Skip to main content
SpringerLink
Log in

Anterior Maxilla

  • Chapter
  • First Online:
Clinical Oral Anatomy

  • 4909 Accesses

Abstract

The anterior maxilla, also termed premaxilla, comprises the region and teeth from the right to the left first premolars. It is also often referred to as the “esthetic zone” emphasizing its role in modern dentistry. Delicate structures to be considered during surgical interventions in the anterior maxilla include the usually thin labial bone plate, the anterior nasal spine with septal cartilage attachment, and the proximity of the nasal floor (piriform aperture) with its mucosal lining. The nasopalatine canal and its contents are addressed in a separate chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literature

  • Albu S, Baciut M, Opincariu I, Rotaru H, Dinus C. The canine fossa puncture technique in chronic odontogenic maxillary sinusitis. Am J Rhinol Allergy. 2011;25:358–62.

    Article  PubMed  Google Scholar 

  • Araujo MG, Sukekava F, Wennström JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol. 2005;32:645–52.

    Article  PubMed  Google Scholar 

  • Belser UC, Mericske-Stern R, Bernard JP, Taylor TD. Prosthetic management of the partially dentate patient with fixed implant restorations. Clin Oral Implants Res. 2000;11(Suppl):126–45.

    Article  PubMed  Google Scholar 

  • Bernardes R, Guijarro R, Hernandez F. Volumetric CBCT analysis of the palatine process of the anterior maxilla: a potential source for bone grafts. Int J Oral Maxillofac Surg. 2013;42:406–10.

    Article  Google Scholar 

  • Brånemark PI, Adell R, Albrektsson T, Lekholm U, Lindström J, Rockler B. An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus. J Oral Maxillofac Surg. 1984;42:497–505.

    Article  PubMed  Google Scholar 

  • Braut V, Bornstein MM, Belser U, Buser D. Thickness of the anterior maxillary facial bone wall – a retrospective radiographic study using cone beam computed tomography. Int J Periodontics Restorative Dent. 2011;31:125–31.

    PubMed  Google Scholar 

  • Byun JY, Lee JY. Canine fossa puncture for severe maxillary disease in unilateral chronic sinusitis with nasal polyp. Laryngoscope. 2013;123:E79–84.

    Article  PubMed  Google Scholar 

  • Cho YS, Hwang KG, Park CJ. Postoperative effects of anterior nasal spine bone harvesting on overall nasal shape. Clin Oral Implants Res. 2013;24:618–22.

    Article  PubMed  Google Scholar 

  • Cook DR, Mealey BL, Verrett RG, Mills MP, Noujeim ME, Lasho DJ, et al. Relationship between clinical periodontal biotype and labial plate thickness: an in vivo study. Int J Periodontics Restorative Dent. 2011;31:345–54.

    PubMed  Google Scholar 

  • de Almeida CE, Belem A, Borges C, Goncalvez L, Grasselli R. Grafting the nasal cavity with 100% anorganic bovine bone: a clinical and histomorphometric pilot report. Int J Oral Maxillofac Implants. 2013;28:670–6.

    Article  PubMed  Google Scholar 

  • du Toit DF, Nortje C. The maxillae: integrated and applied anatomy relevant to dentistry. SADJ. 2003;58:325–30.

    Google Scholar 

  • El-Ghareeb M, Pi-Anfruns J, Khosousi M, Aghaloo T, Moy P. Nasal floor augmentation for the reconstruction of the atrophic maxilla: a case series. J Oral Maxillofac Surg. 2012;70:e235–41.

    Article  PubMed  Google Scholar 

  • Ferreira CE, Novaes A, Martinelli CB, Almeida AL, Batitucci RG. Grafting the nasal cavity with 100% anorganic bovine bone: a clinical and histomorphometric pilot report. Int J Oral Maxillofac Implants. 2013;28:670–6.

    Article  PubMed  Google Scholar 

  • Ghassemian M, Nowzari H, Lajolo C, Verdugo F, Pirronti T, d’Addona A. The thickness of facial alveolar bone overlying healthy maxillary anterior teeth. J Periodontol. 2012;83:187–97.

    Article  PubMed  Google Scholar 

  • Giunta JL. Labial bone cavity. J Mass Dent Soc. 2002;51:24–6.

    PubMed  Google Scholar 

  • Han JY, Jung GU. Labial and lingual/palatal bone thickness of maxillary and mandibular anteriors in human cadavers in Koreans. J Periodontol Implant Sci. 2011;41:60–6.

    Article  Google Scholar 

  • Hassani A, Khojasteh A, Shamsabad AN. The anterior palate as a donor site in maxillofacial bone grafting: a quantitative anatomic study. J Oral Maxillofac Surg. 2005;63:1196–200.

    Article  PubMed  Google Scholar 

  • Katranji A, Misch K, Wang HL. Cortical bone thickness in dentate and edentulous human cadavers. J Periodontol. 2007;78:874–8.

    Article  PubMed  Google Scholar 

  • Kim H, Kim YJ, Nam SH, Choi YW. Fracture of the anterior nasal spine. J Craniofac Surg. 2012;23:e160–2.

    Article  PubMed  Google Scholar 

  • Kleinheinz J, Büchter A, Kruse-Lösler B, Weingart D, Joos U. Incision design in implant dentistry based on vascularization of the mucosa. Clin Oral Implants Res. 2005;16:518–23.

