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https://doi.org/10.14300/mnnc.2025.20072

The relationship of the compact and trabeclular bone of the maxillary and the structure features of the maxillary sinus when planning implantation operations and subantral augmentation

[Stomatology]
Irina Anatolyevna Gatilo; Sergey Sirak; Vadim Nikolaevich Lenev; Elena Evgenevna Esaulenko;

The article analyzes data from 156 cone beam computed tomography (CBCT) scans and sections of 148 skeletonized certified skulls to study the anatomical and topographic structure of 608 maxillary sinuses and changes in the ratio of trabecular and compact substance in the area of premolars and molars in the upper jaw. A connection has been established between the presence of teeth in the chewing group and the degree of pneumatization of the sinuses, as well as their shape. The shape of the sinus becomes tetrahedral after the loss of chewing teeth and corresponds to the hypopneumatized type. In the presence of chewing teeth, the shape of the sinus is slit-like or triangular and corresponds to the hyperpneumatized type. The relationship between the compact and trabecular bone substance of the bottom of the maxillary sinus in the area of premolars and molars of the upper jaw was determined. With age, in both men and women, the volume of trabecular substance decreases and the volume of compact bone substance increases in the area of the chewing teeth of the upper jaw. The average thicknesses of the anterior wall and bottom of the maxillary sinus with partial and complete adentia were determined, and the frequency of triangular, tetrahedral, and slit-shaped sinus configurations was determined

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Keywords: maxillary sinus, cone beam computed tomography, dental implantation, skeletonized skull, pneumatization, implantological treatment