Relationship between maxillary sinus volume and alveolar trabeculation at orthodontic mini-implant sites across vertical skeletal patterns: a cross-sectional CBCT analysis

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dc.contributor.authorOzden, Samet
dc.contributor.authorCicek, Orhan
dc.contributor.authorSobi, Elif
dc.date.accessioned2026-04-04T13:33:10Z
dc.date.available2026-04-04T13:33:10Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBackground This study aimed to evaluate the relationship between maxillary sinus volume (MSV) and alveolar bone trabeculation using fractal dimension (FD) analysis across different vertical skeletal patterns, and to assess its potential implications for orthodontic mini-implant (OMI) stability. Methods CBCT images of 84 skeletal Class I individuals (47 females, 37 males; mean age 20.08 +/- 2.25 years) were analyzed and categorized into three vertical skeletal groups (28 normodivergent, 28 hyperdivergent, 28 hypodivergent). MSVs were measured bilaterally using 3D Slicer, and FD analyses were conducted on alveolar bone regions of interest (ROIs) located between the roots of teeth #14-15, #15-16, #16-17, and #24-25, #25-26, #26-27. MSV and FD values were analyzed within and between groups using one-way ANOVA, Kruskal-Wallis test, paired t-tests, Wilcoxon signed-rank tests, and Spearman's correlation test at a significance level of p < 0.05. The effects on OMI stability were then evaluated. Results Both right and left MSVs, as well as FD values in the ROIs between teeth #14-15, #15-16, #24-25, and #25-26, were found to be significantly higher in hypodivergent individuals. The posterior increase in FD values was significant only in the normodivergent group. In hypodivergent individuals, right MSVs were significantly correlated with FD values at the 14-15 ROI, and left MSVs with those at the 24-25 ROI, while no such correlation was found in other vertical patterns. Conclusions In hypodivergent individuals, increased trabecular complexity between the maxillary second premolar and first molar may enhance OMI stability; however, the MSV, which correlates significantly with FD values in this region, necessitates caution due to the potential risk of sinus perforation during insertion.
dc.identifier.doi10.1186/s12880-025-01953-1
dc.identifier.issn1471-2342
dc.identifier.issue1
dc.identifier.orcid0000-0002-8172-6043
dc.identifier.orcid0000-0002-9733-9777
dc.identifier.pmid41087949
dc.identifier.scopus2-s2.0-105018647723
dc.identifier.scopusqualityN/A
dc.identifier.urihttps://doi.org/10.1186/s12880-025-01953-1
dc.identifier.urihttps://hdl.handle.net/11616/108973
dc.identifier.volume25
dc.identifier.wosWOS:001594405800002
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Medical Imaging
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectAlveolar bone trabeculation
dc.subjectFractal dimension analysis
dc.subjectMaxillary sinus volume
dc.subjectOrthodontic mini-implant
dc.subjectVertical skeletal pattern
dc.titleRelationship between maxillary sinus volume and alveolar trabeculation at orthodontic mini-implant sites across vertical skeletal patterns: a cross-sectional CBCT analysis
dc.typeArticle

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