    Article  PubMed  Google Scholar 

  • Lee SJ, Liong K, Lee HP. Deformation of nasal septum during nasal trauma. Larnygoscope. 2010;120:1931–9.

    Article  Google Scholar 

  • Li X, Tronstad L, Olsen I. Brain abscess caused by oral infection. Endod Dent Traumatol. 1999;15:95–101.

    Article  PubMed  Google Scholar 

  • Lorean A, Mazor Z, Barbu H, Mijiritsky E, Levin L. Nasal floor elevation combined with dental implant placement: a long-term report of up to 86 months. Int J Oral Maxillofac Implants. 2014;29:705–8.

    Article  PubMed  Google Scholar 

  • Mazor Z, Lorean A, Mijiritsky E, Levin L. Nasal floor elevation combined with dental implant placement. Clin Implant Dent Relat Res. 2012;14:768–71.

    Article  PubMed  Google Scholar 

  • Moreddu E, Puymerail L, Michel J, Achache M, Dessi P, Adalian P. Morphometric measurements and sexual dimorphism of the piriform aperture in adults. Surg Radiol Anat. 2013;35:917–24.

    Article  PubMed  Google Scholar 

  • Mylonas AI, Tzerbos FH, Mihalaki M, Rologis D, Boutsikakis I. Cerebral abscess of odontogenic origin. J Cranio Maxillofac Surg. 2007;35:63–7.

    Article  Google Scholar 

  • Nevins M, Camelo M, de Paoli S, Friedland B, Schenk RK, Parma-Benfenati S, et al. A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots. Int J Periodontics Restorative Dent. 2006;26:19–29.

    PubMed  Google Scholar 

  • Pjetursson BE, Brägger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res. 2007;18(Suppl):97–113.

    Article  PubMed  Google Scholar 

  • Raghoebar GM, van Weissenbruch R, Vissink A. Rhino-sinusitis related to endosseous implants extending into the nasal cavity. A case report. Int J Oral Maxillofac Surg. 2004;33:312–4.

    Article  PubMed  Google Scholar 

  • Santos RN, Perrella A, Carvalho JC, Cavalcanti MG. Quantitative CT analysis of the glabellar and anterior nasal spine regions for the placement of implants for nasal prosthesis retention. Int J Oral Maxillofac Implants. 2008;23:445–8.

    PubMed  Google Scholar 

  • Schuman NJ, Turner JE. Brain abscess and dentistry: a review of the literature. Quintessence Int. 1994;25:411–3.

    PubMed  Google Scholar 

  • Seiberling KA, Church CA, Tewfik M, Foreman A, Chang D, Ghostine M, et al. Canine fossa trephine is a beneficial procedure in patients with Samter’s triad. Rhinology. 2012;50:104–8.

    PubMed  Google Scholar 

  • Sun Y, Luebbers HT, Agbaje JO, Schepers S, Vrielinck L, Lambrichts I, et al. Validation of anatomical landmarks-based registration for image-guided surgery: an in-vitro-study. J Craniomaxillofac Surg. 2013;41:522–6.

    Article  PubMed  Google Scholar 

  • Suresh S, Sumathy G, Banu MR, Kamakshi K, Prakash S. Morphological analysis of the maxillary arch and hard palate in edentulous maxilla of South Indian dry skulls. Surg Radiol Anat. 2012;34:609–17.

    Article  PubMed  Google Scholar 

  • Taschieri S, Weinstein T, Rosano G, del Fabbro M. Morphological features of the maxillary incisors roots and relationship with neighbouring anatomical structures: possible implications in endodontic surgery. Int J Oral Maxillofac Surg. 2012;41:616–23.

    Article  PubMed  Google Scholar 

  • Timock AM, Cook V, McDonald T, Leo MC, Crowe J, Benninger BL, et al. Accuracy and reliability of buccal bone height and thickness measurements from cone-beam computed tomography imaging. Am J Orthod Dentofacial Orthop. 2011;140:734–44.

    Article  PubMed  Google Scholar 

  • Vera C, de Koki J, Reinhold D, Limpiphipatanakorn P, Yap AK, Tyndall D, et al. Evaluation of buccal alveolar bone dimension of maxillary anterior and premolar teeth: a cone beam computed tomography investigation. Int J Oral Maxillofac Implants. 2012;27:1514–9.

    PubMed  Google Scholar 

  • von Arx T, Lozanoff S, Sendi P, Bornstein MM. Assessment of bone channels other than the nasopalatine canal in the anterior maxilla using limited cone beam computed tomography. Surg Radiol Anat. 2013;35:783–90.

    Article  Google Scholar 

  • Wang HM, Shen JW, Yu MF, Chen XY, Jiang QH, He FM. Analysis of facial bone wall dimensions and sagittal root position in the maxillary esthetic zone: a retrospective study using cone beam computed tomography. Int J Oral Maxillofac Implants. 2014;29:1123–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Bern School of Dental Medicine Department of Oral Surgery and Stomatology, Bern, Switzerland

    Thomas von Arx

  2. Department of Anatomy Biochemistry & Physiology, John A. Burns School of Medicine, Honolulu, Hawaii, USA

    Scott Lozanoff

Authors
  1. Thomas von Arx
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Scott Lozanoff
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

von Arx, T., Lozanoff, S. (2017). Anterior Maxilla. In: Clinical Oral Anatomy. Springer, Cham. https://doi.org/10.1007/978-3-319-41993-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-41993-0_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41991-6

  • Online ISBN: 978-3-319-41993-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation