Aim: This study aimed to evaluate the prevalence and distribution of pathological findings in ‎the maxillary sinus using Cone Beam Computed Tomography (CBCT) and to analyze their ‎association with demographic factors and dental conditions. Materials and methods: A ‎retrospective study, one hundred forty-one CBCT images (65 males and 76 female) aged ‎between 8-81 years, their maxillary sinuses were evaluated for presence or absence of any ‎pathological lesion in three planes. Results: The pathological findings were present in 56.03% ‎of participants. Normal findings were more common on the right side, mucosal thickening ‎scored the highest pathological findings with a prevalence of 43.26% followed by polypoidal ‎mucosal thickening 31.2%, partial and complete opacification were less common. A notable ‎association was found between maxillary sinus pathologies and molar teeth conditions on the ‎right and left side. Conclusion: The variations that associated with maxillary sinus pathology ‎need a thorough examination. CBCT is recommended to provide an accurate diagnosis and to ‎improve the quality of treatment