fa وضیعت آناتومیک شریان آلوئولار خلفی فوقانی در ناحیه مولرهای فک بالا در تصاویر Cone-Beam Computed Tomography دندانپزشکی Dental پژوهشي Original article <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">خونریزی در محل قرار دادن ایمپلنت از عوارض مهم حین درمان است.. هدف از این مطالعه، ارزیابی وضعیت آناتومیک شریان آلوئولار خلفی فوقانی در ناحیه بی‌دندانی مولرهای فک بالا در تصاویر </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">(Cone-Beam Computed Tomography) CBCT</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در یک جمعیت ایرانی است.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه توصیفی-مقطعی برای تعیین وضعیت آناتومیک شریان آلوئولار خلفی فوقانی</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> (Posterior Superior Alveolar Artery) </span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یا</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> PSAA </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در ناحیه مولرهای فک بالا از تصاویر</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> CBCT </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">300 بیمار متوسط سنی 48/79 سال استفاده شد. تصاویر توسط</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> دستگاه</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:#202124">Scanora 3D (Soredex, Tuusula, Finland)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> تهیه و</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> توسط نرم‌افزار</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> OnDemand3D </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">آنالیز و قطر و فاصله شریان تا کرست استخوان در ناحیه دندان&rlm;های مولر اول و دوم در مقاطع کراس سکشنال و کرونال تعیین گردید. داده&rlm;</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها توسط نرم‌افزار</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> SPSS version 16 </span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">&nbsp;و آزمون‌های آماری</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> Chi-Square </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> T-Test </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> Anova </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">&nbsp;و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Exact Fisher</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> تجزیه و تحلیل شد</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شریان</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> PSAA </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در ۲۰۳ مورد (67/6%) از ۳۰۰ تصویر مشاهده شد. فراوانی شریان در جنس مذکر اندکی (68/8%)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بیشتر از جنس مونث (66/4%) بود که این تفاوت از لحاظ آماری معنادار نبود (0/711=</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">p</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">. میانگین قطر شریان و فاصله شریان تا کرست استخوان به ترتیب در جنس مذکر (0/64</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 1/33میلی‌متر) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&ndash;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> (4/78</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 18/016میلی‌متر) و بیشتر از جنس مونث (0/47</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 1/12میلی‌متر) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&ndash;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> (4/31</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 17/885میلی‌متر) بود که تنها تفاوت در قطرهای مدکر و مونث معنادار بود (0/008=</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">p</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بر اساس مطالعه حاضر با افزایش سن، قطر و فاصله شریان تا کرست استخوان کاهش می‌یابد. هم چنین قطر شریان و فاصله شریان تا کرست استخوان در جنس مذکر بیشتر از جنس مونث می‌باشد.</span></span></span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Bleeding is an important complication during implant placement. The aim of this study was to evaluate the anatomic situation of the posterior superior alveolar artery (PSAA) in cone-beam computed tomography (CBCT) images in maxillary molar region in an Iranian population.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#202124">In this </span></span><span new="" roman="" style="font-family:" times="">descriptive cross-sectional</span><span new="" roman="" style="font-family:" times=""><span style="color:#202124"> study,</span></span><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:.1pt"> CBCT scans of the edentulous regions of the posterior maxilla were participants to examine </span></span><span new="" roman="" style="font-family:" times=""><span style="color:#202124">the location and anatomical features of the PSAA</span></span><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:.1pt">. 300 CBCT scans of patients with the mean age of 48.79 years were used. The </span></span><span new="" roman="" style="font-family:" times=""><span style="color:#202124">CBCT scans had been obtained by Scanora 3D (Soredex, Tuusula, Finland). The diameter and the PSAA distance to the alveolar crest was measured by OnDemand 3D software on cross sectional and coronal sections. </span></span><span new="" roman="" style="font-family:" times="">Data were analyzed through the Chi-Square, T-Test, ANOVA and Exact Fisher tests using the SPSS software (version 23).</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">Out of 300 images, the PSAA was observed in 203 (67.6%) ones</span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">. The artery was slightly more observable in males (68.8%) compared to females (66.4%)</span></span><span new="" roman="" style="font-family:" times="">. Although the difference was not significant (p-value: 0.711).</span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> The mean artery diameter and distance to alveolar crest were higher in males (1.33</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">&plusmn;0.64</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> mm; 18.016</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">&plusmn;4.78</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> mm, respectively) compared to females (1.12 </span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">&plusmn;</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">0.47 mm; 17.885</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">&plusmn;4.31</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> mm)</span></span><span new="" roman="" style="font-family:" times="">. Only the difference between the diameters was significant (p-value: 0.008)</span><span new="" roman="" style="font-family:" times="">.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">According to this study, with the increase of age, the diameter and distance of the artery to bone crest decreases. The mean artery diameter and distance to bone crest is higher in males compared to females.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br> &nbsp;</div> توموگرافی کامپیوتری با اشعه مخروطی, سینوس ماگزیلاری, شریان آلوئولار خلفی فوقانی Cone-beam computed tomography, Maxillary sinus, Posterior superior alveolar artery 5282 5289 http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4951-1&slc_lang=fa&sid=1 Hoda Haerian هدی حائریان hoda.haerian@gmail.com 0000-0002-0347-0337 Yes Department of Oral and Maxillofacial Radiology, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran گروه رادیولوژی دهان فک و صورت، دانشکده دندان‌پزشکی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران. Fatemeh Ezodini فاطمه عزالدینی ezoddini@gmail.com 0000-0003-1815-0675 No Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. گروه رادیولوژی دهان، فک و صورت، دانشکده دندانپزشکی، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی شهید صدوقی یزد، یزد، ایران. Yaser Saafi یاسر صافی yaser.safi@yahoo.com 0000-0003-3200-0905 No Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran گروه رادیولوژی دهان، فک و صورت، دانشکده دندانپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.