Possibilities of tomography for monitoring of odontogenic sinusitis at the stages of implantation

Nikolenko V.N. , Kochurova E.V., Prohodnaja V.A., Lapina N.V., Skorikova L.A., Gilmiyarov E.M.

The key to high-quality dental implantation is a preliminary set of diagnostic measures included multispiral computed tomography (MSCT). It is the presence of secondary inflammatory measures that is the main cause of rejection and sequestration of the implant with adjacent tissues, the progression of sinusitis, etc. Timely elimination of the infectious state in the upper jaw, as well as in the adjacent paranasal sinuses increases the quality of dental implantation, as well as the entire complex of restoration of chewing efficiency.

Purpose. To determine the diagnostic capabilities of MSCT of the maxillary sinuses to identify indications and contraindications before preparing for dental implantation in the lateral parts of the upper jaw.

Materials and methods. MSCT of the paranasal sinuses was performed in 34 patients with odontogenic sinusitis with reconstruction in the coronary and sagittal plane on a multispiral sixteen-slice tomograph of the IV generation PHILIPS MX 8000 in the mode of spiral tomography with a slice thickness of 0.75 mm with a distance between layers of 1.5 mm.

Results. The results of the study showed a high degree of odontogenic infection of the upper jaw tissues. X-ray diagnostics by MSCT in odontogenic sinusitis on the background of sinus bottom perforation helps to clarify the reliable identification of the message, topography, boundaries and dimensions of the bone defect, which is necessary to optimize further treatment tactics.

Discussion. MSCT with sagittal reconstruction allows you to determine not only localized thickening of the mucous membrane of the paranasal sinus in the area of the causal tooth, but also to identify incomplete obturation of the root canal system, clearly visualize radicular cysts and oroantral anastomosis. MSCT after conducting the operation the sinus lift allows to assess the quality of performance preimplantational augmentation..

1 - I.M. Sechenov First Moscow State Medical University of Ministry of Healthcare of Russian Federation.

Moscow, Russia.

2 - Rostov State Medical University of Ministry of Healthcare of Russian Federation.

Rostov-on-Don, Russia.

3 - Kuban State Medical University of Ministry of Healthcare of Russian Federation.

Krasnodar, Russia.

4 - Samara State Medical University of Ministry of Healthcare of Russian Federation.

Samara, Russia.

 

Keywords: dental implantation, paranasal sinuses, augmentation, computed tomography, sinusitis.

 

Corresponding author:  Kochurova E.V., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Nikolenko V.N. , Kochurova E.V., Prohodnaja V.A., Lapina N.V.,

Skorikova L.A., Gilmiyarov E.M. Possibilities of tomography for monitoring of odontogenic sinusitis at the stages of implantation. REJR 2020; 10(1):59-64. DOI:10.21569/2222-7415-2020-10-1-59-64.

Received:       15.01.20 Accepted:     14.02.20