{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:54:30Z","timestamp":1793048070835,"version":"4.5.0"},"reference-count":69,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T00:00:00Z","timestamp":1642636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Biology"],"abstract":"<jats:p>The aim of this study was to identify the most relevant dental factors and iatrogenic causes in the development of pathological changes to the sinus membrane and to analyse their possible influence on the development of odontogenic sinusitis. A descriptive, observational study was designed, with 276 patients who had been evaluated via cone beam computed tomography, analysing possible sinus thickening factors, such as apical infections, endodontic treatments, periodontitis, radicular cysts and impacted teeth, as well as iatrogenic factors caused by implant treatments or the development of oroantral communications produced during tooth extraction manoeuvres. Among the dental factors, periodontitis (47.1%), apical pathology (23.5%) and endodontic treatments (23.1%) were the predominant causes of sinus membrane thickening that most frequently produced an occupancy between 2 and 10 mm. Regarding the implant treatments, the placement of implants through the floor of the maxillary sinus was the main cause (9.8%), followed by sinus elevation techniques (6.2%). Dental extraction was the first cause of oroantral communication (5.0%), being the procedure that caused the greatest thickening of the sinus membrane. This study highlights the importance of dental treatments and iatrogenic factors in sinus pathology, and the need for diagnostic interrelations between the different specialists who address this pathology.<\/jats:p>","DOI":"10.3390\/biology11020165","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T22:40:20Z","timestamp":1642718420000},"page":"165","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Analysis of the Radiological Changes of the Sinus Membrane Using Cone Beam Computed Tomography and Its Relationship with Dental Treatments. A Retrospective Study"],"prefix":"10.3390","volume":"11","author":[{"given":"Mar\u00eda","family":"Rey-Mart\u00ednez","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Central Hospital of the Red Cross of Madrid, 28003 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7631-2065","authenticated-orcid":false,"given":"Pedro","family":"Ruiz-S\u00e1enz","sequence":"additional","affiliation":[{"name":"Department of Odontology, Central Hospital of the Red Cross of Madrid, 28003 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4395-5953","authenticated-orcid":false,"given":"Natalia","family":"Mart\u00ednez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0966-3276","authenticated-orcid":false,"given":"Cristina","family":"Barona-Dorado","sequence":"additional","affiliation":[{"name":"Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2435-8766","authenticated-orcid":false,"given":"Cristina","family":"Meniz-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1701-8867","authenticated-orcid":false,"given":"Jorge","family":"Cort\u00e9s-Bret\u00f3n Brinkmann","sequence":"additional","affiliation":[{"name":"Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Su\u00e1rez-Quintanilla","sequence":"additional","affiliation":[{"name":"Department of Morphological Sciences, School of Medicine, University Santiago de Compostela, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6488-9265","authenticated-orcid":false,"given":"Jos\u00e9","family":"Mart\u00ednez-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,20]]},"reference":[{"key":"ref_1","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":"Little","year":"2018","journal-title":"Laryngoscope Investig. Otolaryngol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e12402","DOI":"10.1111\/jicd.12402","article-title":"Comparison of cone-beam computed tomography and panoramic imaging in assessing the relationship between posterior maxillary tooth roots and the maxillary sinus: A systematic review","volume":"10","author":"La","year":"2019","journal-title":"J. Investig. Clin. Dent."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.anl.2014.12.006","article-title":"Association between odontogenic infections and unilateral sinus opacification","volume":"42","author":"Matsumoto","year":"2015","journal-title":"Auris Nasus Larynx"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1002\/lary.20095","article-title":"Frequency of a dental source for acute maxillary sinusitis","volume":"119","author":"Bomeli","year":"2009","journal-title":"Laryngoscope"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1016\/j.joen.2016.07.003","article-title":"Association between Odontogenic Conditions and Maxillary Sinus Disease: A Study Using Cone-beam Computed Tomography","volume":"42","author":"Nascimento","year":"2016","journal-title":"J. Endod."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.1016\/j.joen.2017.08.014","article-title":"Correlation between Endodontic Infection and Periodontal Disease and Their Association with Chronic Sinusitis: A Clinical-tomographic Study","volume":"43","author":"Devito","year":"2017","journal-title":"J. Endod."},{"key":"ref_7","first-page":"e34","article-title":"Association between maxillary sinus pathology and odontogenic lesions in patients evaluated by conebeam computed tomography. A systematic review and meta-analysis","volume":"25","author":"Bagan","year":"2020","journal-title":"Med. Oral Patol. Oral Cir. Bucal"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e12202","DOI":"10.1111\/jicd.12202","article-title":"Pathophysiology of sinusitis of odontogenic origin","volume":"8","author":"Taschieri","year":"2017","journal-title":"J. Investig. Clin. Dent."