TY - JOUR T1 - Evaluation of Variations in Morphology and Morphometry of the Hard Palate Using CBCT Images: A Radio-Surgical Perspective TT - Sert Damak Morfolojisi ve Morfometrisindeki Değişikliklerin KIBT Görüntüleri Kullanılarak Değerlendirilmesi: Radyo-Cerrahi Bakış Akışı AU - Akkitap, Melda Pelin PY - 2025 DA - July Y2 - 2024 DO - 10.17567/currresdentsci.1484849 JF - Current Research in Dental Sciences JO - Curr Res Dent Sci. PB - Atatürk Üniversitesi WT - DergiPark SN - 2822-2555 SP - 232 EP - 236 VL - 35 IS - 3 LA - en AB - Objective: This retrospective study aims to unveil the changes in morphology and morphometric features of hard palate on CBCT images and evaluate its age- and gender- related variations in a Turkish subpopulation.Methods: The present investigation analyzed CBCT of 300 individuals aged between 19 and 71 retrospectively. Measurements of palate dimension (length, breadth, and height) and palate inclination (superiorly, parallel, and inferiorly) and the calculation of palatine index (leptostaphyline, mesostaphyline, and brachystaphyline) and palatine height index (chamestaphyline, orthostaphyline, and hypsistaphyline), were quantified and statistically evaluated.Results: The mean length, breadth, and height of hard palate were found as 48.79±3.8 mm, 39.67±3.43 mm, and 12.79±3,01 mm, respectively. The palatine index was mostly brachystaphylline (99.67%), followed by leptostaphylline (0.33%) and mesostaphylline (0%). The palatal height index was orthostaphyline (58.33%), followed by chamestaphyline (28%) and hypsistaphyline (13.67%). A significant difference between genders was not detected in the palate inclination, palatine index and height index compared to other parameters (p˂0.05). The largest palate breadth and inferiorly inclined palate are mostly observed in those aged ≥25 years than in those aged ≤24 years (p=0.015 and p=0.010, respectively; p˂0.05).Conclusion: The results of present investigation will provide useful radio-anatomical data for the prevention of possible complications of surgical procedures. KW - Morphometry KW - Morphology KW - Hard Palate KW - Cone-Beam Computed Tomography N2 - Amaç : Bu retrospektif çalışma, KIBT görüntülerinde sert damağın morfolojik ve morfometrik özelliklerindeki değişikliklerin ortaya konulmasını ve Türk alt popülasyonunda yaşa ve cinsiyete bağlı değişikliklerin değerlendirilmesini amaçlamaktadır.Yöntemler : Mevcut çalışmada, yaşları 19 ila 71 arasında değişen 300 kişinin KIBT’ı retrospektif olarak analiz edildi. Damak boyutu (uzunluk, genişlik ve yükseklik), damak eğimi (yukarı yönde, paralel ve aşağı yönde) damak endeksi (leptostafilin, mezostafilin ve brakistafilin) ve damak yükseklik endeksinin (kamestafilin, ortostafilin ve hipsistafilin) ölçümleri yapılmış ve istatistiksel olarak değerlendirilmiştir.Bulgular : Sert damağın ortalama uzunluğu, genişliği ve yüksekliği sırasıyla 48.79±3.8 mm, 39.67±3.43 mm ve 12.79±3.01 mm olarak bulunmuştur. Damak endeksi çoğunlukla brakistafilin (%99,67) olup bunu sırasıyla leptostafilin (%0.33) ve mezostafilin (%0) izlemiştir. Damak yükseklik endeksi çoğunlukla ortostafilin (%58.33) olup bunu sırasıyla kamestafilin (%28) ve hipsistafilin (%13.67) takip etmiştir. Damak eğimi, damak endeksi ve damak yükseklik endeksinde diğer parametrelere kıyasla cinsiyetler arasında anlamlı bir fark saptanmamıştır (p˂0.05). Damak genişliği ve aşağı yönde eğimli damak, ≥24 yaş grubuna kıyasla en fazla ≥25 yaş grubunda gözlenmiştir (sırasıyla p=0.015 ve p=0.010; p˂0.05).Sonuç : Mevcut araştırmanın sonuçları, cerrahi prosedürlerin olası komplikasyonlarının önlenmesinde faydalı radyo-anatomik bilgiler sağlayacaktır. CR - 1. Araby YA, Alharbi AS, Kolarkodi SH, Almosyteer AS. Morphometric analysis of the hard palate using cone beam computed tomography in a Saudi population. Saudi Dent J. 2023;35(3):270-274. CR - 2. Lacerda-Santos JT, Granja GL, de Freitas GB, Manhães LRC Jr, de Melo DP, Dos Santos JA. The influence of facial types on the morphology and location of the greater palatine foramen: a CBCT study. Oral Radiol. 