Identifying the course of the greater palatine artery using intraoral ultrasonography: cohort study
Aims The greater palatine artery (GPA) is one of the most important anatomical structure for free gingival grafts or connective-tissue grafts during soft tissue surgery for dental implants. Several studies have identified the approximate location of the GPA, but it is impossible to detect its exact...
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2022-08, Vol.44 (8), p.1139-1146 |
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| creator | Lee, Kang-Hee Park, Wonse Cheong, Jieun Park, Kyeong-Mee Kim, Jin-Woo Kim, Kee-Deog |
| description | Aims
The greater palatine artery (GPA) is one of the most important anatomical structure for free gingival grafts or connective-tissue grafts during soft tissue surgery for dental implants. Several studies have identified the approximate location of the GPA, but it is impossible to detect its exact location during surgery due to large variability between individuals. The authors, therefore, investigated the course of the GPA using intraoral ultrasonography to determine the feasibility of using real-time nonionizing ultrasonography for implant surgery.
Materials and methods
This study included 40 healthy young participants. The courses of the GPA were identified using intraoral ultrasound probes from the first premolar to the second molar. The distance from the gingival margin to the GPA (GM-GPA) and the depth of the palatal gingiva from the GPA (PG-GPA) were measured by two independent examiners. Measurements were analyzed statistically, and interexaminer reliability was determined.
Results
The distance of the GM-GPA and the mean depth of the PG-GPA were 14.8 ± 1.6 mm and 4.10 ± 0.51 mm (mean ± SD), respectively. GM-GPA decreased when the GPA ran from the second molar to the first molar, and GM-GPA was significantly shorter in females (
P
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| doi_str_mv | 10.1007/s00276-022-02967-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2697092505</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2697092505</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-51c278a768d4abb08ea91649a295b3cd88dac100456541e84036773c5a11805d3</originalsourceid><addsrcrecordid>eNp9kL1OwzAUhS0EEqXwAkyWWFgC13YcJ2yo4qdSJRaYLddx0lSpHWxnyNvjtkggBgbL90rfObrnIHRN4I4AiPsAQEWRAaXpVYXIphM0I1RUWcmJOP01n6OLELYAwAkpZ0gva2Nj10ydbXHcGKzd6IPBrjlsrTcqGo8H1avYWYOVT-uEx7DnOxu9cl71eOzTFJx1rVfDZnpINhvnIw5xrKdLdNaoPpir73-OPp6f3hev2ertZbl4XGWacRozTjQVpRJFWedqvYbSqIoUeaVoxddM12VZK53S5rzgOTFlDqwQgmmuUhLgNZuj26Pv4N3naEKUuy5o0_fKGjcGSYtKQEU58ITe_EG3KbdN10kqgLKcgaCJokdKexeCN40cfLdTfpIE5L53eexdpt7loXc5JRE7ikKCbWv8j_U_qi91Xoa0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2702343072</pqid></control><display><type>article</type><title>Identifying the course of the greater palatine artery using intraoral ultrasonography: cohort study</title><source>SpringerLink Journals - AutoHoldings</source><creator>Lee, Kang-Hee ; Park, Wonse ; Cheong, Jieun ; Park, Kyeong-Mee ; Kim, Jin-Woo ; Kim, Kee-Deog</creator><creatorcontrib>Lee, Kang-Hee ; Park, Wonse ; Cheong, Jieun ; Park, Kyeong-Mee ; Kim, Jin-Woo ; Kim, Kee-Deog</creatorcontrib><description>Aims
The greater palatine artery (GPA) is one of the most important anatomical structure for free gingival grafts or connective-tissue grafts during soft tissue surgery for dental implants. Several studies have identified the approximate location of the GPA, but it is impossible to detect its exact location during surgery due to large variability between individuals. The authors, therefore, investigated the course of the GPA using intraoral ultrasonography to determine the feasibility of using real-time nonionizing ultrasonography for implant surgery.
Materials and methods
This study included 40 healthy young participants. The courses of the GPA were identified using intraoral ultrasound probes from the first premolar to the second molar. The distance from the gingival margin to the GPA (GM-GPA) and the depth of the palatal gingiva from the GPA (PG-GPA) were measured by two independent examiners. Measurements were analyzed statistically, and interexaminer reliability was determined.
Results
The distance of the GM-GPA and the mean depth of the PG-GPA were 14.8 ± 1.6 mm and 4.10 ± 0.51 mm (mean ± SD), respectively. GM-GPA decreased when the GPA ran from the second molar to the first molar, and GM-GPA was significantly shorter in females (
P
< 0.05). PG-GPA increased when the GPA ran to the posterior teeth. Interexaminer measurement agreements were excellent, with intraclass correlation coefficient values of 0.983 and 0.918 for GM-GPA and PG-GPA, respectively.
