Acta Scientific Dental Sciences (ISSN: 2581-4893)

Research Article Volume 4 Issue 2

A Cone Beam Analysis of the Maxillary Bony Canal

Mariam Bedford*

Department Oral and Maxillofacial Radiology, Cape Town Area, South Africa.

*Corresponding Author: Mariam Bedford, Department Oral and Maxillofacial Radiology, Cape Town Area, South Africa.

Received: January 06, 2020; Published: January 23, 2020

×

Abstract

Aim: To determine the prevalence and diameter of the maxillary end osseous canal which carries the anastomosis of the infra alveolar artery (a branch of the posterior superior alveolar artery) and the infra- orbital artery.

Material and Methods: Data was analyzed from one hundred archived cone beam computed tomography (CBCT) images. The presence of the end osseous anastomosis in the lateral sinus wall was identified by utilizing axial views. The vessel diameter was also measured in those images where the canal was identified.

Results: The maxillary bony canal was identified in 49 (49%) of 100 maxillary sinus. 14 (14%) presented on the right hand side, 10 (10%) presented on the left hand side, 25 (25%) had a bilateral presence with a remaining 51 (51%) which cannot be identified on the imaging. From the 49 canals that were identified, 5 canals had a diameter that was 2 - 3mm wide, 19 canals had a diameter that was 1-2mm wide and the remaining 25 had a diameter that was less than 1mm.

Conclusion: A sound knowledge of the maxillary sinus vascularity is essential as severe bleeding can occur due to damage of the intra-osseous branch during sinus augmentation procedures. CBCT analysis is required as a pre-requisite for the pre-planning stages during implant treatment to prevent complications such as hemorrhage, sinus perforations or associated vascular anomalies that may arise.