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s40496-017-0161-z","article-title":"Definitions and Epidemiology of Endodontic Infections","volume":"4","author":"Persoon","year":"2017","journal-title":"Curr. Oral Health Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1007\/s00405-018-4977-5","article-title":"Impact of odontogenic chronic rhinosinusitis on general health-related quality of life","volume":"275","author":"Gaudin","year":"2018","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"82","DOI":"10.4193\/Rhin20.601","article-title":"Executive summary of EPOS 2020 including integrated care pathways","volume":"58","author":"Fokkens","year":"2020","journal-title":"Rhinology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"237","DOI":"10.2500\/ajra.2013.27.3884","article-title":"The characteristics and new treatment paradigm of dental implant-related chronic rhinosinusitis","volume":"27","author":"Chen","year":"2013","journal-title":"Am. J. Rhinol. Allergy"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/j.1600-0501.2007.01372.x","article-title":"Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures","volume":"19","author":"Torradeflot","year":"2008","journal-title":"Clin. Oral Implant. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.tripleo.2006.09.024","article-title":"A retrospective study of the effects on sinus complications of exposing dental implants to the maxillary sinus cavity","volume":"103","author":"Jung","year":"2007","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2475","DOI":"10.1016\/j.joms.2019.06.189","article-title":"Does Middle Meatal Antrostomy Prevent the Onset of Maxillary Sinusitis After Zygomatic Implant Placement?","volume":"77","author":"Favero","year":"2019","journal-title":"J Oral Maxillofac. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.joen.2011.02.032","article-title":"Cone-beam computed tomography evaluation of maxillary sinusitis","volume":"37","author":"Maillet","year":"2011","journal-title":"J. Endod."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.crad.2019.02.012","article-title":"Imaging of odontogenic sinusitis","volume":"74","author":"Whyte","year":"2019","journal-title":"Clin. Radiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1002\/alr.21212","article-title":"Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin","volume":"3","author":"Pokorny","year":"2013","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1002\/lio2.130","article-title":"When Maxillary Sinusitis Does Not Heal: Findings on CBCT Scans of the Sinuses With a Particular Focus on the Occurrence of Odontogenic Causes of Maxillary Sinusitis","volume":"2","author":"Flygare","year":"2017","journal-title":"Laryngoscope Investig. Otolaryngol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1177\/1945892420976766","article-title":"Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review","volume":"35","author":"Allevi","year":"2021","journal-title":"Am. J. Rhinol. Allergy"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"465173","DOI":"10.1155\/2014\/465173","article-title":"Chronic maxillary rhinosinusitis of dental origin: A systematic review of 674 patient cases","volume":"2014","author":"Lechien","year":"2014","journal-title":"Int. J. Otolaryngol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"102925","DOI":"10.1016\/j.amjoto.2021.102925","article-title":"Diagnosing odontogenic sinusitis of endodontic origin: A multidisciplinary literature review","volume":"42","author":"Craig","year":"2021","journal-title":"Am. J. Otolaryngol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"194","DOI":"10.4103\/jispcd.JISPCD_435_18","article-title":"Evaluation of Odontogenic Maxillary Sinusitis with Cone Beam Computed Tomography: A Retrospective Study with Review of Literature","volume":"9","author":"Bajoria","year":"2019","journal-title":"J. Int. Soc. Prev. Community Dent."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1002\/alr.22434","article-title":"Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification","volume":"9","author":"Turfe","year":"2019","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1002\/alr.21400","article-title":"Redefining boundaries in odontogenic sinusitis: A retrospective evaluation of extramaxillary involvement in 315 patients","volume":"4","author":"Saibene","year":"2014","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_26","first-page":"e70","article-title":"Meta-analysis of the etiology of odontogenic maxillary sinusitis","volume":"15","year":"2010","journal-title":"Med. Oral Patol. Oral Cir. Bucal"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1902\/jop.2011.110376","article-title":"Cone-beam computed tomographic evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus","volume":"83","author":"Phothikhun","year":"2012","journal-title":"J. Periodontol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/idj.12186","article-title":"Significance of maxillary sinus mucosal thickening in patients with periodontal disease","volume":"65","author":"Ren","year":"2015","journal-title":"Int. Dent. J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.iac.2019.12.012","article-title":"Odontogenic Sinusitis: Current Concepts in Diagnosis and Treatment","volume":"40","author":"Newsome","year":"2020","journal-title":"Immunol. Allergy Clin. N. Am."