{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T14:21:45Z","timestamp":1784816505376,"version":"3.55.0"},"reference-count":21,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008376","name":"Helsingin ja Uudenmaan Sairaanhoitopiiri","doi-asserted-by":"publisher","award":["Y1014SU011\/1149010\/30101"],"award-info":[{"award-number":["Y1014SU011\/1149010\/30101"]}],"id":[{"id":"10.13039\/100008376","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>Computed tomography (CT) and cone beam computed tomography (CBCT) represent the main imaging modalities used in rhinosinusitis patients and are also important in odontogenic sinusitis (OS) diagnostics. Reports, however, often lack information on dentition. Here, we aimed to determine how maxillary dentition is initially interpreted in rhinosinusitis patients\u2019 CT\/CBCT reports and which dental findings in particular are potentially missed, thus needing more attention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Study design<\/jats:title>\n<jats:p>CT\/CBCT scans and radiological reports from 300 rhinosinusitis patients were analysed focusing specifically on dental findings. An experienced oral and maxillofacial radiologist re-evaluated the scans and the assessment was compared to the original reports using the McNemar test.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>From the 300 original reports, 233 (77.7%) mentioned the maxillary teeth. The most frequent statement (126\/300, 42.0%) was \u2018no apical periodontitis\u2019. Apical periodontitis and severe alveolar bone loss were significantly overlooked (<jats:italic>p<\/jats:italic> &lt; 0.001). Amongst the 225 patients for whom the CT\/CBCT report initially lacked information on dental pathology, 22 patients were diagnosed with apical periodontitis and 16 with severe alveolar bone loss upon re-evaluation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Dental pathology remains underreported in rhinosinusitis patients\u2019 CT\/CBCT reports. Because these reports affect OS diagnostics, a routine and structured review of the maxillary teeth by a radiologist is necessary. Such examinations should encompass the maxillary teeth.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0299489","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T19:17:30Z","timestamp":1714504650000},"page":"e0299489","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dental findings frequently overlooked in sinus computed tomography reports"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2090-2362","authenticated-orcid":true,"given":"Annina","family":"Wuokko-Land\u00e9n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"V\u00e4limaa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Blomgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anni","family":"Suomalainen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"issue":"1","key":"pone.0299489.ref001","first-page":"24","article-title":"Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis.","volume":"20","author":"NA Patel","year":"2012","journal-title":"Curr"},{"issue":"7","key":"pone.0299489.ref002","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.crad.2019.02.012","article-title":"Imaging of odontogenic sinusitis.","volume":"74","author":"A Whyte","year":"2019","journal-title":"Clin Radiol."},{"issue":"Suppl S29","key":"pone.0299489.ref003","first-page":"1","article-title":"European Position Paper on Rhinosinusitis and Nasal Polyps 2020.","volume":"58","author":"WJ Fokkens","year":"2020","journal-title":"Rhinology."},{"issue":"9","key":"pone.0299489.ref004","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1002\/lary.24603","article-title":"Comparison of simulated cone beam computed tomography to conventional helical computed tomography for imaging of rhinosinusitis","volume":"124","author":"S Fakhran","year":"2014","journal-title":"Laryngoscope"},{"issue":"7","key":"pone.0299489.ref005","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1002\/alr.21504","article-title":"Odontogenic sinusitis: a case series studying diagnosis and management","volume":"5","author":"KL Wang","year":"2015","journal-title":"Int Forum Allergy Rhinol"},{"issue":"9","key":"pone.0299489.ref006","doi-asserted-by":"crossref","first-page":"1910","DOI":"10.1002\/lary.23427","article-title":"Otolaryngologists\u2019 perceptions of odontogenic maxillary sinusitis","volume":"122","author":"AB Longhini","year":"2012","journal-title":"Laryngoscope"},{"issue":"2","key":"pone.0299489.ref007","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1002\/lio2.147","article-title":"Odontogenic sinusitis: A review of the current literature","volume":"3","author":"RE Little","year":"2018","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"1","key":"pone.0299489.ref008","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.4317\/medoral.23172","article-title":"Association between maxillary sinus pathology and odontogenic lesions in patients evaluated by cone beam computed tomography. A systematic review and meta-analysis","volume":"25","author":"S Pe\u00f1arrocha-Oltra","year":"2020","journal-title":"Med Oral Patol Oral Cir Bucal"},{"issue":"11","key":"pone.0299489.ref009","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1002\/JPER.19-0391","article-title":"Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study.","volume":"91","author":"B Zhang","year":"2020","journal-title":"J Periodontol"},{"issue":"4","key":"pone.0299489.ref010","doi-asserted-by":"crossref","first-page":"e101","DOI":"10.2500\/ajra.2013.27.3936","article-title":"Sinonasal complications resulting from dental treatment: outcome-oriented proposal of classification and surgical protocol","volume":"27","author":"G Felisati","year":"2013","journal-title":"Am J Rhinol Allergy"},{"issue":"1","key":"pone.0299489.ref011","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.tripleo.2009.07.043","article-title":"Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature","volume":"109","author":"MC Buyukkurt","year":"2010","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"issue":"7","key":"pone.0299489.ref012","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1002\/alr.22598","article-title":"Management of odontogenic sinusitis: multidisciplinary consensus statement","volume":"10","author":"JR Craig","year":"2020","journal-title":"Int Forum Allergy Rhinol"},{"issue":"3","key":"pone.0299489.ref013","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S0096-6347(43)90011-0","article-title":"Maxillary sinusitis of dental origin","volume":"29","author":"WH Bauer","year":"1943","journal-title":"American Journal of Orthodontics and Oral Surgery"},{"issue":"6","key":"pone.0299489.ref014","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1002\/lary.23720","article-title":"Chronic rhinosinusitis increased the risk of chronic periodontitis: a population-based matched-cohort study","volume":"123","author":"JJ Keller","year":"2013","journal-title":"Laryngoscope"},{"issue":"4","key":"pone.0299489.ref015","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.cden.2008.05.005","article-title":"What is cone-beam CT and how does it work?","volume":"52","author":"WC Scarfe","year":"2008","journal-title":"Dent Clin North Am"},{"issue":"1","key":"pone.0299489.ref016","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1080\/00016357.2020.1773531","article-title":"Radiographic outcome of root canal treatment in general dental practice: tooth type and quality of root filling as prognostic factors.","volume":"79","author":"E Laukkanen","year":"2021","journal-title":"Acta Odontol Scand"},{"issue":"7","key":"pone.0299489.ref017","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/j.joen.2015.03.011","article-title":"Prevalence of Apical Bone Defects and Evaluation of Associated Factors Detected with Cone-beam Computed Tomographic Images.","volume":"41","author":"F Lemagner","year":"2015","journal-title":"J Endod"},{"issue":"3","key":"pone.0299489.ref018","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1111\/iej.12625","article-title":"Prevalence of apical periodontitis in root filled teeth: findings from a nationwide survey in Finland.","volume":"50","author":"S Huumonen","year":"2017","journal-title":"Int Endod J"},{"issue":"1","key":"pone.0299489.ref019","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s13244-017-0588-8","article-title":"ESR paper on structured reporting in radiology","volume":"9","year":"2018","journal-title":"Insights Imaging"},{"issue":"3","key":"pone.0299489.ref020","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1007\/s00784-020-03384-4","article-title":"Odontogenic causes complicating the chronic rhinosinusitis diagnosis.","volume":"25","author":"A Wuokko-Landen","year":"2021","journal-title":"Clin Oral Investig"},{"key":"pone.0299489.ref021","doi-asserted-by":"crossref","first-page":"i1152","DOI":"10.1136\/bmj.i1152","article-title":"The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines","volume":"352","author":"MC Brouwers","year":"2016","journal-title":"Bmj"}],"container-title":["PLOS 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