Visualization of clinically silent, odontogenic maxillary sinus mucositis originating from periapical inflammation using MRI: a feasibility study.

Burian, Egon; Feuerriegel, Georg; Sollmann, Nico; Burian, Gintare; Palla, Benjamin; Griesbauer, Magdalena; Bumm, Caspar; Probst, Monika; Beer, Meinrad; Folwaczny, Matthias

doi:10.1007/s00784-023-04986-4

journal article

Titel:: Visualization of clinically silent, odontogenic maxillary sinus mucositis originating from periapical inflammation using MRI: a feasibility study.
Dokumenttyp:: Journal Article
Autor(en):: Burian, Egon; Feuerriegel, Georg; Sollmann, Nico; Burian, Gintare; Palla, Benjamin; Griesbauer, Magdalena; Bumm, Caspar; Probst, Monika; Beer, Meinrad; Folwaczny, Matthias
Abstract:: OBJECTIVES: Maxillary sinus mucositis is frequently associated with odontogenic foci. Periapical inflammation of maxillary molars and premolars cannot be visualized directly using radiation-based imaging. The purpose of this study was to answer the following clinical question: among patients with periapical inflammatory processes in the maxilla, does the use of magnetic resonance imaging (MRI), as compared to conventional periapical (AP) and panoramic radiography (OPT), improve diagnostic accuracy? METHODS: Forty-two subjects with generalized periodontitis were scanned on a 3 T MRI. Sixteen asymptomatic subjects with mucosal swelling of the maxillary sinus were enrolled in the study. Periapical edema was assessed using short tau inversion recovery (STIR) sequence. Apical osteolysis and mucosal swelling were assessed by MRI, AP, and OPT imaging using the periapical index score (PAI). Comparisons between groups were performed with chi-squared tests with Yates' correction. Significance was set at p < 0.05. RESULTS: Periapical lesions of maxillary premolars and molars were identified in 16 subjects, 21 sinuses, and 58 teeth. Bone edema and PAI scores were significantly higher using MRI as compared to OPT and AP (p < 0.05). Using the STIR sequence, a significant association of PAI score > 1 and the presence of mucosal swelling in the maxillary sinus was detected (p = 0.03). CONCLUSION: Periapical inflammation and maxillary mucositis could be visualized using STIR imaging. The use of MRI may help detect early, subtle inflammatory changes in the periapical tissues surrounding maxillary dentition. Early detection could guide diagnostic criteria, as well as treatment and prevention.
Zeitschriftentitel:: Clin Oral Investig
Jahr:: 2023
Band / Volume:: 27
Heft / Issue:: 7
Seitenangaben Beitrag:: 3705-3712
Volltext / DOI:: doi:10.1007/s00784-023-04986-4
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/37039958
Print-ISSN:: 1432-6981
TUM Einrichtung:: Institut für Diagnostische und Interventionelle Radiologie (Prof. Makowski); Professur für Neuroradiologie (Prof. Zimmer)
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