2022;38(3):337-343. CR - 3. Fonseka MCN, Hettiarachchi PVKS, Jayasinghe RM, Jayasinghe RD, Nanayakkara CD. A cone beam computed tomographic analysis of the greater palatine foramen in a cohort of Sri Lankans. J Oral Biol Craniofac Res. 2019;9(4):306-310. CR - 4. Miranda-Viana M, Freitas DQ, Gomes AF, Prado FB, Nejaim Y. Classification and Morphological Analysis of the Hard Palate in Cone-Beam Computed Tomography Scans: A Retrospective Study. J Oral Maxillofac Surg. 2021;79(3):695.e1-695.e13. CR - 5. Bahşi İ, Orhan M, Kervancıoğlu P, Yalçın ED. Morphometric evaluation and clinical implications of the greater palatine foramen, greater palatine canal and pterygopalatine fossa on CBCT images and review of literature. Surg Radiol Anat. 2019;41(5):551-567. CR - 6. Cantarella D, Dominguez-Mompell R, Mallya SM, Moschik C, Pan HC, Miller J, Moon W. Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging. Prog Orthod. 2017;18(1):34. CR - 7. Tavelli L, Barootchi S, Ravidà A, Oh TJ, Wang HL. What is the safety zone for palatal soft tissue graft harvesting based on the locations of the greater palatine artery and foramen? A systematic review. J Oral Maxillofac Surg. 2019;77:271.e1-271.e9. CR - 8. Abeleira MT, Outumuro M, Diniz M, Limeres J, Ramos I, Diz P. Morphometry of the hard palate in Down's syndrome through CBCT-image analysis. Orthod Craniofac Res. 2015;18(4):212-20. CR - 9. Jung BA, Wehrbein H, Heuser L, Kunkel M. Vertical palatal bone dimensions on lateral cephalometry and cone-beam computed tomography: implications for palatal implant placement. Clin Oral Implants Res. 2011;22(6):664-8. CR - 10. Yu C, Ahn HW, Kim SH. Three-dimensional morphological evaluation of the hard palate in Korean adults with mild-to-moderate obstructive sleep apnea. Korean J Orthod. 2018;48(3):133-142. CR - 11. Kaplanoğlu K, Esen G, Servi T. A Retrospective Investigation of the Hard Palate Morphometry with 416 Cone-Beam CT Images. Int J Acad Med Pharm. 2022;4(2):25-29. CR - 12. Aoun G, Nasseh I. The Length of the Greater Palatine Canal in a Lebanese Population: a Radio-anatomical Study. Acta Inform Med. 2016;24(6):397–400. CR - 13. Ferrario VF, Sforza C, Colombo A, Dellavia C, Dimaggio FR. Three-dimensional hard tissue palatal size and shape in human adolescents and adults. Clin Orthod Res. 2001;4(3):141-7. CR - 14. Premkumar S. Textbook of Craniofacial Growth. 1st. ed. India, JP Medical Ltd; 2011. CR - 15. Sarilita E, Soames R. Morphology of the hard palate: a study of dry skulls and review of the literature. Rev Arg Anat Clin. 2015;7(1):34–43. CR - 16. Jotania B, Patel SV, Patel SM, Patel P, Patel S, Patel K. Morphometric analysis of hard palate. Int J Res Med. 2013;2(2):72–75. CR - 17. Kulkarni V, Ramesh BR. Palatometry in South Indian skulls and its clinical implications. Int J Anat Res. 2017;5(1):3362–3366. CR - 18. Rao MJ, Vanilia BHS, Yesender M. Morphological and morphometric analysis of the hard palate and the greater palatine foramen in dry adult south indian skulls. Int J Anat Res. 2017;5(4):4441–4444. CR - 19. Gujar SM, Oza SG. Morphometric analysis of hard palate and its clinical importance. Natl J Clin Anat. 2018;7(1):36–40. CR - 20. Jacob M, Bindhu S, Avadhani R. Sex determination from hard palate measurements using palatine index with reference to its clinical implications. IJCAP. 2016; 3(2):186–188. CR - 21. Kumar A, Ajmani ML, Heming T. Morphological and morphometric study of hard palate in Indian population. IJBR. 2016;7(11):778–784. CR - 22. Wahane AM, Nandanwar RA. A study of palatal indices and foramina in the hard palate of adult human skulls in central india región. Int J Anat Res. 2019;7(2):6397–6403. CR - 23. Huang X, Hu X, Zhao Y, Wang Y, Gu Y. Preliminary comparison of three-dimensional reconstructed palatal morphology in subjects with different sagittal and vertical patterns. BMC Oral Health. 2020;20(1):1–12. CR - 24. D’Souza AS, Mamatha H, Jyothi N. Morphometric analysis of hard palate in south indian skulls. Biomed Res. 2012;23(2):173–175. CR - 25. Ortug A, Uzel M. Greater palatine foramen: assessment with palatal index, shape, number and gender. Folia Morphol. (Warsz) 2019;78(2):371–377. UR - https://doi.org/10.17567/currresdentsci.1484849 L1 - https://dergipark.org.tr/tr/download/article-file/3933868 ER -