Root to bone table and nasal floor distance of maxillary anterior teeth with indication for apical microsurgery
DOI:
https://doi.org/10.20453/reh.v33i4.5112Keywords:
apicoectomy, microsurgery, cone beam computed tomography, maxillary, incisorAbstract
Objective: To evaluate the distance from the root to the bone tables and nasal floor of maxillary anterior teeth with indication for apical microsurgery. Material and methods: The sample consisted of 44 cone beam computed tomographic images prior to the apical microsurgery procedure; in addition, 31 images were selected for comparison with contralateral teeth without indication for apical microsurgery. The distance from the root to the bone tables and nasal floor was measured. Results: The distance from the root surface to the vestibular and palatal bone tables 3 mm from the apex was 0.98 ± 0.67 mm and 4.26 ± 2.97 mm for the central incisor; 0.77 ± 0.50 mm and 2.12 ± 1.22 mm for the lateral incisor; and 0.52 ± 0.63 mm and 5.31 ± 1.38 mm for the canine, respectively. The shortest distance from the apex to the nasal floor was 9.56 ± 2.88 mm for the central incisor, 10.33 ± 2.97 mm for the lateral incisor, and 5.73 ± 2.57 mm for the canine. A statistically significant greater distance from the apex to the nasal floor was found only for the lateral incisor with indication for apical microsurgery compared to the lateral incisor without indication for apical microsurgery. Conclusions: The distance from the root to the vestibular bone table is less than from the root to the palatal bone table. The apex closest to the nasal floor was that of the canine. Maxillary anterior teeth with and without indication for apical microsurgery showed similar distances from the root to the bone tables and nasal floor.
References
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 [Internet]. 2012; 41(5): 616-623. Disponible en: https://www.ijoms.com/article/S0901-5027(11)01492-5/fulltext
Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, et al. Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2007; 103(5): 683-693. Disponible en: https://www.oooojournal.net/article/S1079-2104(06)00877-8/fulltext
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 [Internet]. 2019; 23(5): 2253-2263. Disponible en: https://link.springer.com/article/10.1007/s00784-018-2650-4
Creasy JE, Mines P, Sweet M. Surgical trends among endodontists: the results of a web-based survey. J Endod [Internet]. 2009; 35(1): 30-34. Disponible en: https://www.jendodon.com/article/S0099-2399(08)00911-4/fulltext
García PX, Lavarello AN. Evaluación radiográfica y clínica de las microcirugías apicales [tesis de especialista en Internet]. Lima: Universidad Peruana Cayetano Heredia; 2018. Disponible en: https://hdl.handle.net/20.500.12866/3716
Uğur Z, Göller D. Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis. Clin Oral Investig [Internet]. 2019; 23(9): 3637-3644. Disponible en: https://link.springer.com/article/10.1007/s00784-019-02834-y
Sheth K, Kapoor S, Daveshwar S. Comparison of cone-beam computed tomography and periapical radiography to determine the proximity of periapical lesions to anatomical structures in premaxillary area prior to surgical endodontics: a clinical study. Int J Clin Pediatr Dent [Internet]. 2020; 13(4): 322-326. Disponible en: https://www.ijcpd.com/doi/pdf/10.5005/jp-journals-10005-1783
AAOMR, AAE. Use of cone beam computed tomography in endodontics 2015 update. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2015; 120(4): 508-512. Disponible en: https://www.oooojournal.net/article/S2212-4403(15)01131-1/fulltext
Zahedi S, Mostafavi M, Lotfirikan N. Anatomic study of mandibular posterior teeth using cone-beam computed tomography for endodontic surgery. J Endod [Internet]. 2018; 44(5): 738-743. Disponible en: https://www.jendodon.com/article/S0099-2399(18)30070-0/fulltext
Lavasani SA, Tyler C, Roach SH, McClanahan SB, Ahmad M, Bowles WR. Cone-beam Computed tomography: anatomic analysis of maxillary posterior teeth - impact on endodontic microsurgery. J Endod [Internet]. 2016; 42(6): 890-895. Disponible en: https://www.jendodon.com/article/S0099-2399(16)30029-2/fulltext
Von Arx T, Käch S, Suter VGA, Bornstein MM. Perforation of the maxillary sinus floor during apical surgery of maxillary molars: a retrospective analysis using cone beam computed tomography. Aust Endod J [Internet]. 2020; 46(2): 176-183. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/aej.12413
Kazemipoor M, Sabaghzadegan F, Ardakani FE. Pattern of endodontic periapical lesion extension in anterior teeth: a CBCT study in an Iranian population. Iran Endod J [Internet]. 2019; 14(4): 259-264. Disponible en: https://journals.sbmu.ac.ir/iej/article/view/24188
Estrela C, Reis Bueno M, Correa Azevedo B, Ribamar Azevedo J, Djalma Pécora J. A new periapical index based on cone beam computed tomography. J Endod [Internet]. 2008; 34(11): 1325-1331. Disponible en: https://www.jendodon.com/article/S0099-2399(08)00733-4/fulltext
Bieszczad D, Wichlinski J, Kaczmarzyk T. Factors affecting the success of endodontic microsurgery: a cone-beam computed tomography study. J Clin Med [Internet]. 2022; 11(14): 3991. Disponible en: https://www.mdpi.com/2077-0383/11/14/3991
Urbaniak GC, Plous S. Research Randomizer [Computer software]. Disponible en: https://randomizer.org/
Paes da Silva LM, Ordinola-Zapata R, Húngaro MA, Alvares AL. Prevalence of apical periodontitis detected in cone beam CT images of a Brazilian subpopulation. Dentomaxillofac Radiol [Internet]. 2013; 42(1): 80179163. Disponible en: https://www.birpublications.org/doi/10.1259/dmfr/80179163
Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod [Internet]. 2006; 32(7): 601-623. Disponible en: https://www.jendodon.com/article/S0099-2399(05)00185-8/fulltext
Um M, Johnson B, Fayad M. Buccal plate thickness as a predictor for endodontic microsurgery outcomes: a retrospective cohort study. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2023; 135(3): 324-332. Disponible en: https://www.oooojournal.net/article/S2212-4403(22)01048-3/fulltext
De Oliveira-Santos C, Rubira-Bullen IRF, Monteiro SAC, León JE, Jacobs R. Neurovascular anatomical variations in the anterior palate observed on CBCT images. Clin Oral Implants Res [Internet]. 2013; 24(9): 1044-1048. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0501.2012.02497.x
Shan T, Qu Y, Huang X, Gu L. Cone beam computed tomography analysis of accessory canals of the canalis sinuosus: a prevalent but often overlooked anatomical variation in the anterior maxilla. J Prosthet Dent [Internet]. 2021; 126(4): 560-568. Disponible en: https://www.thejpd.org/article/S0022-3913(20)30435-2/fulltext
Khojastepour L, Movahhedian N, Zolghadrpour M, Mahjoori-Ghasrodashti M. Assessment of the relationship between the maxillary sinus and the canine root tip using cone beam computed tomography. BMC Oral Health [Internet]. 2021; 21(1): 338. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-021-01700-2
Kim D, Ku H, Nam T, Yoon TC, Lee CY, Kim E. Influence of size and volume of periapical lesions on the outcome of endodontic microsurgery: 3-dimensional analysis using cone-beam computed tomography. J Endod [Internet]. 2016; 42(8): 1196-1201. Disponible en: https://www.jendodon.com/article/S0099-2399(16)30250-3/fulltext
Lin LM, Huang GTJ. Pathobiology of apical periodontitis. In: Hargreaves KM, Berman LH (eds.). Cohen’s Pathways of the Pulp. 12.a ed. Missouri: Elsevier; 2016. pp. 630-659.
Bornstein MM, Bingisser AC, Reichart PA, Sendi P, Bosshardt DD, Von Arx T. Comparison between radiographic (2-dimensional and 3-dimensional) and histologic findings of periapical lesions treated with apical surgery. J Endod [Internet]. 2015; 41(6): 804-811. Disponible en: https://www.jendodon.com/article/S0099-2399(15)00067-9/fulltext
Karamifar K, Tondari A, Saghiri MA. Endodontic periapical lesion: an overview on the etiology, diagnosis and current treatment modalities. Eur Endod J [Internet]. 2020; 5(2): 54-67. Disponible en: https://eurendodj.com/jvi.aspx?un=EEJ-42714&volume=
Sukegawa S, Matsuzaki H, Katase N, Kawai H, Kanno T, Asaumi JI, et al. Morphological characteristics of radicular cysts using computed tomography. Odontology [Internet]. 2020; 108(1): 74-83. Disponible en: https://link.springer.com/article/10.1007/s10266-019-00443-5
Boubaris M, Cameron A, Love R, George R. Sphericity of periapical lesion and its relation to the novel CBCT periapical volume index. J Endod [Internet]. 2022; 48(11): 1395-1399. Disponible en: https://www.jendodon.com/article/S0099-2399(22)00608-2/fulltext
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the copyright and cede to the journal the right of first publication, with the work registered with the Creative Commons License, which allows third parties to use what is published as long as they mention the authorship of the work, and to the first publication in this journal.
