The influence of facial types on the morphology and location of the greater palatine foramen: a CBCT study

Lacerda-Santos, Jhonatan Thiago; Granja, Gélica Lima; Freitas, George Borja de; Manhães, Luíz Roberto Coutinho; Melo, Daniela Pita de; Santos, Jalber Almeida dos

doi:10.1007/s11282-021-00563-1

Cited by 10 publications

(5 citation statements)

References 25 publications

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“…The length of the right GPF-CP was 27.48±3.10 mm and 29.27±3.59 mm whereas the length of the left GPF-CP was 26.71±2.82 mm and 29.33±3.14 mm in females and males, respectively. In a CT study evaluating the relationship between facial types and GPC, Lacerda-Santos et al (21) found that the distance between GPF and the palatine suture was 14.47±1.63 mm on the right and 15.16±1.67 mm on the left and this difference was significant, unlike this study. Ortug and Uzel (22) found the same distance of 14.64±2.20 mm on the right and 14.74±2.22 mm on the left in their measurements on 97 dry skulls and stated that this difference was not significant.…”

Section: Discussioncontrasting

confidence: 90%

Morphometric Analysis of Greater Palatine Canal by Computed Tomography

GÜZEL,

TURAMANLAR,

KOYUNCU

et al. 2023

Düzce Tıp Fakültesi Dergisi

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Aim: The greater palatine canal connects to the oral cavity through the greater palatine foramen. Preoperatively identifying the morphology of the greater palatine canal and greater palatine foramen is very important to avoid possible complications during surgery. This study aimed to evaluate the greater palatine canal and surrounding anatomical structures using computed tomography. Material and Methods: Images from 100 patients (35 female and 65 male) who had previously undergone computed tomography for various reasons were evaluated. The study data were divided into three age groups, <20 years, 20-60 years, and >60 years. Morphological parameters measured in this study included; diameter measurement from the widest part of the canal, length of the canal, beginning diameter of the canal, the ends diameter of the canal, localization of the canal entrance with respect to the third molar tooth, distance of the canal entrance to palatine suture. The values obtained from the measurements were compared in terms of age group, gender, and side. Results: The mean length of the canalis palatinus major was 15.19±4.38 mm. The diameter of the widest part of the canal and the end of the canal, and the distance between the canal entrance and the sutura palatina increased with age, but these increases were not statistically significant. Conclusion: Proper administration of anesthesia through the greater palatine foramen in maxillofacial surgeries and related applications requires a detailed understanding of the anatomy of the greater palatine canal, and the results of the present study will contribute to the understanding of this anatomy.

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Section: Discussioncontrasting

confidence: 90%

Morphometric Analysis of Greater Palatine Canal by Computed Tomography

GÜZEL,

TURAMANLAR,

KOYUNCU

et al. 2023

Düzce Tıp Fakültesi Dergisi

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“…A total of 23 studies [ 7 , 8 , 10 , 11 , 20 , 29 , 40 , 41 , 43 , 44 , 47 , 54 , 56 , 58 , 65 , 66 , 73 , 74 , 77 , 80 , 82 , 83 , 86 ] ( n = 3164 subjects) reported data on the distance from the greater palatine foramen to the incisive fossa (GPF–IF). The pooled mean, across the 23 studies, was calculated to be 37.32 mm (95% CI = 36.19–38.45 mm).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 5 studies [ 9 , 11 , 17 , 44 , 52 ] ( n = 710 subjects) reported data on the angle between the vertical plane and the axis of the greater palatine canal. The pooled mean, across the four studies, was calculated to be 19.09° (95% CI = 9.20–28.99°).…”

