Dental İmplant Tedavisi Uygulanacak Hastalarda Tedavi Öncesi Konik Işınlı Bilgisayarlı Tomografide Posterior Superior Alvoler Arter ve Lingual Foramenin Lokasyonlarının Değerlendirilmesi

Yıl 2023, , 371 - 377, 25.09.2023

Turan Emre Kuzu , Kübra Öztürk

https://doi.org/10.54617/adoklinikbilimler.1252013

Öz

Amaç: Bu çalışmanın amacı konik ışınlı bilgisayarlı tomografi (KIBT)’de lingual foramen ve posterior superior alveoler arter (PSAA)’nın lokasyonları, bunların alveol kret ve maksiller sinüs tabanına olan mesafelerinin değerlendirilmesidir.
Gereç ve yöntem: Çalışmada136 hasta KIBT'sinde sırasıyla; 1-PSAA nın alveoler kret ve sinüs tabanına mesafeleri 2-PSAA’nın maksiller sinüs lateral duvarındaki lokasyonları 3-lingual foramenin alveol kret sınırlarına mesafesi incelendi.
Bulgular: Çalışmada cinsiyetin PSAA’in alveol kret ile olan mesafesinde anlamlı farklılık oluşturduğu görüldü (p<0,001). PSAA’ nın maksiller sinüs lateral duvarındaki lokasyonunda en sık iç duvarda konumlandığı görüldü. Cinsiyetin lingual foramenin lokasyonunun kretin alt ve üst sınırına mesafesi arasında anlamlı farklılık oluşturduğu belirlendi p<0,001.
Sonuç: Çalışmada lingual foramen, PSAA, bu oluşumların alveol kretlere olan mesafelerinin KIBT’lerde yüksek bir oranda belirlenebildiği aynı zamanda cinsiyetin bu mesafelere etkisinin olduğu bulundu.

Anahtar Kelimeler

Anatomik varyasyon, Konik ışınlı bilgisayarlı tomografi, Maksiller sinüs, Mandibula

Evaluation of the Locations of Posterior Superior Alveolar Artery and Lingual Foramen in Cone Beam Computed Tomography Before Dental Implant Treatment

Öz

Aim: This study aimed to evaluate the locations of the lingual foramen and posterior superior alveolar artery (PSAA) and their distances from the alveolar crest and maxillary sinus floor using cone-beam computed tomography (CBCT).
Material and method: In this study, 136 patients underwent CBCT:1) The PSAA's proximity to the alveolar crest and sinus floor, its position on the lateral wall of the maxillary sinus, and 3) the distance from the lingual foramen to the alveolar crest borders.
Results: Gender caused a significant difference in the distance of the PSAA from the alveolar crest (p<0.001). The PSAA was most often located on the inner wall of the maxillary sinus. The distance between the lingual foramen with the lower and upper margins of the crest varied significantly depending on gender (p 0.001).
Conclusion: In this research, it was found that the lingual foramen, PSAA, and the distances of these formations to the alveolar crests could be determined at a high rate in CBCTs, and gender had an effect on these distances.

