Ciftci Rukiye, Tasdemir Rabia, Cihan Ömer Faruk
Department of Anatomy, Faculty of Medicine, Gaziantep Islam Science and Technology University, Gaziantep, TUR.
Department of Anatomy, School of Medicine, Gaziantep Islam Science and Technology University, Gaziantep, TUR.
Cureus. 2023 Aug 26;15(8):e44163. doi: 10.7759/cureus.44163. eCollection 2023 Aug.
Background Injury to the alveolar antral artery (AAA) is one of the most common complications in oral surgical procedures. This study aimed to determine the diameter and anatomical position of the AAA, establish reference values for the Turkish population, and contribute to the literature. Methodology The diameter of the AAA at the level of the first molar tooth, its distance from the sinus floor, its vertical distance to the alveolar crest, its oblique distance to the sinus floor, the width of the maxillary sinus, the thickness of the lateral sinus wall, the residual alveolar protrusion height, the residual alveolar protrusion width at the basal level, and the distance from the sinus lateral wall to the sinus floor were all measured using cone-beam computed tomography. Age, gender, and oral health were used to evaluate the collected data. Results The average age of the participants in the study was 42.63 ± 16.07 years. The average AAA diameter was 1.1 ± 0.25 mm, the average height of the residual alveolar protrusion was 0.44 ± 0.13 cm, the average width of the residual alveolar protrusion at the basal level was 0.79 ± 0.12 cm, and the average width of the residual alveolar ridge at the crest level was 0.55 ± 0.11 cm. No significant differences were observed in these parameters based on gender and dental status (p > 0.05). The average AAA distance to the sinus floor was 1.02 ± 0.26 cm, the average vertical distance to the alveolar crest was 1.21 ± 0.25 cm, the average oblique distance to the sinus floor was 1.38 ± 0.25 cm, the average maxillary sinus width was 1.63 ± 0.28 cm, the average thickness of the lateral sinus wall was 0.12 ± 0.06 cm, and the average distance from the sinus lateral wall to the sinus floor was 1.28 ± 0.22 cm. Significant differences based on gender were observed in all these parameters (p < 0.05). A significant difference was observed in the vertical distance from AAA to the alveolar crest and the oblique distance to the sinus floor based on dental status (p < 0.05), with shorter distances in dentate individuals. Only the AAA diameter showed a weak negative correlation with age (p < 0.05, 0.2 < r < 0.04). Conclusions The results obtained were within a reliable range for oral surgery. Detailed reference findings for the proximity and location of structures can be established for the Turkish population during dental surgery. It is recommended that physicians performing surgical interventions in the maxillary region carefully consider these reference values preoperatively.
背景 牙槽窦动脉（AAA）损伤是口腔外科手术中最常见的并发症之一。本研究旨在确定AAA的直径和解剖位置，为土耳其人群建立参考值，并为相关文献提供资料。方法 使用锥形束计算机断层扫描测量第一磨牙水平处AAA的直径、其距窦底的距离、其至牙槽嵴的垂直距离、其至窦底的斜向距离、上颌窦的宽度、窦外侧壁的厚度、残余牙槽突高度、基底水平处残余牙槽突宽度以及从窦外侧壁至窦底的距离。采用年龄、性别和口腔健康状况对收集的数据进行评估。结果 本研究参与者的平均年龄为42.63±16.07岁。AAA平均直径为1.1±0.25mm，残余牙槽突平均高度为0.44±0.13cm，基底水平处残余牙槽突平均宽度为0.79±0.12cm，牙槽嵴水平处残余牙槽嵴平均宽度为0.55±0.11cm。基于性别和牙齿状况，这些参数未观察到显著差异（p>0.05）。AAA至窦底的平均距离为1.02±0.26cm，至牙槽嵴的平均垂直距离为1.21±0.25cm，至窦底的平均斜向距离为1.38±0.25cm，上颌窦平均宽度为1.63±0.28cm，窦外侧壁平均厚度为0.12±0.06cm，从窦外侧壁至窦底的平均距离为1.28±0.22cm。基于性别，所有这些参数均观察到显著差异（p<0.05）。基于牙齿状况，观察到AAA至牙槽嵴的垂直距离和至窦底的斜向距离存在显著差异（p<0.05），牙列完整个体的距离较短。仅AAA直径与年龄呈弱负相关（p<0.05，0.2<r<0.04）。结论 所获得的结果在口腔外科手术的可靠范围内。可为土耳其人群在牙科手术期间建立关于结构邻近度和位置的详细参考结果。建议在上颌区域进行手术干预的医生在术前仔细考虑这些参考值。