Conclusions
Using an intraoral ultrasound probe, real-time GPA tracking is possible, which is expected to help reduce the possibility of bleeding during surgery.</description><identifier>ISSN: 1279-8517</identifier><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-022-02967-y</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Anatomic Bases of Medical ; Anatomy ; Cohort analysis ; Dental implants ; Dental prosthetics ; Imaging ; Medicine ; Medicine & Public Health ; Orthopedics ; Radiological and Surgical Techniques ; Radiology ; Surgery ; Transplants & implants ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2022-08, Vol.44 (8), p.1139-1146</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2022</rights><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-51c278a768d4abb08ea91649a295b3cd88dac100456541e84036773c5a11805d3</citedby><cites>FETCH-LOGICAL-c352t-51c278a768d4abb08ea91649a295b3cd88dac100456541e84036773c5a11805d3</cites><orcidid>0000-0002-1672-5730 ; 0000-0002-2081-1156 ; 0000-0003-0313-2511 ; 0000-0003-3055-5130 ; 0000-0001-6384-185X ; 0000-0002-1301-0959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-022-02967-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-022-02967-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Lee, Kang-Hee</creatorcontrib><creatorcontrib>Park, Wonse</creatorcontrib><creatorcontrib>Cheong, Jieun</creatorcontrib><creatorcontrib>Park, Kyeong-Mee</creatorcontrib><creatorcontrib>Kim, Jin-Woo</creatorcontrib><creatorcontrib>Kim, Kee-Deog</creatorcontrib><title>Identifying the course of the greater palatine artery using intraoral ultrasonography: cohort study</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><description>Aims
The greater palatine artery (GPA) is one of the most important anatomical structure for free gingival grafts or connective-tissue grafts during soft tissue surgery for dental implants. Several studies have identified the approximate location of the GPA, but it is impossible to detect its exact location during surgery due to large variability between individuals. The authors, therefore, investigated the course of the GPA using intraoral ultrasonography to determine the feasibility of using real-time nonionizing ultrasonography for implant surgery.
Materials and methods
This study included 40 healthy young participants. The courses of the GPA were identified using intraoral ultrasound probes from the first premolar to the second molar. The distance from the gingival margin to the GPA (GM-GPA) and the depth of the palatal gingiva from the GPA (PG-GPA) were measured by two independent examiners. Measurements were analyzed statistically, and interexaminer reliability was determined.
Results
The distance of the GM-GPA and the mean depth of the PG-GPA were 14.8 ± 1.6 mm and 4.10 ± 0.51 mm (mean ± SD), respectively. GM-GPA decreased when the GPA ran from the second molar to the first molar, and GM-GPA was significantly shorter in females (
P
< 0.05). PG-GPA increased when the GPA ran to the posterior teeth. Interexaminer measurement agreements were excellent, with intraclass correlation coefficient values of 0.983 and 0.918 for GM-GPA and PG-GPA, respectively.
Conclusions
Using an intraoral ultrasound probe, real-time GPA tracking is possible, which is expected to help reduce the possibility of bleeding during surgery.</description><subject>Anatomic Bases of Medical</subject><subject>Anatomy</subject><subject>Cohort analysis</subject><subject>Dental implants</subject><subject>Dental prosthetics</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Radiological and Surgical Techniques</subject><subject>Radiology</subject><subject>Surgery</subject><subject>Transplants & implants</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>1279-8517</issn><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kL1OwzAUhS0EEqXwAkyWWFgC13YcJ2yo4qdSJRaYLddx0lSpHWxnyNvjtkggBgbL90rfObrnIHRN4I4AiPsAQEWRAaXpVYXIphM0I1RUWcmJOP01n6OLELYAwAkpZ0gva2Nj10ydbXHcGKzd6IPBrjlsrTcqGo8H1avYWYOVT-uEx7DnOxu9cl71eOzTFJx1rVfDZnpINhvnIw5xrKdLdNaoPpir73-OPp6f3hev2ertZbl4XGWacRozTjQVpRJFWedqvYbSqIoUeaVoxddM12VZK53S5rzgOTFlDqwQgmmuUhLgNZuj26Pv4N3naEKUuy5o0_fKGjcGSYtKQEU58ITe_EG3KbdN10kqgLKcgaCJokdKexeCN40cfLdTfpIE5L53eexdpt7loXc5JRE7ikKCbWv8j_U_qi91Xoa0</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Lee, Kang-Hee</creator><creator>Park, Wonse</creator><creator>Cheong, Jieun</creator><creator>Park, Kyeong-Mee</creator><creator>Kim, Jin-Woo</creator><creator>Kim, Kee-Deog</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1672-5730</orcidid><orcidid>https://orcid.org/0000-0002-2081-1156</orcidid><orcidid>https://orcid.org/0000-0003-0313-2511</orcidid><orcidid>https://orcid.org/0000-0003-3055-5130</orcidid><orcidid>https://orcid.org/0000-0001-6384-185X</orcidid><orcidid>https://orcid.org/0000-0002-1301-0959</orcidid></search><sort><creationdate>20220801</creationdate><title>Identifying