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"932","DOI":"10.3349\/ymj.2010.51.6.932","article-title":"Clinical features and treatments of odontogenic sinusitis","volume":"51","author":"Lee","year":"2010","journal-title":"Yonsei Med. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1002\/alr.20058","article-title":"Clinical aspects of odontogenic maxillary sinusitis: A case series","volume":"1","author":"Longhini","year":"2011","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1017\/S0022215111002568","article-title":"Evidence of an increase in the incidence of odontogenic sinusitis over the last decade in the UK","volume":"126","author":"Hoskison","year":"2012","journal-title":"J. Laryngol. Otol."},{"key":"ref_33","first-page":"e409","article-title":"Frequency of the odontogenic maxillary sinusitis extended to the anterior ethmoid sinus and response to surgical treatment","volume":"19","year":"2014","journal-title":"Med. Oral Patol. Oral Cir. Bucal"},{"key":"ref_34","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":"Wang","year":"2015","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.1016\/j.jcms.2015.07.021","article-title":"Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases","volume":"43","author":"Troeltzsch","year":"2015","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.jcms.2017.01.023","article-title":"Odontogenic sinusitis maxillaris: A retrospective study of 121 cases with surgical intervention","volume":"45","author":"Zirk","year":"2017","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2291","DOI":"10.1007\/s00405-018-5076-3","article-title":"Odontogenic sinusitis involving the frontal sinus: Is middle meatal antrostomy enough?","volume":"275","author":"Ungar","year":"2018","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1016\/j.jcms.2019.04.012","article-title":"Single-step surgical treatment of odontogenic maxillary sinusitis: A retrospective study of 98 cases","volume":"47","author":"Costa","year":"2019","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1002\/lary.28001","article-title":"Optimal timing of endoscopic sinus surgery for odontogenic sinusitis","volume":"129","author":"Craig","year":"2019","journal-title":"Laryngoscope"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/j.joms.2019.12.025","article-title":"Questioning the Justification of Frontal Sinusotomy for Odontogenic Sinusitis","volume":"78","author":"Safadi","year":"2020","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4193\/Rhino12.000","article-title":"EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists","volume":"50","author":"Fokkens","year":"2012","journal-title":"Rhinology"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"40","DOI":"10.2500\/ajra.2009.23.3259","article-title":"Validation of the Sino-Nasal Outcome Test 20 (SNOT-20) domains in nonsurgical patients","volume":"23","author":"Pynnonen","year":"2009","journal-title":"Am. J. Rhinol. Allergy"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.otohns.2005.10.059","article-title":"Sinusitis of odontogenic origin","volume":"135","author":"Brook","year":"2006","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_44","unstructured":"Tataryn, R.W., Lewis, M.J., Horalek, A.L., Thompson, C.G., Cha, B.Y., and Pokorny, A.T. (2018). Maxillary Sinusitis of Endodontic Origin. American Association of Endodontists Position Statement, American Association of Endodontists. Available online: https:\/\/www.aae.org\/specialty\/wp-content\/uploads\/sites\/2\/2018\/04\/AAE_PositionStatement_MaxillarySinusitis.pdf."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"20190205","DOI":"10.1259\/dmfr.20190205","article-title":"The maxillary sinus: Physiology, development and imaging anatomy","volume":"48","author":"Whyte","year":"2019","journal-title":"Dentomaxillofac. Radiol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1111\/j.1834-7819.2002.tb00549.x","article-title":"Foreign bodies in the maxillary antrum: A case report","volume":"47","author":"Liston","year":"2002","journal-title":"Aust. Dent. J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"S173","DOI":"10.1002\/JPER.17-0721","article-title":"Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions","volume":"89","author":"Papapanou","year":"2018","journal-title":"J. Periodontol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/j.joen.2013.04.010","article-title":"Association between periapical lesions and maxillary sinus mucosal thickening: A retrospective cone-beam computed tomographic study","volume":"39","author":"Shanbhag","year":"2013","journal-title":"J. Endod."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s10266-013-0144-z","article-title":"Comparative assessment of periapical radiography and CBCT imaging for radiodiagnostics in the posterior maxilla","volume":"103","author":"Shahbazian","year":"2015","journal-title":"Odontology"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1016\/j.joen.2012.04.027","article-title":"Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: A retrospective study","volume":"38","author":"Lu","year":"2012","journal-title":"J. Endod."},{"key":"ref_51","first-page":"e572","article-title":"Cone beam computed tomographic analysis of maxillary premolars and molars to detect the relationship between periapical and marginal bone loss and mucosal thickness of maxillary sinus","volume":"20","author":"Sekerci","year":"2015","journal-title":"Med. Oral Patol. Oral Cir. Bucal"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s00784-018-2418-x","article-title":"Association between odontogenic conditions and maxillary sinus mucosal thickening: A retrospective CBCT study","volume":"23","author":"Aksoy","year":"2019","journal-title":"Clin. Oral Investig."