{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:40:28Z","timestamp":1792384828602,"version":"4.4.0"},"reference-count":27,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To analyze differences in maxillary sinus volume (MSV) and dimensions (length, width, height) in patients with and without impacted canines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Five databases were searched up to August 2025 for studies analyzing MSV and\/or dimensions in impacted canine patients using cone-beam computed tomography. Risk of bias was evaluated using the Newcastle\u2013Ottawa Scale (NOS) for cohort and case-control studies. Certainty of evidence was determined using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool. Meta-analysis was performed in MedCalc.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five articles met the criteria: three graded \u201cGood\u201d and two \u201cModerate.\u201d The meta-analysis showed a significant MSV difference in unilateral palatally impacted canines (PICs), but not in buccally impacted canines (BICs). No significant maxillary sinus dimension (MSD) differences were observed, though bilateral PICs had fluctuating values. From pre- to post-treatment, MSV tended to increase in PICs. In PICs and BICs, the MS extended more frequently into the incisor\/canine regions. A 1000 mm\n                      <jats:sup>3<\/jats:sup>\n                      decrease in MSV was associated with a 1.7 \u00d7 increase in PIC odds, and opposite for BICs. Each 1 mm increase in MS height tended to raise PIC odds by 22%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MSV tends to be smaller in PICs but not in BICs. Bilateral PICs suggest a reduced MSD, whereas unilateral PICs and BICs do not. MSV tended to increase after the treatment of PICs. PICs may be more common in either smaller or higher sinuses, whereas BICs may occur more frequently in larger sinuses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/112325-975.1","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T02:00:41Z","timestamp":1778119241000},"page":"708-715","source":"Crossref","is-referenced-by-count":0,"title":["Maxillary sinus volume and dimensions in patients with and without impacted canines: a systematic review and meta-analysis"],"prefix":"10.2319","volume":"96","author":[{"given":"Mohamad Awos","family":"Sulaiman","sequence":"first","affiliation":[{"name":"Student, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nerija","family":"Spai\u010dyt\u0117","sequence":"additional","affiliation":[{"name":"Resident, Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giedr\u0117","family":"Trakinien\u0117","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ar\u016bnas","family":"Vasiliauskas","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"issue":"3","key":"i1945-7103-96-6-708-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"391","article-title":"Influence of maxillary canine impaction characteristics and factors associated with orthodontic treatment on the duration of active orthodontic traction","volume":"156","author":"Arriola-Guill\u00e9n","year":"2019","unstructured":"Arriola-Guill\u00e9n LE,Aliaga-Del Castillo A,Ru\u00edz-Mora GA,Rodr\u00edguez-C\u00e1rdenas YA,Dias-Da Silveira HL. Influence of maxillary canine impaction characteristics and factors associated with orthodontic treatment on the duration of active orthodontic traction. Am J Orthod Dentofacial Orthop. 2019;156(3):391\u2013400."},{"issue":"3","key":"i1945-7103-96-6-708-b02","series-title":"Niger J Clin Pract","first-page":"301","article-title":"Health of periodontal tissues and resorption status after orthodontic treatment of impacted maxillary canines","volume":"21","author":"Oz","year":"2018","unstructured":"Oz AZ,Ciger S. Health of periodontal tissues and resorption status after orthodontic treatment of impacted maxillary canines. Niger J Clin Pract. 2018;21(3):301\u2013305."},{"issue":"4","key":"i1945-7103-96-6-708-b03","series-title":"Eur J Orthod","first-page":"283","article-title":"Early treatment of palatally erupting maxillary canines by extraction of the primary canines","volume":"10","author":"Ericson","year":"1988","unstructured":"Ericson S,Kurol J. Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod. 1988;10(4):283\u2013295."},{"issue":"Suppl 2","key":"i1945-7103-96-6-708-b04","series-title":"J Pharm Bioallied Sci","first-page":"S234","article-title":"Impacted canines: etiology, diagnosis, and orthodontic management","volume":"4","author":"Manne","year":"2012","unstructured":"Manne R,Gandikota C,Juvvadi SR,Rama HR,Anche S. Impacted canines: etiology, diagnosis, and orthodontic management. J Pharm Bioallied Sci. 2012;4(Suppl 2):S234\u2013S238."},{"issue":"3","key":"i1945-7103-96-6-708-b05","series-title":"Clin Oral Investig","first-page":"247","article-title":"Root resorption of the maxillary lateral incisor caused by impacted canine: a literature review","volume":"13","author":"Alqerban","year":"2009","unstructured":"Alqerban A,Jacobs R,Lambrechts P,Loozen G,Willems G. Root resorption of the maxillary lateral incisor caused by impacted canine: a literature review. Clin Oral Investig. 2009;13(3):247\u2013255. 8"},{"issue":"6","key":"i1945-7103-96-6-708-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"811","article-title":"Differences in distances between maxillary posterior root apices and the sinus floor according to skeletal pattern","volume":"152","author":"Ahn","year":"2017","unstructured":"Ahn NL,Park HS. Differences in distances between maxillary posterior root apices and the sinus floor according to skeletal pattern. Am J Orthod Dentofacial Orthop. 2017;152(6):811\u2013819."},{"key":"i1945-7103-96-6-708-b07","series-title":"Egypt J Otolaryngol","first-page":"173","article-title":"A literature review of the maxillary sinus with special emphasis on its anatomy and odontogenic diseases associated with it","volume":"39","author":"Somayaji","year":"2023","unstructured":"Somayaji K,Muliya VS,Roa KG M,Malladi UK,Nayak SB. A literature review of the maxillary sinus with special emphasis on its anatomy and odontogenic diseases associated with it. Egypt J Otolaryngol. 2023;39:173."},{"issue":"14","key":"i1945-7103-96-6-708-b08","series-title":"Diagnostics (Basel)","first-page":"1741","article-title":"Evaluation of the proximity of the maxillary teeth root apices to the maxillary sinus floor in Romanian subjects: a cone-beam computed tomography study","volume":"15","author":"Iliescu","year":"2025","unstructured":"Iliescu VI,Nimigean VR,Preoteasa CT,Georgescu L,Nimigean V. Evaluation of the proximity of the maxillary teeth root apices to the maxillary sinus floor in Romanian subjects: a cone-beam computed tomography study. Diagnostics (Basel). 2025;15(14):1741."},{"issue":"3","key":"i1945-7103-96-6-708-b09","series-title":"Otolaryngol Head Neck Surg","first-page":"429","article-title":"The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning","volume":"132","author":"Jun","year":"2005","unstructured":"Jun BC,Song SW,Park CS,Lee DH,Cho KJ,Cho JH. The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning. Otolaryngol Head Neck Surg. 2005;132(3):429\u2013434."},{"key":"i1945-7103-96-6-708-b10","article-title":"The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses","author":"Wells","year":"2011","unstructured":"Wells GA,Shea B,O\u2019Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hospital Research Institute; 2011. Available at: https:\/\/ohri.ca\/en\/who-we-are\/core-facilities-and-platforms\/ottawa-methods-centre\/newcastle-ottawa-scale. Accessed April 16, 2026."},{"key":"i1945-7103-96-6-708-b11","article-title":"GRADE handbook for grading quality of evidence and strength or recommendations","author":"Sch\u00fcnemann","year":"2013","unstructured":"Sch\u00fcnemann HJ,Bro\u017cek J,Guyatt G,Oxman A. GRADE handbook for grading quality of evidence and strength or recommendations. The GRADE Working Group; 2013. Available at: https:\/\/www.guidelinedevelopment.org\/handbook. Accessed April 16, 2026."},{"issue":"1","key":"i1945-7103-96-6-708-b12","series-title":"Angle Orthod","first-page":"25","article-title":"Maxillary sinus volume in patients with impacted canines","volume":"87","author":"Oz","year":"2017","unstructured":"Oz AZ,Oz AA,El H,Palomo JM. Maxillary sinus volume in patients with impacted canines. Angle Orthod. 