Background: Surgery of the anterior maxillary zone has a strong impact upon dental and facial aesthetics and function.
Purpose: To determine the anatomical characteristics and dimensions of the nasopalatine canal and alveolar bone using cone beam computed tomography (CBCT).
Materials And Methods: A retrospective, cross-sectional study was made of the nasopalatine canal in 122 randomly selected CBCT scans corresponding to 66 males (44.3%) and 56 females (55.6%). The following measurements were made: maximum length and diameters of the nasal and oral openings of the nasopalatine canal; distance from the crestal margin to the buccal wall (at apical, middle, and coronal level); and angulation of the nasopalatine canal. The anatomical variants were morphologically classified as follows: A (single canal), B (double canal), or C (Y-shaped canal).
Results: The anatomy of the nasopalatine canal showed important variability in terms of morphology and dimensions. Type A was observed in 48 patients (39.34%), type B in 10 (8.19%), and type C in 64 (52.45%). The mean diameter of the nasal opening or orifice was 3.02 ± 1.0 mm versus 3.29 ± 1.0 mm in the case of the oral opening. The mean length of the canal was 11.02 ± 2.4 mm. Significant differences were found between males and females, with greater canal dimensions and alveolar bone thickness values anterior to the nasal canal zone among males (p < .05).
Conclusions: Our study shows gender to exert a significant influence upon the anatomical dimensions of the anterior maxilla and incisor canal. Given the anatomical variability characterizing the nasopalatine canal, we recommend CBCT evaluation prior to any type of surgery of the anterior maxillary zone.
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http://dx.doi.org/10.1111/cid.12271 | DOI Listing |
J Oral Maxillofac Pathol
October 2024
Department of Oral Pathology, Dr. R Ahmed Dental College, West Bengal, India.
Nasopalatine duct cysts (NPDCs) are among the most common nonodontogenic cysts, typically located in the midline of anterior maxillary hard palate. They usually arise from the embryonic epithelial vestiges of the nasopalatine duct. NPDCs predominantly affect adult males, generally during their fourth decade of life.
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November 2024
CICO Research Centre, Adults Integral Dentistry Department, Universidad de La Frontera, Temuco, Chile.
This study presents retrospective 8-year clinical performance data from a patient cohort treated with immediately loaded maxillary full prostheses supported by zygomatic implants combined with implants placed in the nasopalatine canal, as a treatment for severely resorbed edentulous ridges. A retrospective analysis was conducted on data of maxillary edentulous patients with severe bone atrophy. All of them received zygomatic implants in combination with an implant placed in the nasopalatine foramen and an immediately loaded fixed temporary prosthesis in the first 24 hours.
View Article and Find Full Text PDFMed Sci Monit
October 2024
General Practitioner, Ministry of Health, Jazan, Saudi Arabia.
The nasopalatine canal (NPC), an interosseous conduit in the anterior maxilla, plays a crucial role in various dental procedures, such as implant placement, orthodontics, and surgical interventions. Accurate anatomical characterization of the NPC is essential to avoid complications, as its morphometric variations can impact the nasopalatine nerve and vascular structures within the canal. Traditional radiography techniques are limited in displaying the canal's detailed anatomy due to issues like magnification and distortion.
View Article and Find Full Text PDFAm J Case Rep
October 2024
Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Guarulhos, SP, Brazil.
Head Face Med
September 2024
School of Dental Medicine, Center for Diagnostic Radiology, University of Belgrade, 6 Rankeova, Belgrade, 11 000, Serbia.
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