Original Articles
Scientific Dental Journal
Analyzing the Width of the Maxillary Sinus from
Private Practice in Bogor, Indonesia
Steven A. Tjang
1
, Rosalina Tjandrawinata
2
, Muhammad Novo Perwira Lubis
3
1
Private Practice, Siliwangi 146, Bogor, West Java – Indonesia
2
Department of Dental Material, Faculty of Dentistry, Trisakti University – Indonesia
3
Department of Radiology, Faculty of Dentistry, Trisakti University – Indonesia
‘Corresponding Author: Rosalina Tjandrawinata, Faculty of Dentistry, Trisakti University – Indonesia.
Email: rosalinatjandrawinata@gmail.com
Received date: January 30, 2018. Accepted date: April 21, 2018. Published date: May 29, 2018.
Copyright: ©2018 Tjang SA, Tjandrawinata R, Lubis MNP. This is an open access article distributed under the terms of the
Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided
the original author and sources are credited.
DOI: http://dx.doi.org/10.26912/sdj.v2i2.2504
ABSTRACT
Background: X-ray examinations are still a frequent diagnostic tool used by doctors in Indonesia. However, there is an
apparent lack of descriptive data regarding the size and location of the maxillary sinus in Indonesian people. Objective:
The aim of this study is to provide descriptive data on the size and location of the maxillary sinus among patients in the
city of Bogor, West Java, Indonesia. Methods: Sixty eligible subjects aged 17 to 70 years old were randomized into six
groups: male and female patients between 17 and 25 years old; male and female patients between 26 and 45 years old;
and male and female patients aged 46 or older. Radiographic pictures were taken using the X-mind Novus Digital
Panoramic X-ray unit and data were measured using the software Digora for Windows. Results: Using an analysis of
variance, we found that men have significantly larger maxillary sinus dimensions than women (79.05 mm compared to
66.33 mm). It also reveals that there are significant differences (p<0.05) between male and female groups; whereas 2
groups aged less than 46 years old are significantly different with group aged 46 years or older in both gender.
Conclusion: The study demonstrates that the size and location of maxillary sinus differ significantly between men and
women in Bogor and that they follow a specific trend.
Keywords : dental implant, digital radiography, maxillary sinus, panoramic radiography
59
Background
The maxillary sinus, the largest sinus in the cranium,
is an important structure to consider when carrying out
treatments on the maxillary region, especially when
placing dental implants.
1-4
Failing to allow adequate bone
width surrounding the structure may cause a dental
implant to be placed incorrectly, causing oro-antral
communication involving the maxillary, ethmoid, frontal
and/or sphenoid sinuses.
1,4-7
If left untreated, oro-antral
communication can further cause undesirable conditions
such as pansinusitis, panophthalmitis and orbital
cellulitis.
8-11
Early detection of oro-antral communication
may help dentists to determine a more beneficial treatment
plan, which in turn may lead to greater success in restoring
normal tooth function and mastication.
6,7
During a treatment plan, dentists must use non-
invasive techniques such as radiography to diagnose
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