Morphometric analysis of palatal bone in dentate and edentulous maxillae. Part II: Greater Palatine Foramen

Authors

  • Guillermo López Soria

Keywords:

Palatal bone, mayor palatine foramen, greater palatine artery, maxillae.

Abstract

Objective: To carry out a descriptive study of the morphology and the most relevant accidents of the posterior hard palate, compare bone modifications and evaluate the anthropometric measurements in dentate and edentulous upper jaws. Methods: 40 dentate and 39 edentulous maxillae were measured in vitro using a digital caliper. The following were measured: 1) horizontal and anteroposterior diameter of both greater palatine foramina (FPM) 2) distance between the buccal bone between the upper central incisors and both FPM 3) distance between both FPM, 4) location of the FPM in relation to the molars, 5) length, width and height of the palate, 6) palatal index in % (PI), 7) palatal height index in % (PHI). Results: The distance between the buccal bone between the maxillary central incisors and the right FPM was 49.77 mm in dentate and 44.97 mm in edentulous (p < 0.05) and with respect to the left FPM it was 49.73 mm in dentate and 44.99 mm in edentulous (p < 0.05). The distance between both FPM was on average 28.06 mm in the dentate group and 28.34 mm in the edentulous group, with no significant differences between groups. Regarding the dimensions of the FPM, no significant differences were found between both groups. Significant differences were found in palatal length and height between both groups. Conclusion: The present study provides morphometric data of the region of the palatal vault of a South American population that could be useful to compare and complement other similar studies.

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References

Testut L. Tratado de Anatomía Humana - Tomo I. 9na ed. Salvat Ed., editor. 1988. 280–282 p.

Figún M, Garino R. Anatomía odontológica funcional y aplicada. Editorial El Ateneo. 2003. p. 30–1.

García-García AS, Martínez-González JM, Gómez-Font R, Soto-Rivadeneira A,

Oviedo-Roldán L. Current status of the torus palatinus and torus mandibularis. Med Oral Patol Oral Cir Bucal. 2010; 15 (2): e353-60.

Anjankar VP, Gupta D, Nair S N, Thaduri N, TrivediGN, Budhiraja V. Analysis of position of greater palatine foramen in central Indian adult skulls: a consideration for maxillary nerve block. Indian J. Pharm. Biol. Res. 2014; 2(1):51-54.

Swirzinski KH, Edwards PC, Saini TS and Norton NS. Length and Geometric Patterns of the Greater Palatine Canal Observed in Cone Beam Computed Tomography. Int J Dent 2010; 2010: 292753.

Matsuda YB. Location of the dental foramina in human skulls from statistical observations. Int J Orthod Oral Surg Radiogr. 1927; 13:299–305.

Standring S. External skull. In: Gray's Anatomy, The anatomical basis of clinical practice. 2008. 40th ed. Elsevier Churchill Livingstone, pag. 414.

Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005; 32(2):212–8.

De Oliveira JB, Almeida ANCL de, Lins CC dos SA, Júnior AA de A, Seixas ZA. Anthropometric Measurements in Toothed and Toothless Maxillaries and its consequences in Human Alveolar Bone Resorption. Int J Morphol. 2012; 30 (3): 1173–6.

Atwood DA. Some clinical factors related to rate of resorption of residual ridges. 1962. J Prosthet Dent. 2001; 86(2):119–25.

Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixed-longitudinal study covering 25 years. J Prosthet Dent. 2003; 89(5):427–35.

Omran M, Min S, Abdelhamid A, Liu Y, Zadeh HH. Alveolar ridge dimensional changes following ridge preservation procedure: part-2 – CBCT 3D analysis in non- human primate model. Clin Oral Implants Res. 2016; 27 (7):859–66.

Avila-Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis. J Clin Periodontol. 2019; 46 (S21):195–223.

Teughels W, Merheb J, Quirynen M. Critical horizontal dimensions of interproximal and buccal bone around implants for optimal aesthetic outcomes: A systematic review. Clin Oral Implants Res. 2009; 20 (SUPPL. 4) :134–45.

Yilmaz HG, Tözüm TF. Are Gingival Phenotype, Residual Ridge Height, and Membrane Thickness Critical for the Perforation of Maxillary Sinus? J Periodontol. 2012; 83(4):420–5.

Klosek SK, Rungruang T. Anatomical study of the greater palatine artery and related structures of the palatal vault: Considerations for palate as the subepithelial connective tissue graft donor site. Surg Radiol Anat. 2009; 31(4):245–50.

Reiser GM, Bruno JF, Mahan PE, Larkin LH. The subepithelial connective tissue graft palatal donor site: anatomic considerations for surgeons. Int J Periodontics Restorative Dent. 1996; 16(2):130–7.

Griffin TJ, Cheung WS, Zavras AI, Damoulis PD. Postoperative Complications Following Gingival

Augmentation Procedures. J Periodontol. 2006; 77(12):2070–9.

Dridi S-M, Chousterman M, Danan M, Gaudy JF. Haemorrhagic risk when

harvesting palatal connective tissue grafts: a reality? Perio – Periodontal Practices Today. 2008; 5(4):231–240.

Lin LI, McBride G, Bland JM, Altman DG. A proposal for strength-of-agreement criteria for Lin’s Concordance Correlation Coefficient. NIWA Client Rep. 2005; 45 (1) :307–10.

Tomaszewska IM, Tomaszewski KA, Kmiotek EK, Pena IZ, Urbanik A, Nowakowski M, et al. Anatomical landmarks for the localization of the greater palatine foramen - A study of 1200 head CTs, 150 dry skulls, systematic review of literature and meta-analysis. J Anat. 2014; 225(4):419–35.

Sarilita E, Soames R. Morphology of the hard palate: a study of dry skulls and review of the literature. Rev Arg Anat Clin. 2015; 7(1):34–43.

Chrcanovic BR, Custódio ALN. Anatomical variation in the position of the greater palatine foramen. J Oral Sci. 2010; 52(1):109–13.

Hwang SH, Seo JH, Joo YH, Kim BG, Cho JH KJ. An anatomic study using three-dimensional reconstruction for pterygopalatine fossa infiltration via the greater palatine canal. Clin Anat. 2011; 24(5):576–82.

Dave MR, Gupta S, Vyas KK, Joshi HG. A Study Of Palatal Indices And Bony Prominences And Grooves A Study Of Palatal Indices And Bony Prominences And Grooves In The Hard Palate Of Adult Human Skulls. 2013; 4 (1):7–11.

Urbano ES, Melo KA, Costa ST. Morphologic study of the greater palatine canal. J Morphol Sci. 2010; 27(2):102–4.

Nimigean V, Nimigean VR, Buţincu L, Sǎlǎvǎstru DI, Podoleanu L. Anatomical and clinical considerations regarding the greater palatine foramen. Rom J Morphol Embryol. 2013;54 (3 SUPPL.):779–83.

Westmoreland EE, Blanton PL. 1982. An analysis of the variations in position of the greater palatine foramen in the adult human skull. Anat Rec. 204 (4):383–8.

Langenegger JJ, Lownie JF, Cleaton-Jones PE. 1983. The relationship of the greater palatine foramen to the molar teeth and pterygoid hamulus in human skulls. J Dent. 11(3):249–56.

Wang TM, Kuo KJ, Shih C LJ. Assessment of the Relative Locations of the Greater Palatine Foramen in Adult Chinese Skulls. Acta anat. 1988; 132(3):182–6.

Ajmani ML. Anatomical variation in position of the greater palatine foramen in the adult human skull. 1994. J Anat.184:635–7.

Jaffar AA; Hamadah HJ. 2003. An analysis of the position of the greater palatine foramen. J Basic Med Sci. 3(April):24–32.

Methathrathip D, Apinhasmit W, Chompoopong S,Lertsirithong A, Ariyawatkul T, Sangvichien S. Anatomy of greater palatine foramen and canal and pterygopalatine fossa in Thais: Considerations for maxillary nerve block. Surg Radiol Anat. 2005; 27(6):511–6.

Saralaya V, Nayak SR. The relative position of the greater palatine foramen in dry Indian skulls. Singapore Med J. 2007; 48(12):1143–6.

Teixeira CS, Souza VR, Marques CP, Silva W, Pereira KF. 2010. Topography of the greater palatine foramen in macerated skulls. J Morphol Sci. 27(2):88–92.

Lopes PTC, Santos AMPV, Pereira GAM, Oliveira VCBD. 2011. Análisis

morfométrico del foramen palatino mayor en cráneos de individuos adultos del Sur de Brasil. Int J Morphol. 29(2):420–3.

Vinay KV, Beena DN VK. Morphometric Analysis of the Greater Palatine

Foramen in South Indian Adult Skulls. Int J basic Appl Med Sci. 2012; 2(3):5–8.

D’Souza AS, Mamatha H, Jyothi N. Morphometric analysis of hard palate in south indian skulls. Biomed Res. 2012; 23(2):173–5.

Piagkou M, Xanthos T, Anagnostopoulou S, Demesticha T, Kotsiomitis E, Piagkos G, et al. 2012. Anatomical variation and morphology in the position of the palatine foramina in adult human skulls from Greece. J Cranio-Maxillo-Facial Surg. 40(7):e206-10.

Ikuta CRS, Cardoso CL, Ferreira O, Lauris JRP, Souza PHC, Rubira-Bullen IRF. 2013. Position of the greater palatine foramen: An anatomical study through cone beam computed tomography images. Surg Radiol Anat. 35(9):837–42.

Published

2023-12-05