Proximity of Vascular Bone Channel in the Lateral Sinus Wall to Root Apices of Maxillary First Molars: A Cone-beam Computed Tomographic Analysis.

Bischof, Frank; Bornstein, Michael M.; Suter, Valérie G. A.; Lello, Ryan I. E.; von Arx, Thomas (2019). Proximity of Vascular Bone Channel in the Lateral Sinus Wall to Root Apices of Maxillary First Molars: A Cone-beam Computed Tomographic Analysis. Journal of endodontics, 45(12), pp. 1472-1478. Elsevier 10.1016/j.joen.2019.09.004

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INTRODUCTION Apical surgery is frequently indicated in maxillary first molars. Occasionally, a vascular anastomosis in the lateral maxillary sinus wall can be observed during surgery. The aim of this study was to examine the distance between the vascular bone channel (VBC) and the root apices of maxillary first molars using cone-beam computed tomographic imaging. METHODS Cone-beam computed tomographic images of 104 maxillary first molars were oriented in the coronal plane to evaluate the distance between the roots and the VBC. The measurements were only recorded in relation to the buccal roots. In addition, demographic parameters and further measurements such as the diameter of the VBC and the proximity to the periapical pathology were evaluated. RESULTS A total of 210 VBCs were assessed. The mean distance from the VBC to the apices of the buccal roots of the maxillary first molars was 6.18 mm ± 3.84 mm. The VBC was mostly located intrasinusally (74.3%) and only rarely superficially (0.5%). The diameter of the VBC was on average 0.88 ± 0.32 mm. CONCLUSIONS In this study, the VBC was usually found closer to the mesiobuccal than to the distobuccal root apex. During preparation of the access window, the existence of the VBC should be kept in mind because the mesiobuccal roots of maxillary first molars undergo apical surgery to the buccally positioned roots only.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology
04 Faculty of Medicine > School of Dental Medicine

UniBE Contributor:

Bischof, Frank; Suter, Valérie; Lello, Ryan and von Arx, Thomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0099-2399

Publisher:

Elsevier

Language:

English

Submitter:

Caroline Balz

Date Deposited:

22 Nov 2019 15:37

Last Modified:

25 Nov 2019 01:33

Publisher DOI:

10.1016/j.joen.2019.09.004

PubMed ID:

31648800

Uncontrolled Keywords:

Apical surgery cone-beam computed tomography maxillary first molar vascular bone channel

BORIS DOI:

10.7892/boris.135346

URI:

https://boris.unibe.ch/id/eprint/135346

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