Releasing incisions of the buccal periosteum adjacent to the lower molar teeth can injure the facial artery: an anatomical study

Iwanaga, Joe; Shiromoto, Koshi; Tubbs, R. Shane

doi:10.1007/s00276-019-02319-3

Cited by 8 publications

(8 citation statements)

References 14 publications

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“…Therefore, it is best to make such an incision on the outer side of the maxilla and the entire periosteum of the palate as well as the buccal and lingual side of the mandible. (Iwanaga et al, 2020). It is of particular importance to mention that when the mucoperiosteal flap is planned around existing teeth, it is most suitable for the incision to be in the length of the gingival sulcus.…”

Section: Surgical Manipulation Of Soft and Bone Tissue In Dental Impl...mentioning

confidence: 99%

Surgical Manipulation of Soft and Bone Tissue in Contemporary Dental Implantology

Petrovski

Papakoca

2022

kij

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Adequate and correct manipulation of soft and bone tissues during implant therapy is extremelyimportant. Knowledge of the biological, histological and of course the surgical characteristics of the tissues canlargely be a predictor of the correct implant prosthetic rehabilitation. The main aim of this research was to describeall aspects of surgical manipulation of the soft and bone tissues during the dental implantology procedures. We havemade adequate literature research for articles relevant to our topic-surgical manipulation of the soft and hard tissuesduring the dental implantology procedures published in the last two decades (2001-2021). Kew words used for theresearch were: “surgical manipulation”, “dental implantology”, “soft tissues”, “bone tissues” and their combination.Each implantologist should take into account the biological limitations of each patient, as well as the technicallimitations that may occur during the treatment. Oral soft tissues can be affected during the various stages of theimplant treatment. During the planning of a surgical intervention such as the placement of an implant, regardless ofwhether it is an immediate or a delayed loading implant, it is necessary to have an adequate manipulation of thesurrounding soft tissue and bone structures. When designing the flap should be taken into account the degree ofaccessibility required to access the bone, as well as the final position of the flap. It is also of great importance to takeinto account the preservation of good blood supply to the flap. Based on the exposure of bone after elevation, flapscan be classified as either full-thickness or mucoperiosteal flaps and partial-thickness or mucosal flaps. Dependingon how the interdental papilla will be treated, the incisions can either divide the papilla (conventional incision) orpreserve it (papilla-preserving incision). Based on the placement of flaps after surgery, they can be classified as: 1)nondisplaced flaps, where the flap is returned and sutured to its original position, or 2) displaced flaps, which areplaced apically, coronally, or laterally from their original position. The work in bone is quite complex and requiresknowledge of its morphological and histological characteristics. When working on bone, and especially whenplacing dental implants, it is necessary to note that it is necessary to enable constant cooling. The improvement ofold techniques and the development of new technologies have created a revolution in oral implantology, and now atherapist has numerous therapeutic options that can be incorporated into daily practice to facilitate the surgicalapproach itself. Hard-tissue and soft-tissue dental lasers, which are constantly improving and have a wide range ofindications, are becoming a part of everyday dental practice and also show significant advantages compared toconventional instruments and techniques when placing dental implants. Therefore, over time they will become aninvaluable and irreplaceable tool in modern dental implantology. After the performed extensive and deductiveliterature review, it can be concluded that from particular importance is the correct manipulation of soft and bonetissues during dental implantation. After tooth extraction, the placement of dental implants is largely determined bythe integrity of existing hard and soft tissues, such as the aesthetic outcome from the prosthodontic suprastructureover dental implants. Careful assessment of soft and bone tissue loss during implantation is paramount to the successof aesthetic implant procedures

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Section: Surgical Manipulation Of Soft and Bone Tissue In Dental Impl...mentioning

confidence: 99%

Surgical Manipulation of Soft and Bone Tissue in Contemporary Dental Implantology

Petrovski

Papakoca

2022

kij

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“…A high incidence of hemorrhage or excessive bleeding has been described in relation to distally‐angled lower third molars with deep impaction and in patients older than 25 years (Chiapasco, De Cicco, & Marrone, 1993). Potential sources of bleeding include the inferior alveolar artery, sublingual artery (or its branch), lingual branch of the inferior alveolar artery, buccal artery (or its branch), facial artery (or its branch), and the artery in the retromolar foramen (Iwanaga, Shiromoto, & Tubbs, 2020; Kikuta et al, 2018; Standring, 2015).…”

Section: Complicationsmentioning

confidence: 99%

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta‐analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

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“…As a result, knowledge of potential variation is crucial in order to reduce the risk of transection during maxillofacial and plastic surgery procedures such as musculo-mucosal flaps, treatment of facial palsy, benign masseteric hypertrophy, parotid tumor resection, and lower lip repair, to name a few [6,8,11,17,18]. Even for general dentists and oral surgeons, the premasseteric branch might cause bleeding as the facial artery in this area travels near the buccal periosteum in the lower molar region and can be injured during oral surgery [19].…”

Section: Blood Supply Of the Masseter Muscle And Surgical Considerationsmentioning

confidence: 99%

The Premasseteric Branch of the Facial Artery: A Review and Translation of Adachi’s Work

Bordes

Zarrintan

Iwanaga

et al. 2020

Cureus

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The premasseteric branch of the facial artery is a variable posterior branch that is closely associated with the anterior border of the masseter muscle. Since its first description, the premasseteric branch has been described using different terms such as the masseteric or posterior branch of the facial artery. While the artery's anatomy is known, it is infrequently discussed in the literature. This manuscript reviews the artery's origin, course, and importance during maxillofacial procedures, especially those involving manipulation of the masseter. We also provide a translation of Adachi's 1928 German text describing the branch.

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Releasing incisions of the buccal periosteum adjacent to the lower molar teeth can injure the facial artery: an anatomical study

Cited by 8 publications

References 14 publications

Surgical Manipulation of Soft and Bone Tissue in Contemporary Dental Implantology

Surgical Manipulation of Soft and Bone Tissue in Contemporary Dental Implantology

Comprehensive review of lower third molar management: A guide for improved informed consent

The Premasseteric Branch of the Facial Artery: A Review and Translation of Adachi’s Work

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