Perbedaan ukuran sinus maksilaris pada maloklusi kelas I, II, dan III skeletal ditinjau dari radiografi sefalometri

The difference in the maxillary sinus size of skeletal class I, II, and III malocclusions in terms of cephalometric radiographs

Brandon Thamran, Mimi Marina Lubis

Abstract


Pendahuluan: Ukuran sinus maksilaris dapat dipengaruhi maloklusi skeletal, oleh karena itu pengetahuan dalam perkembangan dan ukuran sinus maksilaris penting dalam diagnosa dan menentukan rencana perawatan kasus maloklusi. Tujuan penelitian untuk menganalisis perbedaan rerata ukuran sinus maksilaris pada maloklusi kelas I, II, dan III skeletal pada laki-laki dan perempuan. Metode: Jenis penelitian Penelitian deskriptif analitik dilakukan pada 96 pasien RSGM USU usia 18-35 tahun dengan Teknik purposive sampling, terdiri dari 27 relasi rahang Kelas I, 31 Kelas II dan 22 Kelas III. Subjek  diperoleh melalui pengukuran metode Steiner. Hasil tracing dipindahkan melalui scanner dan  pengukuran luas Sinus Maksilaris dengan program AutoCAD. Hasil: Rerata sinus maksilaris Kelas I skeletal adalah 1492,18268,44 mmuntuk laki-laki dan 1614,80259,13 mm2 untuk perempuan p=0,275, maka tidak ada perbedaan signifikan antara rerata sinus maksilaris Kelas I skeletal pada laki-laki dan perempuan, Kelas II skeletal adalah 1879,75 mm2 untuk laki-laki dan 1544,41239,47 mm2 untuk perempuan diperoleh p=0,016, maka terdapat perbedaan signifikan antara rerata  sinus maksilaris Kelas II skeletal pada laki-laki dan perempuan, dan Kelas III skeletal adalah 1619,36 mm2 untuk laki-laki dan 1489,92 mm2 untuk perempuan diperoleh p=0,239, maka tidak ada perbedaan signifikan antara rerata  sinus maksilaris  Kelas III skeletal pada laki-laki dan perempuan. Rerata ukuran antar kelompok didapatkan 1572,93 263,72 mmuntuk Kelas I skeletal, 1609,32 mm2 untuk Kelas II skeletal, dan 1531,11 mm2 untuk Kelas III skeletal dengan p=0,600, Hasil ini menunjukkan tidak ada perbedaan rerata  sinus maksilaris pada maloklusi Kelas I, Kelas II dan Kelas III skeletal. Simpulan: Tidak ada perbedaan pada rerata ukuran sinus maksilaris pada maloklusi Kelas I, Kelas II dan Kelas III skeletal.

Kata kunci: Ukuran sinus maksilaris, maloklusi skeletal, analisa Steiner, radiogram sefalometri.

 

ABSTRACT

Introduction: Maxillary sinus size can be affected by skeletal malocclusion. Therefore knowledge of maxillary sinus development and size is essential in diagnosing and determining the treatment plan for malocclusion cases. This study was aimed to analyse the mean difference in maxillary sinus size in skeletal class I, II, and III malocclusions in males and females. Methods: This type of study was a descriptive-analytic study conducted on 96 patients at Universitas Sumatera Utara Dental Hospital aged 18-35 years with a purposive sampling technique, consisting of 27 Class I, 31 Class II and 22 Class III jaw relations. Subjects were obtained by measuring the Steiner method. The tracing results were transferred through a scanner and measuring the maxillary sinus area using the AutoCAD program. Results: The mean skeletal Class I maxillary sinus was 1492.18268.44 mm2 for men and 1614,80259.13 mm2 for women p = 0.275, so there was no significant difference between the mean skeletal Class I maxillary sinus in males and females. Class II skeletal is 1879.75 mm2 for men and 1544.41239.47 mm2 for women obtained p = 0.016. Hence, there is a significant difference between the mean skeletal Class II maxillary sinus in males and females, and skeletal Class III is 1619.36 mm2 for men and 1489.92 mm2 for women obtained p = 0.239, so there was no significant difference between the mean skeletal Class III maxillary sinus in males and females. The mean size between groups was 1572.93 263.72 mm2 for skeletal Class I, 1609.32 mm2 for skeletal Class II, and 1531.11 mm2 for skeletal Class III with p = 0.600. skeletal Class I, Class II and Class III malocclusions. Conclusion: There was no difference in mean maxillary sinus size in skeletal Class I, Class II and Class III malocclusions.

