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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Research Article

The Radiological Evaluation of the Anatomy of the Alveolar Antral Artery and the Lateral Wall Thickness Using Cone-beam Computed Tomography: A Retrospective Study

Author(s): Qiman Zhou, Feng Qiao and Dongwang Zhu*

Volume 20, 2024

Published on: 27 April, 2023

Article ID: e060323214356 Pages: 8

DOI: 10.2174/1573405619666230306093633

open_access

Abstract

Objectives: Study aims to assess the position and route of the alveolar antral artery and the lateral wall thickness of the maxillary sinus using cone-beam computed tomography (CBCT), reducing the risk of complications and improving the success rate of surgery.

Materials and Methods: This study included CBCT scans from 238 patients. The detection diameter of AAA and distance of the lower border of AAA to the maxillary sinus floor at the first premolar, second premolar, first molar, and second molar locations were evaluated. The route of AAA was observed with novel classification. Furthermore, the distance from the maxillary sinus floor to the alveolar crest at four posterior tooth locations was measured respectively. Moreover, the lateral wall thickness at four locations was assessed. Data were subjected to statistical analysis.

Results: AAA was observed in 62.18% of all sinuses. The mean diameter was 0.99±0.21 mm, with significant differences within gender. Half of the route of AAA was intrasinus intraosseous type. The mean distance between the maxillary sinus floor and AAA was 8.00±2.68 mm, with a significant difference between dentate and edentulous status at the first molar location. Distance from the sinus floor to the alveolar ridge crest in edentulous status negatively correlated with the distance from the sinus floor to AAA at the first molar location. The mean thickness of the lateral wall was 2.03±0.91 mm, and the difference in thickness between males and females at the four locations was statistically significant.

Conclusion: Intrasinus-intraosseous type, is the most common route. Special care should be taken at the first molar location during a lateral window sinus floor elevation. CBCT is highly recommended to before lateral wall maxillary sinus floor elevation.

Keywords: Maxillary sinus floor elevation, Alveolar antral artery, Lateral wall thickness, Complications, Cone-beam computed tomography, Patients.

