Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: computed tomographic analysis
Identifieur interne : 000639 ( Main/Exploration ); précédent : 000638; suivant : 000640Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: computed tomographic analysis
Auteurs : Seung-Min Yang [Corée du Sud] ; Seung-Beom Kye [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2014.
Abstract
The aims of this study were to measure the distance of the intraosseous vascular anastomosis in the anterolateral wall of the maxillary sinus from different reference points, and to correlate the location of the intraosseous vascular anastomosis with the tooth position and the residual bone height of the maxilla.
Computed tomography (CT) images were taken from 283 patients undergoing dental implants placement in the posterior maxilla. Three horizontal lines were drawn at the ridge crest, maxillary sinus floor, and the position of the anastomosis. A vertical second line at the center of each tooth was drawn perpendicular to the horizontal lines. The distance from the ridge crest to the maxillary sinus floor and the distance from the maxillary sinus floor to the bony canal were measured from the intersections of the horizontal and vertical lines. The residual alveolar bone height was used to categorize three groups: group 1,<4 mm; group 2, between 4 and 8 mm; and group 3, >8 mm.
The residual bone height values of different tooth positions were significantly different (
Within the limitations of this study, sites with a higher residual bone height in the molar regions were at a relatively high risk of artery damage during window osteotomy preparation; therefore, we recommend taking more precautions when using a lateral approach for sinus elevation.
Url:
DOI: 10.5051/jpis.2014.44.2.50
PubMed: 24778898
PubMed Central: 3999352
Affiliations:
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<author><name sortKey="Yang, Seung Min" sort="Yang, Seung Min" uniqKey="Yang S" first="Seung-Min" last="Yang">Seung-Min Yang</name>
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<author><name sortKey="Kye, Seung Beom" sort="Kye, Seung Beom" uniqKey="Kye S" first="Seung-Beom" last="Kye">Seung-Beom Kye</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: computed tomographic analysis</title>
<author><name sortKey="Yang, Seung Min" sort="Yang, Seung Min" uniqKey="Yang S" first="Seung-Min" last="Yang">Seung-Min Yang</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff>
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<wicri:regionArea>Department of Periodontology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="Kye, Seung Beom" sort="Kye, Seung Beom" uniqKey="Kye S" first="Seung-Beom" last="Kye">Seung-Beom Kye</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Periodontology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea>
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<region type="capital">Région capitale de Séoul</region>
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<series><title level="j">Journal of Periodontal & Implant Science</title>
<idno type="ISSN">2093-2278</idno>
<idno type="eISSN">2093-2286</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The aims of this study were to measure the distance of the intraosseous vascular anastomosis in the anterolateral wall of the maxillary sinus from different reference points, and to correlate the location of the intraosseous vascular anastomosis with the tooth position and the residual bone height of the maxilla.</p>
</sec>
<sec><title>Methods</title>
<p>Computed tomography (CT) images were taken from 283 patients undergoing dental implants placement in the posterior maxilla. Three horizontal lines were drawn at the ridge crest, maxillary sinus floor, and the position of the anastomosis. A vertical second line at the center of each tooth was drawn perpendicular to the horizontal lines. The distance from the ridge crest to the maxillary sinus floor and the distance from the maxillary sinus floor to the bony canal were measured from the intersections of the horizontal and vertical lines. The residual alveolar bone height was used to categorize three groups: group 1,<4 mm; group 2, between 4 and 8 mm; and group 3, >8 mm.</p>
</sec>
<sec><title>Results</title>
<p>The residual bone height values of different tooth positions were significantly different (<italic>P</italic>
=0.0002). The distance from the maxillary sinus floor to the intraosseous vascular anastomosis was significantly different between groups 1 and 3 (<italic>P</italic>
=0.0039). At the molar sites, a moderate negative correlation was found between the residual bone height and the distance from the maxillary sinus floor to the intraosseous anastomosis. The distances of the alveolar ridge crest and the maxillary sinus from the intraosseous vascular anastomosis were not significantly different between sexes.</p>
</sec>
<sec><title>Conclusions</title>
<p>Within the limitations of this study, sites with a higher residual bone height in the molar regions were at a relatively high risk of artery damage during window osteotomy preparation; therefore, we recommend taking more precautions when using a lateral approach for sinus elevation.</p>
</sec>
<sec><title>Graphical Abstract</title>
<p><graphic xlink:href="jpis-44-50-ab001.jpg" position="float" orientation="portrait"></graphic>
</p>
</sec>
</div>
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