The study of the alveolar antral artery canal in using cone beam computed tomography

Main Article Content

Atiphan Pimkhaokham
C Mung San Aung
Soontra Panmekiat


The objective of this study was to evaluate both the frequency of the appearance and the location of the alveolar antral artery canal in four posterior maxillary teeth areas in a group of Thai population using cone beam computed tomography (CBCT).

Posterior maxillary teeth areas (671) of 184 maxillary sinuses from CBCT images were included. The radiolucent artery canals presenting in the lateral wall of the maxillary sinus was evaluated while the distance between the lower border of the artery and the alveolar crest was measured.

The results demonstrated that alveolar antral artery canal was detected in 111 of total 184 sinuses (60.3%).The mean distance of artery canal from alveolar crest was 24.62 ± 3.55 mm, 20.35 ± 4.74 mm, 15.82 ± 4.09 mm and 15.93 ± 3.57 mm at first premolar, second premolar, first molar and second molar appropriately and the statistically significant difference among them was P value <0.001, ANOVA. Even though all arteries situated in premolar areas were more than 15 mm from alveolar crest, arteries located less than 15 mm from alveolar crest were observed in 59 out of 126 molar areas (46.8 %).  

Although all maxillary premolar teeth areas evaluated were safe from accidental hemorrhage in lateral osteotomy of sinus lift surgery, performing surgery in molar areas should be careful since 46.8% of the location of artery was below 15 mm from the alveolar crest.


Download data is not yet available.

Article Details

How to Cite
Pimkhaokham A, Aung CMS, Panmekiat S. The study of the alveolar antral artery canal in using cone beam computed tomography. M Dent J [Internet]. 2016 Dec. 7 [cited 2023 Dec. 6];37(1):63-9. Available from:
Original articles


1 Ella B, Sedarat C, Noble Rda C, Normand E, Lauverjat Y, Siberchicot F, Caix P, and Zwetyenga N, 'Vascular Connections of the Lateral Wall of the Sinus: Surgical Effect in Sinus Augmentation. Int J Oral Maxillofac Implants 2008; 23: 1047-52.
2 Elian N, Wallace S, Cho S C, Jalbout Z N, and Froum S. Distribution of the Maxillary Artery as It Relates to Sinus Floor Augmentation. Int J Oral Maxillofac Implants 2005; 20: 784-7.
3 Zijderveld S A, Van Den Bergh J P, Schulten E A, and Ten Bruggenkate C M. Anatomical and Surgical Findings and Complications in 100 Consecutive Maxillary Sinus Floor Elevation Procedures. J Oral Maxillofac Surg 2008; 66: 1426-38.
4 Solar P, Geyerhofer U, Traxier H, Windisch A, Ulm C, and Watzek G. Blood Supply to the Maxillary Sinus Relavent to Sinus Floor Elevation Procedures. Clin Oral Implant Res 1999; 10: 34-44.
5 Rosano G, Taschieri S, Gaudy J F, Weinstein T, and Del Fabbro M. Maxillary Sinus Vascular Anatomy and Its Relation to Sinus Lift Surgery. Clin Oral Implants Res 2011; 22: 711-15.
6 Testori T, Rosano G, Taschieri S, and Del Fabbro M. Ligation of an Unusually Large Vessel During Maxillary Sinus Floor Augmentation. A Case Report. Eur J Oral Implantol, 2010; 3: 255-58.
7 Rahpeyma A, Khajehahmadi S, and Amini P. Alveolar Antral Artery: Does Its Diameter Correlate with Maxillary Lateral Wall Thickness in Dentate Patients?', Iran J Otorhinolaryngol 2014; 26: 163-67.
8 Park W-H, Choi S-Y, and Kim C-S. Study on the Position of the Posterior Superior Alveolar Artery in Relation to the Performance of the Maxillary Sinus Bone Graft Procedure in a Korean Population. J Korean Assoc Oral Maxillofac Surg 2012; 38: 71-77.
9 Kim J H, Ryu J S, Kim K-D, Hwang S H, and Moon H S. A Radiographic Study of the Posterior Superior Alveolar Artery. Implant dentistry 2011; 20: 306-10.
10 Guncu G N, Yildirim Y D, Wang H L, and Tozum T F. Location of Posterior Superior Alveolar Artery and Evaluation of Maxillary Sinus Anatomy with Computerized Tomography: A Clinical Study. Clin Oral Implants Res 2011; 22: 1164-67.
11 Ilguy D, Ilguy M, Dolekoglu S, and Fisekcioglu. Evaluation of the Posterior Superior Alveolar Artery and the Maxillary Sinus with Cbct. Braz Oral Res 2013; 27: 431-37.
12 Apostolakis D, and Bissoon A K. Radiographic Evaluation of the Superior Alveolar Canal: Measurements of Its Diameter and of Its Position in Relation to the Maxillary Sinus Floor: A Cone Beam Computerized Tomography Study. Clin Oral Implants Res 2014; 25: 553-9.
13 Mardinger O, Abba M, Hirshberg A, and Schwartz-Arad D. Prevalence, Diameter and Course of the Maxillary Intraosseous Vascular Canal with Relation to Sinus Augmentation Procedure: A Radiographic Study. Int J Oral Maxillofac Surg 2007; 36: 735-38.
14 Kang S J, Shin S I, Herr Y, Kwon Y H, Kim G T, and Chung J H. Anatomical Structures in the Maxillary Sinus Related to Lateral Sinus Elevation: A Cone Beam Computed Tomographic Analysis. Clin Oral Implants Res 2013; 24 Suppl A100: 75-81.
15 Kurt M H, Kurşun E Ş, Alparslan Y N, and Öztaş B. Posterior Superior Alveolar Artery Evaluation in a Turkish Subpopulation Using Cbct. Clinical Dentistry and Research 2014; 38(2): 12-19.
16 Rosano G, Taschieri S, Gaudy J F, and Del Fabbro M. Maxillary Sinus Vascularization: A Cadaveric Study. J Craniofac Surg 2009; 20: 940-3.
17 Kqiku L, Biblekaj R, Weiglein A H, Kqiku X, and Stadtler P. Arterial Blood Architecture of the Maxillary Sinus in Dentate Specimens. Croat Med J 2013; 54: 180-84.
18 Pietrokovski J. The Bony Residual Ridge in Man. J Prosthet Dent 1975; 34: 456-62.
19 Yang S M, and Kye S B. Location of Maxillary Intraosseous Vascular Anastomosis Based on the Tooth Position and Height of the Residual Alveolar Bone: Computed Tomographic Analysis. J Periodontal Implant Sci 2014; 44: 50-56.
20 Maridati P, Stoffella E, Speroni S, Cicciu M, and Maiorana C. Alveolar Antral Artery Isolation During Sinus Lift Procedure with the Double Window Technique. Open Dent J 2014; 8: 95-