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Key words: extraction, maxillary sinus, panoramic radiograph, pneumatization, sinus floor topography. Pneumatization is a physiologic process that. occurs in all paranasal sinuses during the growth. period, causing them to increase in volume.1,2 The. maxillary sinus is the largest of the paranasal sinuses.
Later in adult life, the sinus continues to pneumatize inferiorly and may expand to contain tooth roots. The average size of the maxillary sinus is 34 mm Â´ 33 mm Â´ 23 mm, with an average volume of 14.75 mL. In an adult, the floor of the maxillary sinus is below the level of the nasal floor.