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Three-dimensional alveolar bone anatomy of the maxillary first molars

Matsuda, Hiroyuki, Borzabadi Farahani, Ali and Le, Bach T. 2016. Three-dimensional alveolar bone anatomy of the maxillary first molars. Implant Dentistry 25 (3) , pp. 367-372. 10.1097/ID.0000000000000430

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Abstract

Purpose: To retrospectively evaluate alveolar dimensions of healthy maxillary first molars (MFMs), which have implications for (immediate) implant placement and endodontic therapy. Materials and Methods: Cone-beam computed tomographic records of 95 patients (150 MFMs) were used [32 men and 63 men, aged 37.2 (14.9) years]. The vertical distance from sinus floor (SF) and MFM apexes (mesio-buccal [MB] and disto-buccal [DB]) and also distance between root apexes (spreading of the roots, MB to palatal and DB to palatal, representing bone width) were measured. Result: The mean (SD) thickness of buccal and palatal bony walls (2 mm from crest) was 1.58 (0.6) mm and 1.34 (0.54) mm, respectively. The mesio-distal and bucco-lingual socket sizes at crest were 7.3 (0.84) mm and 10.5 (0.90) mm, respectively. The mean distance from SF to MFM furcation was 6.51 (2.94) mm. The mean distance (95% confidence interval) between SF and MB, DB, and palatal apexes was −0.36 mm (−0.91 to 0.19), 0.32 mm (−0.27 to 0.9), and −2.2 mm (−2.7 to −1.7), retrospectively. Significant differences were found for root apex distances to SF for MB versus palatal roots and DB roots versus palatal roots, but not for MB versus DB roots (P > 0.05). Conclusion: The present findings on MFM dento-alveolar morphology, in particular high intrusion of palatal roots into SF, can be used as a clinical risk management tool for immediate implant placement and endodontic therapy.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Publisher: Lippincott, Williams & Wilkins
ISSN: 1056-6163
Last Modified: 08 Nov 2024 11:17
URI: https://orca.cardiff.ac.uk/id/eprint/172461

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