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Stomatologija 2025; 27 (2): 33-42 410 KB

Prevalence of Sinus Pathology in Dentistry: Retrospective Observational Pilot Study

Elena Gutiérrez-Muñoz¹, Patricia Padilla-Martín¹, Carlos M. Cobo-Vázquez^{¹, 2}, Luis Miguel Sáez-Alcaide^{¹, 2}, Juan López-Quiles^¹, Cristina Meniz-García^¹

Summary

Background. Changes in the sinus membrane in the form of thickening or opacification often pose challenges in the differential diagnosis between rhinological and odontogenic causes. Due to their clinical similarities, the development of a radiological diagnosis, with Cone Beam Computed Tomography (CBCT) being the technique of choice, will be crucial for achieving an accurate diagnosis.

Material and methods. A descriptive retrospective study was designed, comprising a pilot sample of 20 patients from the Faculty of Dentistry, Complutense University of Madrid, who had previously undergone a maxillary cone beam computed tomography (CBCT). The research applies Di Girolamo's classification to categorize radiological findings and assesses the relationship between sinus pathology and factors such as age, gender, and odontogenic causes.

Results. A total of 20 CBCT scans and health surveys from patients (14 males and 6 females), with mean age of 60 ± 8.14years were studied. Some type of sinus pathology was observed in 30 sinuses (75%) and no pathology in 10 sinuses (25%). Regarding potential etiology, dental pathology was the most prevalent (63.6%), followed by implants (18%) and oroantral communications (9%).

Conclusion. There is a high incidence of sinus pathology. Sinus pathology is diagnosed more frequently in men and smokers. The most common types of sinus pathology are thickening of the sinus membrane, followed by opacification of the maxillary sinus.

Key words: cone-beam computed tomography, Di Girolamo´s classification, maxillary sinusitis, Schneiderian membrane, sinus pathology.

Received: 02 12 2024

Accepted for publishing: 20 06 2025

¹Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain

²Department of Dentistry and Stomatology, Gregorio Marañón University General Hospital, Madrid, Madrid, Spain

Address correspo ndence to Carlos M. Cobo-Vázquez, Department of Clinical Specialities. Faculty of Dentistry. Complutense University of Madrid, Plaza Ramón y Cajal 3, 28040 Madrid, Spain.

E-mail address: drcarloscobo@gmail.com



	Baltic Dental and Maxillofacial Journal

2025, Vol. 27, No. 2 CONTENTS SCIENTIFIC ARTICLES The influence of two different rotary file systems on the incidence of GuttaCore overextension in curved root canals Martyna Medunecke, Guoste Pupalaigyte-Salte, Greta Lodiene 27-32 Prevalence of Sinus Pathology in Dentistry: Retrospective Observational Pilot Study Elena Gutiérrez-Muñoz, Patricia Padilla-Martín, Carlos M. Cobo-Vázquez, Luis Miguel Sáez-Alcaide, Juan López-Quiles, Cristina Meniz-García 33-42 CASE REPORTS Bilateral mandibular tori: A case report and review of literature Karthik Shunmugavelu, Shanmugam Arasu, Jeevanandam Loganathan, Evangeline Cynthia 43-45 Osteoma of mandible: A case report Supriyo Pal, Ashok Kumar, Ravi Kumar, T. R. Marimallappa, Mahesh Kumar 46-48 © 2025 Stomatologija		Stomatologija 2025; 27 (2): 33-42 410 KB Prevalence of Sinus Pathology in Dentistry: Retrospective Observational Pilot Study Elena Gutiérrez-Muñoz¹, Patricia Padilla-Martín¹, Carlos M. Cobo-Vázquez^{¹, 2}, Luis Miguel Sáez-Alcaide^{¹, 2}, Juan López-Quiles^¹, Cristina Meniz-García^¹ Summary Background. Changes in the sinus membrane in the form of thickening or opacification often pose challenges in the differential diagnosis between rhinological and odontogenic causes. Due to their clinical similarities, the development of a radiological diagnosis, with Cone Beam Computed Tomography (CBCT) being the technique of choice, will be crucial for achieving an accurate diagnosis. Material and methods. A descriptive retrospective study was designed, comprising a pilot sample of 20 patients from the Faculty of Dentistry, Complutense University of Madrid, who had previously undergone a maxillary cone beam computed tomography (CBCT). The research applies Di Girolamo's classification to categorize radiological findings and assesses the relationship between sinus pathology and factors such as age, gender, and odontogenic causes. Results. A total of 20 CBCT scans and health surveys from patients (14 males and 6 females), with mean age of 60 ± 8.14years were studied. Some type of sinus pathology was observed in 30 sinuses (75%) and no pathology in 10 sinuses (25%). Regarding potential etiology, dental pathology was the most prevalent (63.6%), followed by implants (18%) and oroantral communications (9%). Conclusion. There is a high incidence of sinus pathology. Sinus pathology is diagnosed more frequently in men and smokers. The most common types of sinus pathology are thickening of the sinus membrane, followed by opacification of the maxillary sinus. Key words: cone-beam computed tomography, Di Girolamo´s classification, maxillary sinusitis, Schneiderian membrane, sinus pathology. Received: 02 12 2024 Accepted for publishing: 20 06 2025 ¹Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain ²Department of Dentistry and Stomatology, Gregorio Marañón University General Hospital, Madrid, Madrid, Spain Address correspo ndence to Carlos M. Cobo-Vázquez, Department of Clinical Specialities. Faculty of Dentistry. Complutense University of Madrid, Plaza Ramón y Cajal 3, 28040 Madrid, Spain. E-mail address: drcarloscobo@gmail.com