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Maxillary antroliths detected by cone-beam computed tomography in an adult dental population

PURPOSE: This study evaluated the prevalence and characteristics of maxillary antroliths using cone-beam computed tomography (CBCT) scans performed for maxillofacial diagnostic purposes. MATERIALS AND METHODS: CBCT scans of 13,946 patients over the age of 20 were reviewed for maxillary antroliths, a...

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Autores principales: Cho, Bong-Hae, Jung, Yun-Hoa, Hwang, Jae-Joon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Oral and Maxillofacial Radiology 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444011/
https://www.ncbi.nlm.nih.gov/pubmed/30941289
http://dx.doi.org/10.5624/isd.2019.49.1.59
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author Cho, Bong-Hae
Jung, Yun-Hoa
Hwang, Jae-Joon
author_facet Cho, Bong-Hae
Jung, Yun-Hoa
Hwang, Jae-Joon
author_sort Cho, Bong-Hae
collection PubMed
description PURPOSE: This study evaluated the prevalence and characteristics of maxillary antroliths using cone-beam computed tomography (CBCT) scans performed for maxillofacial diagnostic purposes. MATERIALS AND METHODS: CBCT scans of 13,946 patients over the age of 20 were reviewed for maxillary antroliths, and prevalence according to sex, age, and the side of the jaw was calculated. The relationships of single or multiple antroliths with sex, side, and the degree of sinus inflammation were evaluated. The shape and dimension of antroliths were also assessed. The data were analyzed using descriptive statistics, the chi-square or Fisher exact tests, and Kendall's tau-b. RESULTS: A total of 138 (0.99%) of the 13,946 patients showed an antrolith in at least 1 sinus. Only 18 patients presented a bilateral manifestation, which brought the total number of sinuses containing an antrolith to 156 (0.56%). Multiple antroliths were observed in 36 sinuses, and the total number of antroliths was 207: 110 punctate, 65 linear, and 32 amorphous. The antrolith dimensions varied from 1 mm(2) to 91 mm(2) (average, 10.2±15.5 mm(2)). No statistically significant differences were found according to sex, side, and age group (P>0.05). However, there was a statistically significant difference between the multiplicity of antrolith and the degree of sinus inflammation (P<0.05). CONCLUSION: Cone-beam computed tomography is an effective modality for the detection of incidental antroliths. Maxillary antroliths were found to be very rare and were usually asymptomatic. Dentists should have a comprehensive understanding of their diagnosis and treatment in light of possible associated dental problems.
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spelling pubmed-64440112019-04-02 Maxillary antroliths detected by cone-beam computed tomography in an adult dental population Cho, Bong-Hae Jung, Yun-Hoa Hwang, Jae-Joon Imaging Sci Dent Original Article PURPOSE: This study evaluated the prevalence and characteristics of maxillary antroliths using cone-beam computed tomography (CBCT) scans performed for maxillofacial diagnostic purposes. MATERIALS AND METHODS: CBCT scans of 13,946 patients over the age of 20 were reviewed for maxillary antroliths, and prevalence according to sex, age, and the side of the jaw was calculated. The relationships of single or multiple antroliths with sex, side, and the degree of sinus inflammation were evaluated. The shape and dimension of antroliths were also assessed. The data were analyzed using descriptive statistics, the chi-square or Fisher exact tests, and Kendall's tau-b. RESULTS: A total of 138 (0.99%) of the 13,946 patients showed an antrolith in at least 1 sinus. Only 18 patients presented a bilateral manifestation, which brought the total number of sinuses containing an antrolith to 156 (0.56%). Multiple antroliths were observed in 36 sinuses, and the total number of antroliths was 207: 110 punctate, 65 linear, and 32 amorphous. The antrolith dimensions varied from 1 mm(2) to 91 mm(2) (average, 10.2±15.5 mm(2)). No statistically significant differences were found according to sex, side, and age group (P>0.05). However, there was a statistically significant difference between the multiplicity of antrolith and the degree of sinus inflammation (P<0.05). CONCLUSION: Cone-beam computed tomography is an effective modality for the detection of incidental antroliths. Maxillary antroliths were found to be very rare and were usually asymptomatic. Dentists should have a comprehensive understanding of their diagnosis and treatment in light of possible associated dental problems. Korean Academy of Oral and Maxillofacial Radiology 2019-03 2019-03-25 /pmc/articles/PMC6444011/ /pubmed/30941289 http://dx.doi.org/10.5624/isd.2019.49.1.59 Text en Copyright © 2019 by Korean Academy of Oral and Maxillofacial Radiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cho, Bong-Hae
Jung, Yun-Hoa
Hwang, Jae-Joon
Maxillary antroliths detected by cone-beam computed tomography in an adult dental population
title Maxillary antroliths detected by cone-beam computed tomography in an adult dental population
title_full Maxillary antroliths detected by cone-beam computed tomography in an adult dental population
title_fullStr Maxillary antroliths detected by cone-beam computed tomography in an adult dental population
title_full_unstemmed Maxillary antroliths detected by cone-beam computed tomography in an adult dental population
title_short Maxillary antroliths detected by cone-beam computed tomography in an adult dental population
title_sort maxillary antroliths detected by cone-beam computed tomography in an adult dental population
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444011/
https://www.ncbi.nlm.nih.gov/pubmed/30941289
http://dx.doi.org/10.5624/isd.2019.49.1.59
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