37/1/79
Abstrakt:	Differentiating orofacial odontogenic pain/disorders from pain/disorders associated with maxillary sinusitis is important to avoid unnecessary dentalprocedures and to properly refer patients to colleagues/dentists and vice versa. Aim: To analyze the association between apical lesions and sinus changes and to evaluate the agreement between the diagnoses of an endodontist, a radiologist, an oral and maxillofacial surgeon, and an otolaryngologist. Materials and Method: 385 axial, coronal, and sagittal MSCT scans were selected using an image archiving andcommunication system (PACS). The examinations had been performed between 2018 and 2022. Results: Apical lesions were observed in 36.10% of sinusitis cases, 73.8% of unilateralsinusitis cases, 48.7% of sinus floor discontinuity cases, and 67.2% of cases in which endodontic treatment had been performed. Agreement between the diagnoses made by the endodontist and those made by the other investigators was high for most study variables (k > 0.60). The exceptions were mucosal thickening, for which agreement between the endodontist and the other investigators was intermediate (k=0.397), and the presence of periapicallesions (k=0.010), previous endodontic treatment (k=0.013), and mucosal thickness (k=0.024), for which agreement between endodontists and radiologists was low. Conclusions: There was an association between sinus changes and apical lesions. Competing Interests: The authors declare no potential conflicts of interest regarding the research, authorship, and/or publication of this article. (Copyright© 2024 Sociedad Argentina de Investigación Odontológica.)
Databáze:	MEDLINE
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