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In everyday examination, it is usual to encounter odontogenic maxillary sinusitis patients. Odontogenic maxillary sinusitis is generally best diagnosed by dental X-ray imaging. Many medical facilities not having a dental X-ray unit use coronal computed tomography (CT) images to diagnose odontogenic maxillary sinusitis. Coronal CT imaging causes artifacts, however due to dental prosthesises. Computed tomography-Multiplanar reformation (CT-MPR) imaging has proved useful in evaluating the paranasal sinus because it is not influenced by dental prosthesises. We evaluated the usefulness of CTMPR for diagnosing odontogenic maxillary sinusitis by retrospectively analyzing 16 patients, with the following results: 1. We coudn't diagnose all cases of odontogenic maxillary sinusitis in posteroanterior and Waters projection images. 2. Panoramic radiography is needed to diagnose odontogenic maxillary sinusitis. 3. Dental X-ray imaging missed some cases, but all cases were diagnosed by CT-MPR imaging, giving a 100% diagnosestic rate. CT-MPR imaging is thus at least as valuable or better than dental X-ray imaging in diagnosing odontogenic maxillary sinusitis.

CT-MPR INVALUABLE IN DIAGNOSING ODONTOGENIC MAXILLARY SINUSITIS