An Evaluation of the Relationship Between Roots of Maxillary Anterior Teeth and Neighboring Anatomical Structures in Children: A Cone Beam Computed Tomography Study
Öz
ABSTRACT
Background: In our study, we aimed to evaluate the distances between the roots of maxillary incisors and the nasopalatine canal and the floor of the nasal cavity, and the buccal cortical bone thickness at the apices of the roots of these teeth by Cone Beam Computed Tomography (CBCT) in children in the permanent dentition period.
Materials and Methods: CBCT images of 49 patients aged 6-14 years were evaluated. In the sagittal plane, the distances of the apices of the maxillary central teeth with the nasopalatine canal and with the floor of the nasal cavity were evaluated. Buccal cortical bone thickness at the apex of the roots of maxillary anterior teeth was examined. These data were compared in terms of gender and whether the teeth had open or closed apices.
Results: When the mean distance of the maxillary central teeth (11,21) to the nasopalatine canal was evaluated in terms of the open/closed apex status of the teeth and gender, there was no significant relationship (p>0.05). Among the maxillary anterior teeth (11, 21,12, 22), the root apex of tooth 22 was the farthest from the floor of the nasal cavity and the root apex of tooth 12 was the closest. It was found that the mean buccal cortical bone thickness of maxillary anterior teeth 11 and 21 with open apex was significantly higher than those with closed apex (p<0.05).
Conclusions: The relationship of the maxillary anterior teeth with the anatomical structures in this region is important due to the frequent occurrence of traumatic dental injuries such as intrusion or lateral luxation, overflow filling during faulty root canal treatment, and apical surgery or implantation in this region.
Anahtar Kelimeler
Anterior maxilla cone-beam computed tomography nasopalatine canal nasal floor
Kaynakça
- 1. AlAli F, Atieh MA, Hannawi H, Jamal M, Harbi NA, Alsabeeha NHM, Shah M. Anterior Maxillary Labial Bone Thickness on Cone Beam Computed Tomography. Int Dent J. 2023;73(2):219-27.
- 2. Taschieri S, Weinstein T, Rosano G, Del Fabbro M. Morphological features of the maxillary incisors roots and relationship with neighbouring anatomical structures: possible implications in endodontic surgery. Int J Oral Maxillofac Surg. 2012;41(5):616-23.
- 3. Todi A, Singh MK, Kayal S, Das G, Chakraborty A. Assessment of insertion force for the placement of cortical implants in various anatomic sites in dried human skulls. J Indian Soc Periodontol. 2022;26(6):544-51.
- 4. Schatz JP, Ostini E, Hakeberg M, Kiliaridis S. Large overjet as a risk factor of traumatic dental injuries: a prospective longitudinal study. Prog Orthod. 2020;21(1):41.
- 5. Andersson L, Petti S, Day P, Kenny K, Glendor U, Andreasen JO. Classification, Epidemiology and Etiology. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Hoboken: John Wiley & Sons Ltd; 2019;252–94.
- 6. Tewari N, Bansal K, Mathur VP. Dental Trauma in Children: A Quick Overview on Management. Indian J Pediatr. 2019 Nov;86(11):1043-1047.
- 7. Jain NV, Gharatkar AA, Parekh BA, Musani SI, Shah UD. Three-Dimensional Analysis of the Anatomical Characteristics and Dimensions of the Nasopalatine Canal Using Cone Beam Computed Tomography. J Maxillofac Oral Surg. 2017;16(2):197-204.
- 8. Hermann NV, Lauridsen E, Ahrensburg SS, Gerds TA, Andreasen JO. Periodontal healing complications following extrusive and lateral luxation in the permanent dentition: a longitudinal cohort study. Dent Traumatol. 2012;28(5):394-402.
- 9. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M, International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012;28(2):88-96.
- 10. Jonaityte EM, Bilvinaite G, Drukteinis S, Torres A. Accuracy of Dynamic Navigation for Non-Surgical Endodontic Treatment: A Systematic Review. J Clin Med. 2022;11(12):3441.
- 11. Gönül Y, Bucak A, Atalay Y, Beker-Acay M, Çalişkan A, Sakarya G, Soysal N, Cimbar M, Özbek M. MDCT evaluation of nasopalatine canal morphometry and variations: An analysis of 100 patients. Diagn Interv Imaging. 2016;97(11):1165-72.
- 12. Chatriyanuyoke P, Lu CI, Suzuki Y, Lozada JL, Rungcharassaeng K, Kan JY, Goodacre CJ. Nasopalatine canal position relative to the maxillary central incisors: a cone beam computed tomography assessment. J Oral Implantol. 2012;38(6):713-7.
- 13. Antunes AA, Santos TS, Carvalho de Melo AU, Ribiero CF, Goncalves SR, de Mello Rode S. Tooth embedded in lower lip following dentoalveolar trauma: case report and literature review. Gen Dent. 2012;60(6):544-7.
- 14. Costa VP, Barbosa MV, Goettems ML, Torriani MA, Castagno CD, Baldissera EF, Torriani DD. Primary incisor intruded through the nasal cavity: a case report. Gen Dent. 2016;64(3):64-7.
- 15. Yonezawa H, Yanamoto S, Hoshino T, Yamada S, Fujiwara T, Umeda M. Management of maxillary alveolar bone fracture and severely intruded maxillary central incisor: report of a case. Dent Traumatol. 2013;29(5):416-9.
- 16. Noleto JW, de Abreu NMR, Dos Santos Vicente KM, da Silva AVNA, Seixas DR, de Figueiredo LS. Intrusive luxation of permanent upper central incisor into the nasal cavity: A case report. Dent Traumatol. 2022;38(2):160-4.
- 17. Ducommun J, Bornstein MM, Wong MCM, von Arx T. Distances of root apices to adjacent anatomical structures in the anterior maxilla: an analysis using cone beam computed tomography. Clin Oral Investig. 2019;23(5):2253-63.
- 18. de Souza FN, de Siqueira Gomes C, Rodrigues AR, Tiossi R, de Gouvêa CV, de Almeida CC. Partially Edentulous Arches: A 5-Year Survey of Patients Treated at the Fluminense Federal University Removable Prosthodontics Clinics in Brazil. J Prosthodont. 2015;24(6):447-51.
- 19. Gurunathan D, Murugan M, Somasundaram S. Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent. 2016;9(3):240-50. 20. Tsigarida A, Toscano J, de Brito Bezerra B, Geminiani A, Barmak AB, Caton J, Papaspyridakos P, Chochlidakis K. Buccal bone thickness of maxillary anterior teeth: A systematic review and meta-analysis. J Clin Periodontol. 2020;47(11):1326-43.
- 21. Koç A, Kavut İ, Uğur M. Assessment of Buccal Bone Thickness in The Anterior Maxilla: A Cone Beam Computed Tomography Study. Cumhuriyet Dent J. 2019;22(1):102-7.
- 22. Yildiz, FN. Maksiller anterior bölgede bukkal kortikal kemik kalınlığının ve bukkal andırkatın alveoler kret boyutları ile ilişkisinin konik ışınlı bilgisayarlı tomografi ile değerlendirilmesi. Gazi Üniversitesi; 2018.
Çocuklarda Maksiller Anterior Dişlerin Kökleri ile Komşuluğundaki Anatomik Yapılar Arasındaki İlişkinin Değerlendirilmesi: Konik Işınlı Bilgisayarlı Tomografi Çalışması
Öz
ÖZ
Amaç: Çalışmamızda kalıcı dişlenme dönemindeki çocuklarda maksiller keser dişlerin kökleriyle nazopalatin kanal, nazal kavite tabanı arasındaki mesafeyi ve bu dişlerin kök apekslerindeki bukkal kortikal kemik kalınlığını Konik Işınlı Bilgisayarlı Tomografiyle (KIBT) değerlendirmek amaçlanmıştır.
