al-marashi, A. (2023). Identification of Posterior Superior Alveolar Artery During Direct Sinus Floor Elevation: A Cone Beam Computed Tomography Radiographic Study. Alustath, 29(2), 25-32. doi: 10.33762/bsurg.2023.141128.1054
ahmed ali al-marashi. "Identification of Posterior Superior Alveolar Artery During Direct Sinus Floor Elevation: A Cone Beam Computed Tomography Radiographic Study". Alustath, 29, 2, 2023, 25-32. doi: 10.33762/bsurg.2023.141128.1054
al-marashi, A. (2023). 'Identification of Posterior Superior Alveolar Artery During Direct Sinus Floor Elevation: A Cone Beam Computed Tomography Radiographic Study', Alustath, 29(2), pp. 25-32. doi: 10.33762/bsurg.2023.141128.1054
al-marashi, A. Identification of Posterior Superior Alveolar Artery During Direct Sinus Floor Elevation: A Cone Beam Computed Tomography Radiographic Study. Alustath, 2023; 29(2): 25-32. doi: 10.33762/bsurg.2023.141128.1054

Identification of Posterior Superior Alveolar Artery During Direct Sinus Floor Elevation: A Cone Beam Computed Tomography Radiographic Study

Basrah Journal of Surgery
Article 4, Volume 29, Issue 2 - Serial Number 58, December 2023, Pages 25-32    PDF (1.05 M)
Document Type: Original Article
DOI: 10.33762/bsurg.2023.141128.1054
Author
ahmed ali al-marashi*
Assistant lecturer, M.Sc. Oral and Maxillofacial Surgery, University of Basrah, College of Dentistry, Department of Oral and Maxillofacial Surgery, Basrah, Iraq.
Abstract
Background:
The study aims to present the location and course of the posterior superior alveolar artery (PSAA) using cone beam computed tomography (C.B.C.T.) imaging, which is considered as a valuable part for treatment planning in sinus augmentation procedures for dental implant treatment.


Materials and Methods:
Data was extracted from included C.B.C.T. images using implant planning software and entered on Microsoft Excel and SPSS for statistical analysis. For each radiograph measurements were taken on premolar and molar region to determine the location of PSAA as being extraosseous or intraosseous. The distance of the artery from the floor of the sinus was also measured.

Results:
The study included 56 radiographic images. 44 view of right and left maxillary sinus satisfied the inclusion criteria. Each sinus had 2 points of measurements, giving total of 176 sites. The average distance of PSAA was 11.1 from the floor of the maxillary sinus and the median was 10.5mm. The PSAA was extraosseous in most instances with 57% of the total sample.
Conclusions:
The location of the PSAA can be mostly in extraosseous site. The artery might also move from extraosseous to intraosseous location, or Vise versa, during its course as it travel from the molar to premolar area. Correct identification during planning of sinus lift procedures can help in avoiding accidental trauma during surgery.
Keywords
Posterior superior alveolar artery,,; ,،Maxillary sinus augmentation,,; ,،Sinus floor elevation,,; ,،Cone beam computed tomography
Supplementary Files
References
  1. Whyte A, Boeddinghaus R. The maxillary sinus: physiology, development and imaging anatomy. Dentomaxillofac Radiol. 2019 Dec;48(8):20190205. https://doi.org/10.1259/dmfr.20190205
 

  1. Cappello ZJ, Minutello K, Dublin AB. Anatomy, Head and Neck, Nose Paranasal Sinuses. 2023 Feb 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. PMID: 29763001.-
 

  1. Flanagan D. Arterial supply of maxillary sinus and potential for bleeding complication during lateral approach sinus elevation. Implant Dent. 2005 Dec;14(4):336-8.
    https://doi.org/10.1097/01.id.0000188437.66363.7c-
 

  1. Oba Y, Tachikawa N, Munakata M, Okada T, Kasugai S. Evaluation of maxillary sinus floor augmentation with the crestal approach and beta-tricalcium phosphate: a cone-beam computed tomography 3- to 9-year follow-up. Int J Implant Dent. 2020 Jul 10;6(1):27.
    https://doi.org/10.1186/s40729-020-00225-7-
 

  1. Stern A, Green J. Sinus lift procedures: an overview of current techniques. Dent Clin North Am. 2012 Jan;56(1):219-33, x. https://doi.org/10.1016/j.cden.2011.09.003-
 

  1. Bhalla N, Dym H. Update on Maxillary Sinus Augmentation. Dent Clin North Am. 2021 Jan;65(1):197-210. https://doi.org/10.1016/j.cden.2020.09.013-
 

  1. Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986 Apr;30(2):207-29. https://doi.org/10.1016/S0011-8532(22)02107-3-
 

  1. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994 Feb;15(2):152, 154-6, 158 passim; quiz 162.-
 

  1. Tatum H, Jr. Lecture presented to the Alabama Implant Congress. Clinical Implant Dentistry and Related Research. 1976.-
 

  1. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980 Aug;38(8):613-6.-
 

  1. Molina A, Sanz-Sánchez I, Sanz-Martín I, Ortiz-Vigón A, Sanz M. Complications in sinus lifting procedures: Classification and management. Periodontol 2000. 2022 Feb;88(1):103-115. https://doi.org/10.1111/prd.12414-
 

  1. Pandharbale AA, Gadgil RM, Bhoosreddy AR, Kunte VR, Ahire BS, Shinde MR, Joshi SS. Evaluation of the Posterior Superior Alveolar Artery Using Cone Beam Computed Tomography. Pol J Radiol. 2016 Dec 19;81:606-610. https://doi.org/10.12659/PJR.899221-
 

  1. Tehranchi M, Taleghani F, Shahab S, Nouri A. Prevalence and location of the posterior superior alveolar artery using cone-beam computed tomography. Imaging Sci Dent. 2017 Mar;47(1):39-44. https://doi.org/10.5624/isd.2017.47.1.39-
 

  1. Mardinger O, Abba M, Hirshberg A, Schwartz-Arad D. Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study. Int J Oral Maxillofac Surg. 2007 Aug;36(8):735-8. https://doi.org/10.1016/j.ijom.2007.05.005-
 

  1. Kim JH, Ryu JS, Kim KD, Hwang SH, Moon HS. A radiographic study of the posterior superior alveolar artery. Implant Dent. 2011 Aug;20(4):306-10.
    https://doi.org/10.1097/ID.0b013e31822634bd-
 

  1. Fayek MM, Amer ME, Bakry AM. Evaluation of the posterior superior alveolar artery canal by cone-beam computed tomography in a sample of the Egyptian population. Imaging Sci Dent. 2021 Mar;51(1):35-40. https://doi.org/10.5624/isd.20200146-
 

  1. Van der Weijden F, Dell'Acqua F, Slot DE. Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol. 2009 Dec;36(12):1048-58. https://doi.org/10.1111/j.1600-051X.2009.01482.x-
Statistics
Article View: 236
PDF Download: 55


Journal Management System. Powered by ejournalplus.com