[1]
Shemtov-Yona K, Rittel D. An overview of the mechanical integrity of dental implants. BioMed Res Int 2015; 2015: 1-11.
[http://dx.doi.org/10.1155/2015/547384]
[2]
Del Fabbro M, Rosano G, Taschieri S. Implant survival rates after maxillary sinus augmentation. Eur J Oral Sci 2008; 116(6): 497-506.
[http://dx.doi.org/10.1111/j.1600-0722.2008.00571.x]
[3]
Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008; 35: 216-40.
[http://dx.doi.org/10.1111/j.1600-051X.2008.01272.x]
[4]
Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980; 38: 613-6.
[5]
Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986; 30(2): 207-29.
[http://dx.doi.org/10.1016/S0011-8532(22)02107-3]
[6]
Stacchi C, Andolsek F, Berton F, Perinetti G, Navarra C, Di Lenarda R. Intraoperative complications during sinus floor elevation with lateral approach: A systematic review. Int J Oral Maxillofac Implants 2017; 32(3): e107-18.
[http://dx.doi.org/10.11607/jomi.4884]
[7]
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(1): 95-103.
[http://dx.doi.org/10.2174/1874210601408010095]
[8]
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(9): 1127-30.
[http://dx.doi.org/10.1016/j.ijom.2014.02.018]
[9]
Apostolakis D, Bissoon AK. Radiographic evaluation of the superior alveolar canal: Measurements of its diameter and of its position in relation to the maxillary sinus floor: A cone beam computerized tomography study. Clin Oral Implants Res 2014; 25(5): 553-9.
[http://dx.doi.org/10.1111/clr.12119]
[10]
Testori T, Rosano G, Taschieri S, Del Fabbro M. Ligation of an unusually large vessel during maxillary sinus floor augmentation. A case report. Eur J Oral Implantology 2010; 3: 255-8.
[11]
Kang SJ, Shin SI, Herr Y, Kwon YH, Kim GT, Chung JH. Anatomical structures in the maxillary sinus related to lateral sinus elevation: A cone beam computed tomographic analysis. Clin Oral Implants Res 2013; 24 (Suppl. A100): 75-81.
[http://dx.doi.org/10.1111/j.1600-0501.2011.02378.x]
[12]
Dobele I, Kise L, Apse P, Kragis G, Bigestans A. Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography. Stomatologija 2013; 15: 119-22.
[13]
Duruel O, Ataman-Duruel ET, Tözüm MD, Karabulut E, Tözüm TF. The radiological evaluation of posterior superior alveolar artery topography by using computed tomography. Clin Implant Dent Relat Res 2019; 21: cid.12794.
[http://dx.doi.org/10.1111/cid.12794]
[14]
Mardinger O, Nissan J, Chaushu G. Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla: Technical problems and complications. J Periodontol 2007; 78(10): 1872-7.
[http://dx.doi.org/10.1902/jop.2007.070175]
[15]
Güncü GN, Yildirim YD, Wang HL, Tözüm 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(10): 1164-7.
[http://dx.doi.org/10.1111/j.1600-0501.2010.02071.x]
[16]
Watanabe T, Shiota M, Gao S, Imakita C, Tachikawa N, Kasugai S. Verification of posterior superior alveolar artery distribution in lateral wall of maxillary sinus by location and defect pattern. Quintessence Int 2014; 45: 673-8.
[http://dx.doi.org/10.3290/j.qi.a32239]
[17]
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(1): 151-60.
[http://dx.doi.org/10.1111/cid.12426]
[18]
Laovoravit V, Kretapirom K, Pornprasertsuk-Damrongsri S. Prevalence and morphometric analysis of the alveolar antral artery in a group of Thai population by cone beam computed tomography. Oral Radiol 2021; 37(3): 452-62.
[http://dx.doi.org/10.1007/s11282-020-00478-3]
[19]
Şimşek Kaya G, Daltaban Ö, Kaya M, Kocabalkan B, Sindel A, Akdağ M. The potential clinical relevance of anatomical structures and variations of the maxillary sinus for planned sinus floor elevation procedures: A retrospective cone beam computed tomography study. Clin Implant Dent Relat Res 2019; 21(1): 114-21.
[http://dx.doi.org/10.1111/cid.12703]
[20]
Solar P, Geyerhofer U, Traxler H, Windisch A, Ulm C, Watzek G. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures. Clin Oral Implants Res 1999; 10(1): 34-44.
[http://dx.doi.org/10.1034/j.1600-0501.1999.100105.x]
[21]
Ilgüy D, Ilgüy M, Dolekoglu S, Fisekcioglu E. Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT. Braz Oral Res 2013; 27(5): 431-7.
[http://dx.doi.org/10.1590/S1806-83242013000500007]
[22]
Yang SM, Kye SB. Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: Computed tomographic analysis. J Periodontal Implant Sci 2014; 44(2): 50-6.
[http://dx.doi.org/10.5051/jpis.2014.44.2.50]
[23]
Sun W, Liu A, Gong Y, Shu R, Xie Y. Evaluation of the anastomosis canal in lateral maxillary sinus wall with cone beam computerized tomography: A clinical study. J Oral Implantol 2018; 44(1): 5-13.
[http://dx.doi.org/10.1563/aaid-joi-D-17-00129]
[24]
Valente NA. Anatomical considerations on the alveolar antral artery as related to the sinus augmentation surgical procedure. Clin Implant Dent Relat Res 2016; 18(5): 1042-50.
[http://dx.doi.org/10.1111/cid.12355]
[25]
Monje A, Catena A, Monje F, et al. Maxillary sinus lateral wall thickness and morphologic patterns in the atrophic posterior maxilla. J Periodontol 2014; 85(5): 676-82.
[http://dx.doi.org/10.1902/jop.2013.130392]
[26]
Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 2005; 20: 784-7.
[27]
Testori T, Weinstein T, Taschieri S, Wallace SS. Risk factors in lateral window sinus elevation surgery. Periodontol 2000 2019; 81(1): 91-123.
[http://dx.doi.org/10.1111/prd.12286]
[28]
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(1): 39-44.
[http://dx.doi.org/10.5624/isd.2017.47.1.39]
[29]
Kawakami S, Botticelli D, Nakajima Y, Sakuma S, Baba S. Anatomical analyses for maxillary sinus floor augmentation with a lateral approach: A cone beam computed tomography study. Ann Anat 2019; 226: 29-34.
[http://dx.doi.org/10.1016/j.aanat.2019.07.003]
[30]
Van Dessel J, Nicolielo LF, Huang Y, et al. Accuracy and reliability of different cone beam computed tomography (CBCT) devices for structural analysis of alveolar bone in comparison with multislice CT and micro-CT. Eur J Oral Implantology 2017; 10: 95-105.
[31]
Masuda K, Silva E, Botticelli D, Alccayhuaman K, Xavier S. Antrostomy preparation for maxillary sinus floor augmentation using drills or a sonic instrument: A microcomputed tomography and histomorphometric study in rabbits. Int J Oral Maxillofac Implants 2019; 34(4): 819-27.
[http://dx.doi.org/10.11607/jomi.7350]
[32]
Franciosi F. Arteria alveolo-antrale di grosso calibro. Caso clinico. Dent Cadmos 2013; 81(8): 532-7.
[http://dx.doi.org/10.1016/S0011-8524(13)70089-8]
[33]
Wang F, Fan Z, Wang Z. Slot-like window technique for maxillary sinus floor elevation. Int J Clin Exp 2016; 9: 21690-8.
[34]
Tran TB, Estrin NE, Saleh MHA, Yoon TYH, Tattan M, Wang HL. Evaluation of length and location of the maxillary sinus intraosseous artery using computerized tomography. J Periodontol 2021; 92(6): 854-62.
[http://dx.doi.org/10.1002/JPER.20-0560]
[35]
Vercellotti TS, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent 2001; 21: 561-7.
[36]
Wallace SS, Tarnow DP, Froum SJ, et al. Maxillary sinus elevation by lateral window approach: Evolution of technology and technique. J Evid Based Dent Pract 2012; 12(3): 161-71.
[http://dx.doi.org/10.1016/S1532-3382(12)70030-1]
[37]
Varela-Centelles P, Loira-Gago M, Seoane-Romero JM, Takkouche B, Monteiro L, Seoane J. Detection of the posterior superior alveolar artery in the lateral sinus wall using computed tomography/cone beam computed tomography: A prevalence meta-analysis study and systematic review. Int J Oral Maxillofac Surg 2015; 44(11): 1405-10.
[http://dx.doi.org/10.1016/j.ijom.2015.07.001]
[38]
Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: Anatomy, techniques, biomaterials and complications. Br J Oral Maxillofac Surg 2016; 54(7): 724-30.
[http://dx.doi.org/10.1016/j.bjoms.2016.05.008]
[39]
Talo Yildirim T, Güncü GN, Colak M, Tözüm TF. The relationship between maxillary sinus lateral wall thickness, alveolar bone loss, and demographic variables: A cross-sectional cone-beam computerized tomography study. Med Princ Pract 2019; 28(2): 109-14.
[http://dx.doi.org/10.1159/000494325]

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