Gereç ve Yöntemler: 6-14 yaş aralığındaki 49 hastanın KIBT görüntüleri değerlendirilmiştir. KIBT’de sagital düzlemde maksiller santral dişlerin apeksleriyle nazopalatin kanal, maksiller anterior dişlerin apeksleriyle ise nazal kavite tabanı arasındaki mesafe değerlendirilmiştir. Maksiller anterior dişlerin köklerinin apeksindeki bukkal kortikal kemik kalınlığı incelenmiştir. Bu veriler cinsiyet ve dişlerin açık/kapalı apeksli olma durumu açısından karşılaştırılmıştır.
Bulgular: Maksiller santral dişlerin (11,21) nazopalatin kanala olan ortalama uzaklığı, dişlerin açık/kapalı apeksli olma durumu ve cinsiyet açısından değerlendirildiğinde aralarında anlamlı bir ilişki bulunamamıştır (p>0.05). Nazal kavite tabanına maksiller anterior dişlerden (11,21,12,22) 22 nolu dişin kök apeksinin en uzak, 12 nolu dişin kök apeksinin ise en yakın olduğu görülmüştür. Maksiller anterior dişlerden 11 ve 21 nolu dişlerin açık apeksli olanlarının kapalı apekslilere göre ortalama bukkal kortikal kemik kalınlığının anlamlı olarak daha fazla olduğu bulunmuştur (p<0.05).
Sonuçlar: Maksiller anterior dişlerde, intrüzyon veya lateral lüksasyon gibi travmatik dental yaralanmaların sık görülmesi, hatalı kök kanal tedavisi esnasında taşkın dolgu görülebilmesi, bu bölgeye apikal cerrahi veya implant uygulanması gibi nedenlerden dolayı bu bölgedeki anatomik yapılarla olan ilişkisi önemlidir.
Anahtar Kelimeler
Anterior maksilla konik ışınlı bilgisayarlı tomografi nasopalatin kanal burun tabanı.
Kaynakça
- 1. AlAli F, Atieh MA, Hannawi H, Jamal M, Harbi NA, Alsabeeha NHM, Shah M. Anterior Maxillary Labial Bone Thickness on Cone Beam Computed Tomography. Int Dent J. 2023;73(2):219-27.
- 2. Taschieri S, Weinstein T, Rosano G, Del Fabbro M. Morphological features of the maxillary incisors roots and relationship with neighbouring anatomical structures: possible implications in endodontic surgery. Int J Oral Maxillofac Surg. 2012;41(5):616-23.
- 3. Todi A, Singh MK, Kayal S, Das G, Chakraborty A. Assessment of insertion force for the placement of cortical implants in various anatomic sites in dried human skulls. J Indian Soc Periodontol. 2022;26(6):544-51.
- 4. Schatz JP, Ostini E, Hakeberg M, Kiliaridis S. Large overjet as a risk factor of traumatic dental injuries: a prospective longitudinal study. Prog Orthod. 2020;21(1):41.
- 5. Andersson L, Petti S, Day P, Kenny K, Glendor U, Andreasen JO. Classification, Epidemiology and Etiology. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Hoboken: John Wiley & Sons Ltd; 2019;252–94.
- 6. Tewari N, Bansal K, Mathur VP. Dental Trauma in Children: A Quick Overview on Management. Indian J Pediatr. 2019 Nov;86(11):1043-1047.
- 7. Jain NV, Gharatkar AA, Parekh BA, Musani SI, Shah UD. Three-Dimensional Analysis of the Anatomical Characteristics and Dimensions of the Nasopalatine Canal Using Cone Beam Computed Tomography. J Maxillofac Oral Surg. 2017;16(2):197-204.