Anahtar Kelimeler

Anatomic variation, Cone beam computed tomography, Mandible, Maxillary sinus

Kaynakça

• 1. Baj A, Bolzoni A, Russillo A, Lauritano D, Palmieri A, Cura F, et al. Cone-morse implant connection system significantly reduces bacterial leakage between implant and abutment: an in vitro study. J Biol Regul Homeost Agents 2017;31:203-8.
• 2. Tao B, Feng Y, Fan X, Zhuang M, Chen X, Wang F, et al. Accuracy of dental implant surgery using dynamic navigation and robotic systems: An in vitro study. J Dent 2022;123:104170.
• 3. Tavelli L, Borgonovo AE, Re D, Maiorana C. Sinus presurgical evaluation: a literature review and a new classification proposal. Minerva Stomatol 2017;66:115-31.
• 4. Blus C, Szmukler-Moncler S, Salama M, Salama H, Garber D. Sinus bone grafting procedures using ultrasonic bone surgery: 5-year experience. Int J Periodontics Restorative Dent 2008;28:221-9.
• 5. Maridati P, Stoffella E, Speroni S, Cicciu M, Maiorana C. Alveolar antral artery isolation during sinus lift procedure with the double window technique. Open Dent J 2014;8:95-103.
• 6. Rysz M, Ciszek B, Rogowska M, Krajewski R. Arteries of the anterior wall of the maxilla in sinus lift surgery. Int J Oral Maxillofac Surg 2014;43:1127-30.
• 7. Liang X, Jacobs R, Lambrichts I. An assessment on spiral CT scan of the superior and inferior genial spinal foramina and canals. Surg Radiol Anat 2006;28:98-104.
• 8. Longoni S, Sartori M, Braun M, Bravetti P, Lapi A, Baldoni M, et al. Lingual vascular canals of the mandible: the risk of bleeding complications during implant procedures. Implant Dent 2007;16:131-8.
• 9. Langland OE, Langlais RP. Early pioneers of oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:496-511.
• 10. Sekerci AE, Sisman Y, Payveren MA. Evaluation of location and dimensions of mandibular lingual foramina using cone-beam computed tomography. Surg Radiol Anat 2014;36:857-64.
• 11. Ang KY, Ang KL, Ngeow WC. The prevalence and location of the posterior superior alveolar artery in the maxillary sinus wall: A preliminary computed-cone beam study. Saudi Dent J 2022;34:629-35.
• 12. Lee J, Kang N, Moon YM, Pang EK. Radiographic study of the distribution of maxillary intraosseous vascular canal in Koreans. Maxillofac Plast Reconstr Surg 2016;38:1.
• 13. Guncu GN, Yildirim YD, Wang HL, Tozum TF. Location of posterior superior alveolar artery and evaluation of maxillary sinus anatomy with computerized tomography: a clinical study. Clin Oral Implants Res 2011;22:1164-7.
• 14. Keceli HG, Dursun E, Dolgun A, Velasco-Torres M, Karaoglulari S, Ghoreishi R, et al. Evaluation of Single Tooth Loss to Maxillary Sinus and Surrounding Bone Anatomy With Cone-Beam Computed Tomography: A Multicenter Study. Implant Dent 2017;26:690-9.
• 15. Danesh-Sani SA, Movahed A, ElChaar ES, Chong Chan K, Amintavakoli N. Radiographic Evaluation of Maxillary Sinus Lateral Wall and Posterior Superior Alveolar Artery Anatomy: A Cone-Beam Computed Tomographic Study. Clin Implant Dent Relat Res 2017;19:151-60.
• 16. Khojastehpour L, Dehbozorgi M, Tabrizi R, Esfandnia S. Evaluating the anatomical location of the posterior superior alveolar artery in cone beam computed tomography images. Int J Oral Maxillofac Surg 2016;45:354-8. 17. Lozano-Carrascal N, Salomo-Coll O, Gehrke SA, Calvo-Guirado JL, Hernandez-Alfaro F, Gargallo-Albiol J. Radiological evaluation of maxillary sinus anatomy: A cross-sectional study of 300 patients. Ann Anat 2017;214:1-8.
• 18. 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;47:39-44.
• 19. Pandharbale AA, Gadgil RM, Bhoosreddy AR, Kunte VR, Ahire BS, Shinde MR, et al. Evaluation of the Posterior Superior Alveolar Artery Using Cone Beam Computed Tomography. Pol J Radiol 2016;81:606-10.
• 20. Velasco-Torres M, Padial-Molina M, Alarcon JA, O'Valle F, Catena A, Galindo-Moreno P. Maxillary Sinus Dimensions Concerning the Posterior Superior Alveolar Artery Decrease With Tooth Loss. Implant Dent 2016;25:464-70.
• 21. Silvestri F, Nguyen JF, Hüe O, Mense C. Lingual foramina of the anterior mandible in edentulous patients: CBCT analysis and surgical risk assessment. Ann Anat 2022;244:151982.
• 22. Liang X, Jacobs R, Lambrichts I, Vandewalle G. Lingual foramina on the mandibular midline revisited: a microanatomical study. Clin Anat 2007;20:246-51.
• 23. Babiuc I, Tarlungeanu I, Pauna M. Cone beam computed tomography observations of the lingual foramina and their bony canals in the median region of the mandible. Rom J Morphol Embryol 2011;52:827-9.
• 24. Genç T. Dental implant tedavisi öncesi maksilla ve mandibuladaki anatomik yapıların ve varyasyonlarının radyolojik olarak değerlendirilmesi [tez]. Ankara: Hacettepe Üniversitesi; 2014.
• 25. Nasseh I, Al-Rawi W. Cone Beam Computed Tomography. Dent Clin North Am 2018;62:361-91.