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jds.2020.05.002","article-title":"Assessment of relationship between maxillary sinus membrane thickening and the adjacent teeth health by cone-beam computed tomography","volume":"16","author":"Huang","year":"2021","journal-title":"J. Dent. Sci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.joen.2015.09.014","article-title":"Evaluation of Periapical Lesions and Their Association with Maxillary Sinus Abnormalities on Cone-beam Computed Tomographic Images","volume":"42","author":"Nunes","year":"2016","journal-title":"J. Endod."},{"key":"ref_55","first-page":"75","article-title":"Is the Schneiderian membrane thickness affected by periodontal disease? A cone beam computed tomography-based extended case series","volume":"15","author":"Zitzmann","year":"2013","journal-title":"J. Int. Acad. Periodontol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.bjorl.2015.11.004","article-title":"Association between maxillary sinus pathologies and healthy teeth","volume":"82","year":"2016","journal-title":"Braz. J. Otorhinolaryngol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e25536","DOI":"10.5812\/ircmj.25536","article-title":"Etiologies and Treatments of Odontogenic Maxillary Sinusitis: A Systematic Review","volume":"17","author":"Akhlaghi","year":"2015","journal-title":"Iran Red Crescent Med. J."},{"key":"ref_58","first-page":"e682","article-title":"Meta-analytic study on the frequency and treatment of oral antral communications","volume":"16","year":"2011","journal-title":"Med. Oral Patol. Oral Cir. Bucal"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/j.tripleo.2009.07.026","article-title":"The closure of oroantral communications with resorbable PLGA-coated beta-TCP root analogs, hemostatic gauze, or buccal flaps: A prospective study","volume":"108","author":"Gacic","year":"2009","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1007\/s00784-014-1357-4","article-title":"Prevalence of vertical root fracture as the reason for tooth extraction in dental clinics","volume":"19","author":"Yoshino","year":"2015","journal-title":"Clin. Oral Investig."},{"key":"ref_61","first-page":"501","article-title":"Root fractures: Epidemiological, clinical and radiographic aspects","volume":"58","author":"Popescu","year":"2017","journal-title":"Rom. J. Morphol. Embryol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e100","DOI":"10.1111\/clr.12570","article-title":"Clinical features and treatment outcomes of dental implant-related paranasal sinusitis: A 2-year prospective observational study","volume":"27","author":"Kim","year":"2016","journal-title":"Clin. Oral Implant. Res."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"504","DOI":"10.5005\/jp-journals-10024-2547","article-title":"Survival of Implants after Indirect Maxillary Sinus Elevation Procedure: A Two Years Longitudinal Study","volume":"20","author":"Mahesh","year":"2019","journal-title":"J. Contemp. Dent. Pract."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1111\/j.1600-0501.2012.02440.x","article-title":"The treatment of sinusitis following maxillary sinus grafting with the association of functional endoscopic sinus surgery (FESS) and an intra-oral approach","volume":"24","author":"Chiapasco","year":"2013","journal-title":"Clin. Oral Implant. Res."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1097\/ID.0000000000000477","article-title":"One-Step Maxillary Sinus Augmentation in Association with Endoscopic Sinus Surgery: Case Series and Review of the Literature","volume":"25","author":"Saibene","year":"2016","journal-title":"Implant. Dent."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.tripleo.2010.02.038","article-title":"Late signs and symptoms of maxillary sinusitis after sinus augmentation","volume":"110","author":"Manor","year":"2010","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s12879-016-1398-1","article-title":"Management of acute maxillary sinusitis after sinus bone grafting procedures with simultaneous dental implants placement\u2014A retrospective study","volume":"16","author":"Rotaru","year":"2016","journal-title":"BMC Infect. Dis."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"282","DOI":"10.14639\/0392-100X-N0457","article-title":"Odontogenic sinusitis and sinonasal complications of dental treatments: A retrospective case series of 480 patients with critical assessment of the current classification","volume":"40","author":"Molteni","year":"2020","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.otohns.2007.02.004","article-title":"The Lund-Mackay staging system for chronic rhinosinusitis: How is it used and what does it predict?","volume":"137","author":"Hopkins","year":"2007","journal-title":"Otolaryngol. Head Neck Surg."}],"container-title":["Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2079-7737\/11\/2\/165\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:04:28Z","timestamp":1760133868000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2079-7737\/11\/2\/165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,20]]},"references-count":69,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["biology11020165"],"URL":"https:\/\/doi.org\/10.3390\/biology11020165","relation":{},"ISSN":["2079-7737"],"issn-type":[{"value":"2079-7737","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,20]]}}}