Keywords: Maxillary sinus size, skeletal malocclusion, Steiner analysis, cephalometric radiograph.


Keywords


ukuran sinus maksilaris; maloklusi skeletal; analisa Steiner; radiogram sefalometri; maxillary sinus size; skeletal malocclusion; Steiner analysis; cephalometric radiograph

Full Text:

PDF

References


Yassaei S, Aghili H, Nik ZE, Ardakani HA. Comparison of maxillary sinus sizes in patient with maxillary excess and maxillary deficiency. Iranian J Orthod 2016;12(1):e7249. DOI: 10.5812/ijo.7249

Urabi AH, Al-Nakib LH. Digital lateral cephalometric assessment of maxillary sinus dimensions in different skeletal classes. J Bagh College Dent 2012;24(1):35-8.

Qadir M, Mushtaq M. Maxillary sinus size and malocclusion: Is there any relation. Int J Applied Dent Scie 2017;3(4):333-7.

Khaitan T, Kabiraj A, Ginjupally U, Jain R. Cephalometric Analysis for Gender Determination Using Maxillary Sinus Index: A Novel Dimension in Personal Identification. Int J Dent 2017:7026796. DOI: 10.1155/2017/7026796

Sun W, Xia K, Huang X, Cen X, Liu Q, Liu J. Knowledge of orthodontic tooth movement through the maxillary sinus: a systematic review. BMC Oral Health 2018;18(1):91. DOI: 10.1186/s12903-018-0551-1.

Oh H, Herchoid K, Hannon S, Heetland K, Ashraf G, Nguyen V,et al. Orthodontic tooth movement through the maxillary sinus in an adult with multiple missing teeth. Am J Orthod Dentofac Orthop 2014;146(4):493-505. DOI: 10.1016/j.ajodo.2014.03.025.

Jun BC, Song SW, Park CS, Lee PH, Cho KJ, Cho JH. The analysis of maxillary sinus aeration according to aging process; volume assessment by dimensional reconstruction by high-resolution CT scanning. Otolaryngol Head Neck Surg 2005;132(3):429-34. DOI: 10.1016/j.otohns.2004.11.012

Tambawala SS, Karjodkar FR, Sansare K, Prakash N. Sexual dimorphism of maxillary sinus using cone beam computed tomography. Egypt J Forensic Sci 2015;6(2):120-5. DOI: 10.7860/JCDR/2017/25159.9584

Endo T, Abe R, Kuroki H, Kojima K, Oka K, Shimooka S. Cephalometric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology 2010; 98(1):65-72. DOI: 10.1007/s10266-009-0108-5

Castruita AN, Serna NL, Lopez SG. Prenatal Development of the Maxillary Sinus: A Perspective for Paranasal Sinus Surgery. Otolaryngol Head Neck Surg 2011;146(6):997-1003. DOI: 10.1177/0194599811435883.

Jeon EY, Lee JH, Park SB, Park JT. Three-dimensional Evaluation of Maxillary Sinus Volume in Different Sex Groups Using Cone-beam Computed Tomography. Medico-legal Update 2020;20(1):1833-6. DOI: 10.37506/v20//i1/2020/mlu/194570

Kqiku L, Biblekaj R, Weiglein AH, Kqiku X, Stadtler P. Arterial blood architecture of the maxillary sinus in dentate specimens. Croat Med J 2013;54:180-4. DOI: 10.3325/cmj.2013.54.180

Watzek G. The percrestal sinuslift: from illusion to reality. Chicago: Quintessence, 2011. p. 2-3.

Jankowski R, Nguyen DT, Poussel M, Chenuel B, Gallet P, Rumeau C. Sinusology. European Annals of Otorhinolaryngology, Head and Neck diseases 2016;133:263-68. DOI: 10.1016/j.anorl.2016.05.011

Cha S, Zhang C, Zhao Q. Treatment of Class II malocclusion with tooth movement through the maxillary sinus. AmJ Orthod Dentofac Orthop 2020;157(1):105-116. DOI: 10.1016/j.ajodo.2018.08.027




DOI: https://doi.org/10.24198/jkg.v33i1.30240

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Jurnal Kedokteran Gigi Universitas Padjadjaran

INDEXING & PARTNERSHIP

     

      

     

 

Statistik Pengunjung

Creative Commons License
Jurnal Kedokteran Gigi Universitas Padjadjaran dilisensikan di bawah Creative Commons Attribution 4.0 International License