Evidence map›Paper›PMID 32638127›Full record

ArticleClinical oral investigations2021

Vascular survey of the maxillary vestibule and gingiva-clinical impact on incision and flap design in periodontal and implant surgeries.

Arvin Shahbazi, Georg Feigl, Anton Sculean, András Grimm, Dániel Palkovics, Bálint Molnár, Péter Windisch

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Arvin ShahbaziDepartment of Anatomy, Histology and Embryology, Faculty of Medicine, Semmelweis University, Budapest, Hungary. arwin_shahbazi@hotmail.com.ORCID http://orcid.org/0000-0003-3027-4582
Georg FeiglDepartment of Macroscopical and Clinical Anatomy, Medical University of Graz, Graz, Austria.
Anton SculeanDepartment of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
András GrimmDepartment of Anatomy, Histology and Embryology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
Dániel PalkovicsDepartment of Periodontology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
Bálint Molnár *Department of Periodontology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
Péter Windisch *Department of Periodontology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
Semmelweis University · HUMedical University of Graz · ATUniversity of Bern · CH

Funding

Osztrák-Magyar Akció Alapítvány (OMAA) 101öu2
6 · The paper itself

Abstract

objectivesCurrently, empirical clinical findings on the blood supply of the maxillary vestibule are not backed up with sufficient literature. The purpose of this study was to investigate the mucosal and periosteal vascular supply in the maxillary vestibule macroscopically and radiographically to improve surgical strategies and flap designs. MATERIALS AND

methodsThirty head corpses were selected (9 dentate, 11 partially edentulous, 10 edentulous). Twenty-six corpses were injected by red latex milk and embalmed with Thiel solution. Four cadavers were prepared for corrosion casting. Arterial path and anastomoses in the maxillary vestibule of dentate, partially edentulous and edentulous ridges, were analyzed macroscopically and by computed tomography (CT).

resultsTransverse periosteomucosal anastomoses were detected in the posterior and esthetic zones of the maxillary vestibule. The buccal branches penetrated the interdental septum toward the palate. In the esthetic zone, superior labial artery (SLA) supplied the mucosa and the infraorbital artery (IOA) supplied the periosteum. Corrosion casting showed anastomoses between IOA and nasal septal branches. CT analysis revealed ipsilateral and contralateral anastomoses between SLA and IOA. In dentate ridges, mucosal star-shaped terminal branches were detected.

conclusionsThe macroscopic and radiographic vascular survey analysis revealed the anatomical background behind several clinically documented phenomena related to oral and periodontal surgeries. CLINICAL RELEVANCE: This study permits clinicians to design less invasive flaps when releasing incisions in the maxillary vestibule during periodontal and implant surgeries. Our observations strongly point to the significance of an undamaged periosteum to prevent compromised flap revascularization and wound healing disturbances.

Indexed as

Dental ImplantsGingivaEsthetics, DentalMaxillaSurgical FlapsDental ImplantsAngiogenesisDental implantIncision designSplit thickness flapWound healing

Identifiers

PMID32638127
PMCPMC7819931
OpenAlexW3040797367

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.