2017;87(1):25\u201332."},{"issue":"3","key":"i1945-7103-96-6-708-b13","series-title":"Oral Radiol","first-page":"504","article-title":"Evaluation of maxillary sinus dimensions and volume using cone beam computed tomography in patients with unilaterally displaced palatal and buccal maxillary canines","volume":"39","author":"Alhaija","year":"2023","unstructured":"Alhaija ESA,AlWahadni AM,Al-Tawachi A,Daher SO,Daher HO. Evaluation of maxillary sinus dimensions and volume using cone beam computed tomography in patients with unilaterally displaced palatal and buccal maxillary canines. Oral Radiol. 2023;39(3):504\u2013516."},{"issue":"2","key":"i1945-7103-96-6-708-b14","series-title":"Egypt Dent J","first-page":"1165","article-title":"Cone-beam computed tomography evaluation of maxillary sinus volume in patients with unilaterally maxillary impacted canines","volume":"68","author":"Elmarhoumy","year":"2022","unstructured":"Elmarhoumy S,Safwat W,Ellaithy M. Cone-beam computed tomography evaluation of maxillary sinus volume in patients with unilaterally maxillary impacted canines. Egypt Dent J. 2022;68(2):1165\u20131170."},{"key":"i1945-7103-96-6-708-b15","series-title":"J Orthod Sci","first-page":"75","article-title":"Three-dimensional evaluation of maxillary sinus volume, skeletal and dentoalveolar maxillary anterior region, in unilateral palatally impacted maxillary canine (cross-sectional study)","volume":"12","author":"Faiq","year":"2023","unstructured":"Faiq SY,Dewachi Z. Three-dimensional evaluation of maxillary sinus volume, skeletal and dentoalveolar maxillary anterior region, in unilateral palatally impacted maxillary canine (cross-sectional study). J Orthod Sci. 2023;12:75."},{"issue":"2","key":"i1945-7103-96-6-708-b16","series-title":"World J Plast Surg","first-page":"32","article-title":"Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT)","volume":"13","author":"Farhadifard","year":"2024","unstructured":"Farhadifard H,Shokri A,Salehzadeh M,Farhadian M,Ahmadpour Y. Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT). World J Plast Surg. 2024;13(2):32\u201338."},{"issue":"2","key":"i1945-7103-96-6-708-b17","series-title":"Auris Nasus Larynx","first-page":"191","article-title":"Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study","volume":"34","author":"Emirzeoglu","year":"2007","unstructured":"Emirzeoglu M,Sahin B,Bilgic S,Celebi M,Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris Nasus Larynx. 2007;34(2):191\u2013195."},{"issue":"1","key":"i1945-7103-96-6-708-b18","series-title":"Eur Arch Otorhinolaryngol","first-page":"227","article-title":"Is the maxillary sinus volume affected by concha bullosa, nasal septal deviation, and impacted teeth? A CBCT study","volume":"277","author":"Tassoker","year":"2020","unstructured":"Tassoker M,Magat G,Lale B,Gulec M,Ozcan S,Orhan K. Is the maxillary sinus volume affected by concha bullosa, nasal septal deviation, and impacted teeth? A CBCT study. Eur Arch Otorhinolaryngol. 2020;277(1):227\u2013233."},{"issue":"4","key":"i1945-7103-96-6-708-b19","series-title":"Imaging Sci Dent","first-page":"287","article-title":"Cone-beam computed tomography findings of impacted upper canines","volume":"44","author":"da Silva Santos","year":"2014","unstructured":"da Silva Santos LM,Bastos LC,Oliveira-Santos C,da Silva SJ,Neves FS,Campos PS. Cone-beam computed tomography findings of impacted upper canines. Imaging Sci Dent. 2014;44(4):287\u2013292."},{"issue":"2","key":"i1945-7103-96-6-708-b20","series-title":"Prague Med Rep","first-page":"151","article-title":"Maxillary sinus volume and its effect on treated impacted canines","volume":"124","author":"Hor\u00e1\u010dek","year":"2023","unstructured":"Hor\u00e1\u010dek M,Dost\u00e1lov\u00e1 T,Urbanov\u00e1 P,Eli\u00e1\u0161ov\u00e1 H,\u0160pidlen M,Hli\u0148\u00e1kov\u00e1 P. Maxillary sinus volume and its effect on treated impacted canines. Prague Med Rep. 2023;124(2):151\u2013165."