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Cone-beam computed tomography analysis of the vestibular surgical pathway to the palatine root of the maxillary first molar
(Kalender, Atakan,) |
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Bibliographical information (record 265446) |
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- Objective: The aim of this study was to evaluate the anatomical distance between apices of the
palatine root of the maxillary first molars to the buccal bone plate to identify the vestibular surgical
pathway in a Turkish adult population using cone-beam computed tomography (CBCT) images.
Methods: CBCT scans of 107 (48 male and 59 female) patients were retrospectively analyzed. The
overall mean age was 38.6 years. The distance between the vestibular cortex and vestibular side of
the palatine root was measured for 192 maxillary first molars both on axial images parallel to the
palatal plane and on reformatted cross-sectional images. A Pearson’s chi square test and Mann-
Whitney U-test were performed to evaluate differences among age, localization, and measurements.
Differences were considered statistically significant at P<.05.
Results: The mean distance between the buccal cortex and the buccal side of the palatine root of
the superior first molar in both male and female patients was 10.13 and 9.70 mm, respectively. The
incidence of interposition of the lateral recess of the maxillary sinus between the roots was 42.2%
and 49% in men and women, respectively. Statistically significant sex-related differences were found
in the vestibular surgical pathway (P<.05).
Conclusions: For precise planning of endodontic surgery, it is crucial to determine the exact di-
mensions and location of the periapical lesion, as well as its relationship with the roots and other
neighboring anatomical structures. CBCT can be a powerful tool for the evaluation of surgical cases
in three dimensions with less ionizing radiation and better avoidance of complications during sur-
gery. (Eur J Dent 2013;7:35-40)
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Library |
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EOL-1101
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Item available
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NEU Grand LibraryOnline (WU 230 .C66)
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Online electronic |
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