Akademik Veri Yönetim Sistemi
Clinical Dentistry and Research, cilt.46, sa.3, ss.139-146, 2022 (Hakemli Dergi)
Background and Aim: To achieve safer results, injuries to major vascular and nerve branches should be avoided. The widespread use of cone beam computed tomography (CBCT) offers successful results in evaluating the anatomical features of the jaws, especially neurovascularisation and possible anatomical variations. However, even if the bone canal of the neurovascular structures is displayed, the presence of the artery is not detected. Therefore, an angiography technique is required to evaluate vascular structures. The anterior superior palatal alveolar artery (ASPAA) is not commonly found in newly defined anatomy books. This study aims to detect the ASPAA by the digital subtraction angiography (DSA) technique and evaluate its morphology. Materials and Method: The DSA images of 110 patients age ranged 18–80 were examined by two different observers. Inter observer agreement was evaluated for the detection of ASPAA and reliability of DSA. The SPSS Statistics v.23.0 program was used for data analysis and the Kappa coefficient was used to evaluate the interobserver agreement. Results: Through the evaluation of the DSA images of 110 patients, it was observed that 40 patients did not have ASPAA, 19 patients had ASPAA on the right side, 21 patients on the left side, and 30 patients had bilateral ASPAA. Conclusion: As a result of these examinations, we wanted to inform dentists about the place of ASPAA in order to prevent possible complications and failures before surgical intervention is performed.