{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T16:37:50Z","timestamp":1762360670726,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objetives: Zygomatic implants are an effective solution for the prosthetic rehabilitation of atrophic maxillae, but their placement can alter maxillary sinus anatomy and influence surgical outcomes. This study presents a computational algorithm for automated segmentation and volumetric assessment of the maxillary sinus from cone-beam computed tomography (CBCT) images, offering a reproducible and clinically oriented tool. Methods: Six sinus samples from four patients undergoing pterygoid or zygomatic implant surgery were analyzed. The algorithm was designed to integrate image binarization, surface detection, and iterative reconstruction to delineate sinus boundaries and compute volumes with minimal operator dependence. Results: Postoperative analyses consistently revealed reductions in sinus volume, with relative changes ranging from 1.1% to 24.5%, validated by expert review. Conclusions: These results demonstrate the feasibility of algorithm-driven volumetric assessment as a non-invasive approach to support surgical planning and monitor anatomical changes. Although limited by the small sample size, this pilot study establishes a foundation for further research and highlights the clinical potential of computational methods to enhance precision and safety in zygomatic implantology.<\/jats:p>","DOI":"10.3390\/dj13110515","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T16:09:47Z","timestamp":1762358987000},"page":"515","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pilot Study: Algorithm-Based Assessment of Maxillary Sinus Volume in Zygomatic and Pterygoid Implant Planning"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9988-4883","authenticated-orcid":false,"given":"Pablo Garc\u00eda","family":"Roza","sequence":"first","affiliation":[{"name":"Departamento de Morfolog\u00eda y Biolog\u00eda Celular, Universidad de Oviedo, 33006 Oviedo, Asturias, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iago Vila","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Grupo de Problemas Inversos, Optimizaci\u00f3n y Aprendizaje Autom\u00e1tico, Departamento de Matem\u00e1ticas, Universidad de Oviedo, 33006 Oviedo, Asturias, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel Gonz\u00e1lez","family":"Men\u00e9ndez","sequence":"additional","affiliation":[{"name":"Centro Ondontol\u00f3gico MG, 33005 Oviedo, Asturias, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Pato Mourelo","sequence":"additional","affiliation":[{"name":"Galimplant, 27600 Sarria, Lugo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1276-0018","authenticated-orcid":false,"given":"Jose Antonio","family":"Vega","sequence":"additional","affiliation":[{"name":"Departamento de Morfolog\u00eda y Biolog\u00eda Celular, Universidad de Oviedo, 33006 Oviedo, Asturias, Spain"},{"name":"Facultad de Ciencias de la Salud, Universidad Aut\u00f3noma de Chile, Providencia, Santiago 7500912, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6963-7507","authenticated-orcid":false,"given":"M. Zulima","family":"Fern\u00e1ndez-Mu\u00f1iz","sequence":"additional","affiliation":[{"name":"Grupo de Problemas Inversos, Optimizaci\u00f3n y Aprendizaje Autom\u00e1tico, Departamento de Matem\u00e1ticas, Universidad de Oviedo, 33006 Oviedo, Asturias, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.cden.2020.09.015","article-title":"Zygomatic Implants: A Solution for the Atrophic Maxilla: 2021 Update","volume":"65","author":"Rosenstein","year":"2021","journal-title":"Dent. Clin. N. Am."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s40729-023-00480-4","article-title":"Indications for zygomatic implants: A systematic review","volume":"9","author":"Polido","year":"2023","journal-title":"Int. J. Implant. 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