Introduction: Forensic odontology relies on craniofacial features for identification when traditional methods fail. The maxillary sinus, with its variable dimensions, offers potential for profiling, yet its link to facial profiles remains under explored. This study aims to assess whether CBCT-derived maxillary sinus dimensional ratios can reliably distinguish frontal and lateral facial profile types in a living population. Methodology:This cross-sectional study enrolled 50 adults (18–60 years) at Kothiwal Dental College, Moradabad, with no craniofacial trauma or sinus pathology. Standardized frontal and lateral photographs categorized profiles (Oval, Square, Round; Convex, Straight, Concave) using anthropometric guidelines. CBCT scans measured bilateral sinus height, width, and depth, calculating ratios (H/W, H/D, W/D, left-right asymmetry). Two blinded observers assessed data, with reliability confirmed by ICC (>0.75). Spearman’s correlation, Kruskal-Wallis, and linear discriminant analysis evaluated associations, using SPSS with p<0.05 significance. Results: Analysis revealed significant gender differences in the Height-to-Width (H/W) ratio (males: 1.95±0.21, females: 1.82±0.24, p=0.033). Frontal profiles
showed significant variations in H/W (oval: 1.98±0.43, p=0.047), H/D (round: 1.12±0.36, p=0.001), and W/D (round: 0.56±0.12, p=0.008). Side profiles exhibited significant differences in H/W (straight: 2.05±0.58, p=0.041), H/D (concave: 1.15±0.26, p=0.018), and W/D (concave: 0.58±0.18, p=0.021), suggesting sinus ratios as potential profile markers. Conclusion: Maxillary sinus ratios, particularly H/W, correlate with gender and facial profiles, enhancing forensic identification. CBCT provides a precise tool, though larger, diverse samples are needed to validate findings and address limitations like post-mortem applicability, advancing individualized profiling in
forensic odontology.
Original Article
English
P. 15-21