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Revisiting major anatomical risk factors of maxillary sinus lift and soft tissue graft harvesting for dental implant surgeons

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Abstract

The anatomical variations of the maxillary sinus septa, greater palatine artery, and posterior superior alveolar arteries might cause unexpected complications when they are damaged. Dentists who know these structures well might hope to learn more practical knowledge to avoid and assess injury preoperatively. Therefore, this review paper aimed to review the reported anatomy and variations of the maxillary sinus septa, greater palatine artery/nerve, and posterior superior alveolar artery, and to discuss what has to be assessed preoperatively to avoid iatrogenic injury. To assess the risk of injury of surgically significant anatomical structures in the maxillary sinus and hard palate, the operator should have preoperative three-dimensional images in their mind based on anatomical knowledge and palpation. Additionally, knowledge of the average measurement results from previous studies is important.

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Acknowledgements

The authors would like to thank Drs. Yukihisa Takahashi and Yasuhiro Nosaka for the technical advice.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, 131 S. Robertson St. Suite 1300, New Orleans, LA`, 70112, USA

    Joe Iwanaga & R. Shane Tubbs

  2. Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan

    Joe Iwanaga

  3. Department of Periodontology, University of Florida, Gainesville, FL, USA

    Tsuyoshi Tanaka

  4. Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Soichiro Ibaragi & Tatsuo Okui

  5. Department of Periodontics and Dental Hygiene, University of Texas Health Science Center at Houston, Houston, TX, USA

    Junya Hamaguchi & Seiko Min

  6. Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA

    R. Shane Tubbs

  7. Department of Anatomical Sciences, St. George’s University, St. George’s, Grenada

    R. Shane Tubbs

  8. Department of Structural and Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA

    R. Shane Tubbs

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  1. Joe Iwanaga
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JI: project development, data collection, data analysis, manuscript writing. TT: data analysis, manuscript writing. SI: project development, data collection, manuscript editing. TO: manuscript writing, data collection. JH: data analysis, data collection. SM: data collection, manuscript editing. RST: project development, manuscript editing.

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Correspondence to Joe Iwanaga.

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Iwanaga, J., Tanaka, T., Ibaragi, S. et al. Revisiting major anatomical risk factors of maxillary sinus lift and soft tissue graft harvesting for dental implant surgeons. Surg Radiol Anat 42, 1025–1031 (2020). https://doi.org/10.1007/s00276-020-02468-w

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  • DOI: https://doi.org/10.1007/s00276-020-02468-w

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