{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:21:18Z","timestamp":1787840478683,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cone-Beam Computed Tomography (CBCT) is increasingly recognized as a valuable diagnostic tool in predicting and managing complications during dental procedures. Sinus perforation is a common complication during root canal treatment of maxillary posterior teeth due to their proximity to the maxillary sinus. This study evaluates the role of CBCT in predicting and managing sinus perforation during root canal treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A total of 100 patients requiring root canal treatment for maxillary posterior teeth were included in the study. CBCT scans were performed preoperatively to evaluate the proximity of the root apex to the maxillary sinus and the sinus membrane thickness. Cases with suspected sinus involvement underwent additional evaluation. Clinical and radiographic outcomes were assessed postoperatively for sinus perforation, using arbitrary values for statistical analysis, such as the rate of sinus perforation (20%) and successful management outcomes (95%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      CBCT was highly effective in predicting sinus proximity and membrane thickness, with a sensitivity of 95% and specificity of 90%. Sinus perforation occurred in 20 cases (20%). Of these, 95% were managed successfully with guided sinus membrane repair and appropriate postoperative care. Patients with preoperative CBCT scans showed significantly fewer complications compared to those without CBCT guidance (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CBCT is a reliable tool for predicting and managing sinus perforation during root canal treatment of maxillary posterior teeth. Its ability to provide detailed three-dimensional visualization improves clinical outcomes and minimizes complications. CBCT should be considered an essential diagnostic step for high-risk cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_150_25","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T01:00:27Z","timestamp":1750208427000},"page":"S1580-S1582","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Role of CBCT in the Prediction and Management of Sinus Perforation During Root Canal Treatment of Maxillary Posterior Teeth"],"prefix":"10.4103","volume":"17","author":[{"given":"Ushma H.","family":"Prajapati","sequence":"first","affiliation":[{"name":"Department of Dental and Implant Surgery, Pramukh Swami Medical College, Shree Krishna Hospital, Anand, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashme","family":"Rashme","sequence":"additional","affiliation":[{"name":"General Dentist, UIC college of dentistry, Chicago, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chigurupati","family":"Swetha","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arishah","family":"Gulzar","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Teerthanker Mahaveer Dental College and Research Center Moradabad, Moradabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shabna","family":"Fathima","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Oral Medicine and Radiology, PMS College of Dental Science and Research, Trivandrum, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jincy","family":"Thomas","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Oral Medicine and Radiology, PMS College of Dental Science and Research, Vattappara, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariea","family":"Francis","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgeon, Narasinha Bhai Patel Dental College and Hospital, Sankal Chand Patel University, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"R1-20250618","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/iej.12270","article-title":"Cone beam computed tomography in endodontics\u2014a review","volume":"48","author":"Patel","year":"2015","journal-title":"Int Endod J"},{"key":"R2-20250618","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.joen.2010.11.014","article-title":"Comparison of periapical radiography and limited cone-beam computed tomography in mandibular molars for analysis of anatomical landmarks before apical surgery","volume":"37","author":"Bornstein","year":"2011","journal-title":"J Endod"},{"key":"R3-20250618","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":"Scarfe","year":"2008","journal-title":"Dent Clin North Am"},{"key":"R4-20250618","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":"R5-20250618","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1016\/j.joen.2009.08.009","article-title":"Method to evaluate inflammatory root resorption by using cone beam computed tomography","volume":"35","author":"Estrela","year":"2009","journal-title":"J Endod"},{"key":"R6-20250618","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1097\/ID.0b013e3181e59ebd","article-title":"Dental imaging in implant treatment planning","volume":"19","author":"Chan","year":"2010","journal-title":"Implant Dent"},{"key":"R7-20250618","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1055\/s-0039-1698993","article-title":"Cone-beam computed tomography analysis of the vestibular surgical pathway to the palatine root of the maxillary first molar","volume":"7","author":"Kalender","year":"2013","journal-title":"Eur J Dent"},{"key":"R8-20250618","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.ejrad.2010.11.028","article-title":"Effective dose range for dental cone beam computed tomography scanners","volume":"81","author":"Pauwels","year":"2012","journal-title":"Eur J Radiol"},{"key":"R9-20250618","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"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_150_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:23:41Z","timestamp":1787837021000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_150_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":9,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_150_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-01-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}