- 8. Hermann NV, Lauridsen E, Ahrensburg SS, Gerds TA, Andreasen JO. Periodontal healing complications following extrusive and lateral luxation in the permanent dentition: a longitudinal cohort study. Dent Traumatol. 2012;28(5):394-402.
- 9. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M, International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012;28(2):88-96.
- 10. Jonaityte EM, Bilvinaite G, Drukteinis S, Torres A. Accuracy of Dynamic Navigation for Non-Surgical Endodontic Treatment: A Systematic Review. J Clin Med. 2022;11(12):3441.
- 11. Gönül Y, Bucak A, Atalay Y, Beker-Acay M, Çalişkan A, Sakarya G, Soysal N, Cimbar M, Özbek M. MDCT evaluation of nasopalatine canal morphometry and variations: An analysis of 100 patients. Diagn Interv Imaging. 2016;97(11):1165-72.
- 12. Chatriyanuyoke P, Lu CI, Suzuki Y, Lozada JL, Rungcharassaeng K, Kan JY, Goodacre CJ. Nasopalatine canal position relative to the maxillary central incisors: a cone beam computed tomography assessment. J Oral Implantol. 2012;38(6):713-7.
- 13. Antunes AA, Santos TS, Carvalho de Melo AU, Ribiero CF, Goncalves SR, de Mello Rode S. Tooth embedded in lower lip following dentoalveolar trauma: case report and literature review. Gen Dent. 2012;60(6):544-7.
- 14. Costa VP, Barbosa MV, Goettems ML, Torriani MA, Castagno CD, Baldissera EF, Torriani DD. Primary incisor intruded through the nasal cavity: a case report. Gen Dent. 2016;64(3):64-7.
- 15. Yonezawa H, Yanamoto S, Hoshino T, Yamada S, Fujiwara T, Umeda M. Management of maxillary alveolar bone fracture and severely intruded maxillary central incisor: report of a case. Dent Traumatol. 2013;29(5):416-9.
- 16. Noleto JW, de Abreu NMR, Dos Santos Vicente KM, da Silva AVNA, Seixas DR, de Figueiredo LS. Intrusive luxation of permanent upper central incisor into the nasal cavity: A case report. Dent Traumatol. 2022;38(2):160-4.
- 17. Ducommun J, Bornstein MM, Wong MCM, von Arx T. Distances of root apices to adjacent anatomical structures in the anterior maxilla: an analysis using cone beam computed tomography. Clin Oral Investig. 2019;23(5):2253-63.
- 18. de Souza FN, de Siqueira Gomes C, Rodrigues AR, Tiossi R, de Gouvêa CV, de Almeida CC. Partially Edentulous Arches: A 5-Year Survey of Patients Treated at the Fluminense Federal University Removable Prosthodontics Clinics in Brazil. J Prosthodont. 2015;24(6):447-51.
- 19. Gurunathan D, Murugan M, Somasundaram S. Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent. 2016;9(3):240-50. 20. Tsigarida A, Toscano J, de Brito Bezerra B, Geminiani A, Barmak AB, Caton J, Papaspyridakos P, Chochlidakis K. Buccal bone thickness of maxillary anterior teeth: A systematic review and meta-analysis. J Clin Periodontol. 2020;47(11):1326-43.
- 21. Koç A, Kavut İ, Uğur M. Assessment of Buccal Bone Thickness in The Anterior Maxilla: A Cone Beam Computed Tomography Study. Cumhuriyet Dent J. 2019;22(1):102-7.
- 22. Yildiz, FN. Maksiller anterior bölgede bukkal kortikal kemik kalınlığının ve bukkal andırkatın alveoler kret boyutları ile ilişkisinin konik ışınlı bilgisayarlı tomografi ile değerlendirilmesi. Gazi Üniversitesi; 2018.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 19 Ağustos 2023 |
| Yayımlanma Tarihi | 25 Ağustos 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 3 Sayı: 2 |