Keywords: Cone Beam; Maxillary Bony Canal

×

References

  1. Nimegean V., et al. “The maxillary sinus floor in the oral implantology”. Romania Journal of Morphology and Embryology 49.4 (2008) 485-489.
  2. Abrahams JJ., et al. “Sinus lift procedure of the maxilla in patients with inadequate bone for dental implants: radiographic appearance”. American Journal of Roentgenology 174.5 (2000): 1289-1292.
  3. Lee W., et al. “Analysis of location and prevalence of maxillary sinus septa”. Journal of Periodontal and Implant Science 40 (2010): 56-60.
  4. Park W., et al. “Study on the position of the posterior superior alveolar artery in relation to the performance of the maxillary sinus bone graft procedure in a Korean Population”. Journal of the Korean Association of Oral and Maxillofacial Surgeons 38 (2012): 71-77.
  5. Kim JK., et al. “Anatomical Variability of the Maxillary Artery”. Archives of Otolaryngology - Head and Neck Surgery 136.8 (2010): 813-818.
  6. Mardinger O., et al. “Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study”. International Journal of Oral and Maxillofacial Surgery 36.8 (2007): 735-738.
  7. Sato I., et al. “Observing the bony canal structure of the human maxillary sinus in Japanese cadavers using cone beam CT”. Okajimas Folia Anatomica Japonica 87.3 (2010):123-128.
  8. Yoshida S., et al. “Evaluation of the blood and nerve supply patterns in the molar region of the maxillary sinus in Japanese cadavers”. Okajimas Folia Anatomica Japonica 87.3 (2010): 12.
  9. Rosano G., et al. “Maxillary sinus vascular anatomy and its relation to sinus lift surgery”. Clinical Oral Implants Research 22 (2011): 711-715.
  10. Elian N and Wallace S. “Distribution of the maxillary artery in relation to sinus floor augmentation”. The International Journal of Oral and Maxillofacial Implants 20 (2005): 784-787.
  11. Woo I. “Maxillary Sinus Elevation: Review of Anatomy and two techniques”. Implant Dentistry 13.1 (2004): 28-32.
  12. Guncu G., et al. “Location of posterior superior alveolar artery and evaluation of maxillary sinus anatomy with computerized tomography: a clinical study”. Clinical Oral Implants Research 22 (2011): 1164-1167.
  13. Solar P., et al. “Blood Supply to the Maxillary Sinus relevant floor elevation”. Clinical Oral Implants Research 10.1 (1999): 34-44.
  14. Toffler M. “Short Implants: A Viable Treatment Option in the Anatomically Challenged” Patient. Inside Dentistry January Ulm, C.W., Solar, P., Krennmair, G., Matejka, M., Watzek, G., Incidence and suggested surgical management of septa in sinus-lift procedures”. The International Journal of Oral and Maxillofacial Implants 10 (1995): 462-465.
  15. Arora S., et al. “Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement”. Case Reports in Dentistry (2013): 7488405.
  16. Georgescu C., et al. “Cone beam computed tomography as a method of quantitative analysis of alveolar crest in the frontal mandibular area”. Romanian Journal of Morphology and Embryology 51.4 (2010): 713-717.
  17. Mohan R., et al. “Three-dimensional Imaging in periodontal diagnosis-Utilization of cone-beam computed tomography”. Journal of Indian Society of Periodontology 15.1 (2011): 11-17.
  18. Neugebauer J. “Evaluation of Maxillary Sinus Anatomy by Cone-beam CT prior to sinus floor elevation”. International Journal of Oral and Maxillofacial Surgery 25 (2010): 258-265.
  19. Pompa V., et al. “A Comparative study of the Magnetic Resonance and Computed Tomography in the pre- implant evaluation”. Annali di Stomatolgia 3 (2010): 33-38.
  20. Hu K., et al. “Reliability of two different presurgical preparation methods for implant dentistry based on panoramic radiography and cone-beam computed tomography in cadavers”. Journal of Periodontal and Implant Science 42 (2012): 39-44.
  21. Lana J., et al. “Anatomic Variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants”. Clinical Oral Implants Research 23 (2011):1398-140.
  22. Ardekian L and Mactei E. “The clinical significance of sinus membrane perforation during augmentation of the Maxillary Sinus”. Journal of Oral and Maxillofacial Surgery 64 (2006): 277-282.
  23. Beretta M., et al. “Schneiderian Membrane Elevation in Presence of Sinus Septa: Anatomic Features and Surgical Management”. International Journal of Dentistry (2012).
  24. Flanagan D. “Arterial supply of the maxillary sinus and potential bleeding”. Implant Dentistry 14.4 (2005): 336-338.
  25. Gosau M., et al. “Maxillary Sinus Anatomy: A Cadaveric Study with Clinical Implications”. The Anatomical Record 292 (2009): 352-354.
  26. Janner S., et al. “Characteristics and dimensions of the Scneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla”. Clinical Oral Implants Research 22 (2011): 1446-1453.
  27. Krennmair G. “The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla”. Journal of Oral and Maxillofacial Surgery 57 (1999): 667-667.
  28. Lawson W., et al. “The Development and Pathologic Processes that Influence Maxillary Sinus Pneumatization”. The Anatomical Record 291 (2008): 1554-1563.
  29. Meleo D., et al. “Management of the Scheiderian membrane perforation during the maxillary sinus elevation procedure: a case report”. Annali di Stomatolgia 3.1 (2012): 24-30.
  30. Otake I., et al. “Clinical Anatomy of the Maxillary Artery”. Okajimas Folia Anatomica Japonica 87.4 (2010): 155-164.
  31. Rege I., et al. “Occurrence of Maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients”. BMC Oral Health 12 (2012): 30.
  32. Rosano G., et al. “Maxillary Sinus Vascularization: A cadaveric Study”. The Journal of Craniofacial Surgery 20 (2009): 1-4.
  33. Serkerci A., et al. “Aberrant Anatomical Variation of Maxillary sinus Mimicking Periapical Cyst: A report of two cases and Role of CBCT in diagnosis”. Case Reports in Dentistry (2013).
  34. Sekine H., et al. “Dental Implant Treatment with Different Techniques for Sinus Floor Elevation- A Case Report”. The Bulletin of Tokyo Dental College 48.2 (2006): 87-91.
  35. Testori T. “Maxillary sinus surgery: Anatomy and advanced diagnostic imaging”. International Dentistry African Edition 2.5 (2013): 6-15.
  36. Testori T. “Prevention and Treatment of Postoperative Infections after sinus elevation Surgery: Clinical Consensus and Recommendations”. International Journal of Dentistry (2012).
  37. Underwood AS. “An inquiry into the anatomy and pathology of the maxillary sinus”. Journal Anatomy Physiology 44 (1910): 354-369.
×

Citation

Citation: Mariam Bedford. “A Cone Beam Analysis of the Maxillary Bony Canal”.Acta Scientific Dental Sciences 4.2 (2020): 90-97.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is November 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US









ff

© 2024 Acta Scientific, All rights reserved.