the course of the greater palatine artery using intraoral ultrasonography: cohort study</title><author>Lee, Kang-Hee ; Park, Wonse ; Cheong, Jieun ; Park, Kyeong-Mee ; Kim, Jin-Woo ; Kim, Kee-Deog</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-51c278a768d4abb08ea91649a295b3cd88dac100456541e84036773c5a11805d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anatomic Bases of Medical</topic><topic>Anatomy</topic><topic>Cohort analysis</topic><topic>Dental implants</topic><topic>Dental prosthetics</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Radiological and Surgical Techniques</topic><topic>Radiology</topic><topic>Surgery</topic><topic>Transplants & implants</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kang-Hee</creatorcontrib><creatorcontrib>Park, Wonse</creatorcontrib><creatorcontrib>Cheong, Jieun</creatorcontrib><creatorcontrib>Park, Kyeong-Mee</creatorcontrib><creatorcontrib>Kim, Jin-Woo</creatorcontrib><creatorcontrib>Kim, Kee-Deog</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kang-Hee</au><au>Park, Wonse</au><au>Cheong, Jieun</au><au>Park, Kyeong-Mee</au><au>Kim, Jin-Woo</au><au>Kim, Kee-Deog</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identifying the course of the greater palatine artery using intraoral ultrasonography: cohort study</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><date>2022-08-01</date><risdate>2022</risdate><volume>44</volume><issue>8</issue><spage>1139</spage><epage>1146</epage><pages>1139-1146</pages><issn>1279-8517</issn><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Aims
The greater palatine artery (GPA) is one of the most important anatomical structure for free gingival grafts or connective-tissue grafts during soft tissue surgery for dental implants. Several studies have identified the approximate location of the GPA, but it is impossible to detect its exact location during surgery due to large variability between individuals. The authors, therefore, investigated the course of the GPA using intraoral ultrasonography to determine the feasibility of using real-time nonionizing ultrasonography for implant surgery.
Materials and methods
This study included 40 healthy young participants. The courses of the GPA were identified using intraoral ultrasound probes from the first premolar to the second molar. The distance from the gingival margin to the GPA (GM-GPA) and the depth of the palatal gingiva from the GPA (PG-GPA) were measured by two independent examiners. Measurements were analyzed statistically, and interexaminer reliability was determined.
Results
The distance of the GM-GPA and the mean depth of the PG-GPA were 14.8 ± 1.6 mm and 4.10 ± 0.51 mm (mean ± SD), respectively. GM-GPA decreased when the GPA ran from the second molar to the first molar, and GM-GPA was significantly shorter in females (
P
< 0.05). PG-GPA increased when the GPA ran to the posterior teeth. Interexaminer measurement agreements were excellent, with intraclass correlation coefficient values of 0.983 and 0.918 for GM-GPA and PG-GPA, respectively.
Conclusions
Using an intraoral ultrasound probe, real-time GPA tracking is possible, which is expected to help reduce the possibility of bleeding during surgery.</abstract><cop>Paris</cop><pub>Springer Paris</pub><doi>10.1007/s00276-022-02967-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1672-5730</orcidid><orcidid>https://orcid.org/0000-0002-2081-1156</orcidid><orcidid>https://orcid.org/0000-0003-0313-2511</orcidid><orcidid>https://orcid.org/0000-0003-3055-5130</orcidid><orcidid>https://orcid.org/0000-0001-6384-185X</orcidid><orcidid>https://orcid.org/0000-0002-1301-0959</orcidid></addata></record> |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Anatomic Bases of Medical Anatomy Cohort analysis Dental implants Dental prosthetics Imaging Medicine Medicine & Public Health Orthopedics Radiological and Surgical Techniques Radiology Surgery Transplants & implants Ultrasonic imaging Ultrasound |
| title | Identifying the course of the greater palatine artery using intraoral ultrasonography: cohort study |
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