Section: Resultsmentioning

confidence: 99%

“…The studies spanned the years 1982 to 2022 and originated from Africa, Asia, Europe, North America, and South America. Thailand Cadaveric 55 Ashwini and Jaishree [7] India Cadaveric 100 Awad et al [8] Egypt Imaging 200 Ayoub et al [9] United States Imaging 50 Badshah et al [10] Pakistan Cadaveric 85 Bahşi et al [11] Turkey Imaging 150 Beetge et al [12] South Africa Imaging 77 Cagimni et al [16] Turkey Cadaveric 120 Campbell et al [17] United States Imaging 50 Cheung et al [18] China Cadaveric 30 Chopra et al [19] India Cadaveric 100 Chrcanovic and Custódio [20] Brazil Cadaveric 80 Das et al [22] United States Imaging 100 Dave et al [23] India Cadaveric 100 D'Souza et al [21] India Cadaveric 40 Douglas and Wormald [24] Australia Cadaveric 21 Duruel et al [25] United States Imaging 131 Fonseka et al [27] Sri Lanka Imaging 50 Fu et al [28] United States Cadaveric 11 Gibelli et al [29] Italy Cadaveric 100 Hassanali and Mwaniki [31] Africa Cadaveric 125 Howard-Swirzinski et al [34] United States Imaging 500 Hwang et al [35] South Korea Imaging 50 Ikuta et al [36] Brazil Imaging 50 Ilayperuma et al [37] Sri Lanka Cadaveric 136 Jaffar and Hamadah [38] Iraq Cadaveric 50 Kaffe et al [39] Israel Imaging 58 Kang et al [40] South Korea Imaging 107 Kaur et al [41] India Cadaveric 100 Klosek and Rungruang [42] Thailand Cadaveric 41 Kumar et al [43] India Cadaveric 100 Lacerda-Santos et al [44] Brazil Imaging 60 Langenegger et al [45] South Africa Cadaveric 100 Lim et al [47] South Korea Imaging 147 Lopes et al [48] Brazil Cadaveric 94 Malamed and Trieger…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Anatomy of the greater palatine foramen and canal and their clinical significance in relation to the greater palatine artery: a systematic review and meta-analysis

et al. 2023

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Purpose Accurate knowledge of greater palatine foramen (GPF) and greater palatine canal (GPC) anatomy is necessary to avoid injury to the greater palatine artery (GPA) when performing a variety of anesthesiologic, dental or surgical procedures. The aim of this paper was to perform a systematic review and meta-analysis of literature on the anatomy and localization of bony structures associated with the GPA, namely the GPF and GPC. Methods A systematic literature search was performed using PubMed, Embase, ScienceDirect, and Web of Science databases. Seventy-five studies were included in the meta-analysis (n = 22,202 subjects). Results The meta-analysis showed that the GPF is positioned 17.21 mm (95% CI = 16.34–18.09 mm) from the posterior nasal spine, 2.56 mm (95% CI = 1.90–3.22 mm) from the posterior border of the hard palate, 46.24 mm (95% CI = 44.30–48.18 mm) from the anterior nasal spine, 15.22 mm (95% CI = 15.00–15.43 mm) from the midline maxillary suture, 37.32 mm (95% CI = 36.19–38.45 mm) from the incisive foramen, and opposite the third maxillary molar (M3) in 64.9% (58.7–70.7%) of the total population. Conclusion An up-to-date, comprehensive analysis of GPF and GPC clinical anatomy is presented. The results from this evidence-based anatomical study provides a unified set of data to aid clinicians in their practice.

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“…The distribution of the great palatal nerve and blood vessel bundles is the main consideration in the gingival surgery with the palate as the donor site, the accurate assessment of palatal vessels and nerves by the location of the greater palatal foramen is key to preoperative planning, postoperative healing, and revascularization of the periodontal ligament and gingiva [24] . Multiple studies have shown that there is some racial specificity in the location of the greater palatal foramen [25,26] , and that the greater palatal neurovascular bundles can be distributed in the palatal sulcus of a variety of morphologies in the maxillary molar region [27] .…”

Section: The Position Of the Foramen Magnummentioning

confidence: 99%

CBCT evaluation of palatal alveolar protuberance in maxillary molars

2023

FMSR

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In recent years, the treatment goal of periodontal disease has developed from the single emphasis on the control of inflammation and improvement of function to the further shaping of oral"Whitening aesthetics", soft tissue transplantation is an important part of periodontal plastic and implant surgery. Periodontal ligament and gingival surgery based on autologous tissue transplantation has predictability and long-term stability, it has also been widely used in aesthetic prosthodontics of the oral cavity. However, the site of soft tissue defect and the donor site of the palate are different in clinical practice, which leads to the change of the operative procedure. Some patients have bony protrusions on the palatal alveolar ridge of their maxillary molars, which may affect periodontal surgery in these patients. CBCT has become a commonly used examination method in various oral clinical disciplines. It can be used to observe the skull from all angles and has a high clinical acceptance. In this article, we reviewed the research progress of CBCT in palatal measurement of maxillary molars and the feasibility of CBCT in evaluating palatal alveolar protuberance of maxillary molars.

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The influence of facial types on the morphology and location of the greater palatine foramen: a CBCT study

Cited by 10 publications

References 25 publications

Morphometric Analysis of Greater Palatine Canal by Computed Tomography

Morphometric Analysis of Greater Palatine Canal by Computed Tomography

Anatomy of the greater palatine foramen and canal and their clinical significance in relation to the greater palatine artery: a systematic review and meta-analysis

CBCT evaluation of palatal alveolar protuberance in maxillary molars

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