ARTERIAL ARCADE OF THE MAXILLARY SINUS RELATED TO SINUS BONE GRAFT IN KOREAN POPULATION ; A PRELIMINARY STUDY USING COMPUTED TOPOGRAPHIES

한국인에서의 상악동 골이식술과 관련된 상악동 동맥 분포에 대한 예비 연구

  • Kim, Ki-Young (Department of Oral and Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Kim, Sang-Gyun (Department of Oral and Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Seo, Hyun-Soo (Department of Oral and Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Song, Yun-Jung (Department of Operative Dentistry, College of Medicine, Hallym University) ;
  • Kim, Mi-Ja (Dept. of Orthodontics, College of Medicine, Hallym University) ;
  • Hong, Soon-Min (Department of Oral and Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Jun-Woo (Department of Oral and Maxillofacial Surgery, College of Medicine, Hallym University)
  • 김기영 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 김상균 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 서현수 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 송윤정 (한림대학교 의과대학 치과보존학교실) ;
  • 김미자 (한림대학교 의과대학 치과교정학교실) ;
  • 홍순민 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박준우 (한림대학교 의과대학 구강악안면외과학교실)
  • Published : 2008.08.29

Abstract

Aim: The aim of this study was to investigate the arterial arcade of maxillary sinus by determining the distance between the alveolar crest and the inferior border of the vessels in Korean population. Materials and methods: 76 patients and 87 available sinuses were determined by CT scan (Implagraphy, Vatech, Seoul, Korea). The distance between alveolar crest and inferior border of the vessel was determined considering the tooth area of posterior maxilla. Results: The lowest distance was observed on first molar area and the average distance is 16.9 mm. Discussions: it is important in sinus lift surgery that the vessels not to be damaged and that the anastomosis is situated in the lateral wall of maxillary sinus, which has to be exposed to gain access to the maxillary sinus. The knowledge of arterial arcade of maxillary sinus is important to perform the sinus floor elevation procedure effectively.

Keywords

References

  1. Dodson TB: Predictors of dental implant survival. J Mass Dent Soc 2006;54:34-8
  2. Sharan A, Madjar D: Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants 2008;23:48-56
  3. Smiler DG, Johnson PW, Lozada JL, et al.: Sinus lift grafts and endosseous implants. Treatment of the atrophic posterior maxilla. Dent Clin North Am 1992;36:151-86
  4. Jensen OT, Shulman LB, Block MS, Iacono VJ: Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45
  5. Del Fabbro M, Testori T, Francetti L, Weinstein R: Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565-77
  6. Olson JW, Dent CD, Morris HF, Ochi S: Long-term assessment (5 to 71 months) of endosseous dental implants placed in the augmented maxillary sinus. Ann Periodontol 2000;5:152-6 https://doi.org/10.1902/annals.2000.5.1.152
  7. Tong DC, Rioux K, Drangsholt M, Beirne OR: A review of survival rates for implants placed in grafted maxillary sinuses using meta-analysis. Int J Oral Maxillofac Implants 1998;13:175-82
  8. Tatum H, Jr.: Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-29
  9. Summers RB: A new concept in maxillary implant surgery: the osteotome technique. Compendium 1994;15:152, 154-6, 15
  10. Rosen PS, Summers R, Mellado JR, et al.: The bone-added osteotome sinus floor elevation technique: multicenter retrospective report of consecutively treated patients. Int J Oral Maxillofac Implants 1999;14:853-8
  11. Toffler M: Osteotome-mediated sinus floor elevation: a clinical report. Int J Oral Maxillofac Implants 2004;19:266-73
  12. van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB: Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65 https://doi.org/10.1034/j.1600-0501.2000.011003256.x
  13. Traxler H, Windisch A, Geyerhofer U, Surd R, Solar P, Firbas W: Arterial blood supply of the maxillary sinus. Clin Anat 1999;12:159-63 https://doi.org/10.1002/(SICI)1098-2353(1999)12:3<159::AID-CA3>3.0.CO;2-O
  14. 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;10:34-44 https://doi.org/10.1034/j.1600-0501.1999.100105.x
  15. 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
  16. 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;36:735-8 https://doi.org/10.1016/j.ijom.2007.05.005
  17. Ella B, Noble RD, Lauverjat Y, et al.: Septa within the sinus: effect on elevation of the sinus floor. Br J Oral Maxillofac Surg 2008:464-7
  18. Beaumont C, Zafiropoulos GG, Rohmann K, Tatakis DN: Prevalence of maxillary sinus disease and abnormalities in patients scheduled for sinus lift procedures. J Periodontol 2005;76:461-7 https://doi.org/10.1902/jop.2005.76.3.461
  19. Mardinger O, Manor I, Mijiritsky E, Hirshberg A: Maxillary sinus augmentation in the presence of antral pseudocyst: a clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:180-4 https://doi.org/10.1016/j.tripleo.2006.03.008
  20. 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;78:1872-7 https://doi.org/10.1902/jop.2007.070175