Article: Volume 45 Number 10 Page 977 - November 2018

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  Dent Update 2018; 45: 977-984

Oral Surgery/Radiology:  Are Changes in Specific Landmark Anatomy on a Panoramic Image Suggestive of Maxillary Sinus Disease?

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Abstract: Dental panoramic radiography is a commonly employed investigation in dentistry, however, its use in the primary indication of maxillary sinus disease is often underestimated. Being able to identify anomalies or abnormalities involving the maxillary sinus on radiographs will facilitate early intervention and appropriate referral to the relevant specialties.

Clinical relevance: Dentists should have a good understanding of radiographic anatomy of the maxillary sinus. Recognizing radiographic changes allows appropriate referral and improved patient care.

Author notes: Thamesh Kerai, BDS(Hons) MFDS RCSEd, Dental Core Trainee in Oral and Maxillofacial Surgery and Kandasamy Ganesan, BDS, MDS(OMFS), MFDS RCS(Eng), FFD RCSI (Oral Surg Oral Med), Consultant in Oral Surgery, Oral and Maxillofacial Surgery Department, Southend University Hospital, Essex SS0 0RY, UK.

Objective: To identify changes on panoramic radiographs that may indicate maxillary sinus disease of odontogenic origin and appreciate the limitations of panoramic radiography and the necessity for more advanced radiographic imaging.

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