},{"issue":"1","key":"i1945-7103-96-6-708-b21","series-title":"Prog Orthod","first-page":"38","article-title":"Qualitative and quantitative three-dimensional evaluation of maxillary basal and dentoalveolar dimensions in patients with and without maxillary impacted canines","volume":"23","author":"Sharhan","year":"2022","unstructured":"Sharhan HM,Almashraqi AA,Al-Fakeh H, et al. Qualitative and quantitative three-dimensional evaluation of maxillary basal and dentoalveolar dimensions in patients with and without maxillary impacted canines. Prog Orthod. 2022;23(1):38."},{"issue":"2","key":"i1945-7103-96-6-708-b22","series-title":"Cureus","first-page":"e53363","article-title":"Influence of orthodontic treatment on changes in the maxillary sinus dimensions","volume":"16","author":"Tanaka","year":"2024","unstructured":"Tanaka E,Yamada H,Higashino M,Sawada M,Suetake S,Abe S. Influence of orthodontic treatment on changes in the maxillary sinus dimensions. Cureus. 2024;16(2):e53363."},{"issue":"3","key":"i1945-7103-96-6-708-b23","series-title":"Turk J Orthod","first-page":"208","article-title":"The evaluation of maxillary sinus dimensions in different craniofacial patterns: a systematic review and meta-analysis","volume":"36","author":"Chunduru","year":"2023","unstructured":"Chunduru R,Rachel P,Kailasam V,Padmanabhan S. The evaluation of maxillary sinus dimensions in different craniofacial patterns: a systematic review and meta-analysis. Turk J Orthod. 2023;36(3):208\u2013215."},{"issue":"6","key":"i1945-7103-96-6-708-b24","series-title":"Cleft Palate Craniofac J","first-page":"742","article-title":"Cone-beam computed tomographic assessment of maxillary sinus characteristics in patients with cleft lip and palate: a systematic review and meta-analysis","volume":"60","author":"Srivastav","year":"2023","unstructured":"Srivastav S,Tewari N,Duggal R, et al. Cone-beam computed tomographic assessment of maxillary sinus characteristics in patients with cleft lip and palate: a systematic review and meta-analysis. Cleft Palate Craniofac J. 2023;60(6):742\u2013751."},{"issue":"23","key":"i1945-7103-96-6-708-b25","series-title":"Diagnostics (Basel)","first-page":"3536","article-title":"Gender determination based on cbct maxillary sinus analysis: a systematic review","volume":"13","author":"Christoloukas","year":"2023","unstructured":"Christoloukas N,Mitsea A,Rontogianni A,Angelopoulos C. Gender determination based on cbct maxillary sinus analysis: a systematic review. Diagnostics (Basel). 2023;13(23):3536."},{"issue":"4","key":"i1945-7103-96-6-708-b26","series-title":"Am J Orthod Dentofacial Orthop","first-page":"527","article-title":"Etiologic factors for buccal and palatal maxillary canine impaction: a perspective based on cone-beam computed tomography analyses","volume":"143","author":"Yan","year":"2013","unstructured":"Yan B,Sun Z,Fields H,Wang L,Luo L. Etiologic factors for buccal and palatal maxillary canine impaction: a perspective based on cone-beam computed tomography analyses. Am J Orthod Dentofacial Orthop. 2013;143(4):527\u2013534."},{"issue":"10","key":"i1945-7103-96-6-708-b27","series-title":"Appl Sci","first-page":"4990","article-title":"Effect of the maxillary sinus on tooth movement during orthodontics based on biomechanical responses of periodontal ligaments","volume":"12","author":"Liu","year":"2022","unstructured":"Liu X,Liu M,Wu B,Liu J,Tang W,Yan B. Effect of the maxillary sinus on tooth movement during orthodontics based on biomechanical responses of periodontal ligaments. Appl Sci. 2022;12(10):4990."}],"container-title":["The Angle Orthodontist"],"original-title":[],"link":[{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/96\/6\/article-p708.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/96\/6\/article-p708.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/96\/6\/article-p708.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:02:56Z","timestamp":1792382576000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/96\/6\/article-p708.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":27,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.2319\/112325-975.1","relation":{},"ISSN":["1945-7103","0003-3219"],"issn-type":[{"value":"1945-7103","type":"electronic"},{"value":"0003-3219","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]}}}