Radiological analysis of palatal arterial anatomy for periodontal surgery: insights from 3D-RA

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dc.authorid0000-0002-1738-371X
dc.contributor.authorBozay Oz, Evrim
dc.contributor.authorOz, Ibrahim Ilker
dc.date.accessioned2025-08-29T08:37:03Z
dc.date.available2025-08-29T08:37:03Z
dc.date.issued2025
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Diş Hekimliği
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü
dc.description.abstractObjective: This study aimed to comprehensively evaluate the detailed arterial anatomy of the palatal mucosa, emphasising the greater palatine artery (GPA) and lesser palatine artery (LPA), through the use of three-dimensional rotational angiography (3D-RA). This detailed vascular analysis aims to inform clinical decisions and reduce the risk of vascular injury during palatal graft harvesting procedures. Methods: A retrospective analysis of radiological data was conducted on 80 consecutive patients who underwent cerebral or carotid digital subtraction angiography (DSA) incorporating 3D-RA imaging. Detailed measurements were obtained for the GPA, descending palatine artery (DPA), and LPA, including arterial diameters, branching patterns, and their spatial relationships with palatal mucosal thickness and vault morphology. Based on GPA and LPA branching patterns, the vascular supply to the hard palate was classified. Results: The GPA was classified into three branching patterns, with Type I (absence of medial branch) being most prevalent (65%), typically accompanied by the presence of LPA contributions to the medial hard palate. Type II (MB coursing anterior to the palatal spine) was identified in 23.75% of patients. Type III was present in 11.25%, The mean diameter of the GPA was 0.99 ± 0.16 mm, while the DPA was significantly larger in males (p = 0.036). The GPA’s lateral branch narrowed anteriorly, with the smallest mucosal-to-vessel distance measured at the first premolar region (2.55 ± 1.11 mm), indicating a heightened risk for surgical injury. No significant relationship was found between palatal vault morphology and mucosal thickness. Conclusion: The LPA contributed to medial hard palate perfusion in the absence of the GPA’s medial branch, indicating its surgical relevance in mucogingival procedures.
dc.identifier.citationAhmet Aydogdu, Oz, E. B., & Oz, I. I. (2025). Radiological analysis of palatal arterial anatomy for periodontal surgery: insights from 3D-RA. PubMed, 47(1), 188–188. ‌
dc.identifier.doi10.1007/s00276-025-03697-7
dc.identifier.endpage188
dc.identifier.issn09301038
dc.identifier.issue1
dc.identifier.pmid40813731
dc.identifier.scopus2-s2.0-105013276853
dc.identifier.scopusqualityQ2
dc.identifier.scopusqualityQ2
dc.identifier.scopusqualityQ3
dc.identifier.scopusqualityQ3
dc.identifier.startpage188
dc.identifier.urihttps://hdl.handle.net/20.500.12941/315
dc.identifier.volume47
dc.indekslendigikaynakScopus
dc.indekslendigikaynakScopus
dc.indekslendigikaynakScopus
dc.indekslendigikaynakScopus
dc.institutionauthorAydogdu, Ahmet
dc.institutionauthorid0000-0002-1738-371X
dc.language.isoen
dc.publisherSpringer-Verlag Italia s.r.l.
dc.relation.ispartofSurgical and Radiologic Anatomy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAngiography
dc.subjectMucogingival surgery
dc.subjectPalatal mucosa
dc.subjectPalatine artery
dc.subjectPeriodontal surgical procedures
dc.subjectThree-dimensional imaging
dc.subjectAnjiyografi
dc.subjectMukogingival cerrahi
dc.subjectPalatal mukoza
dc.subjectPalatin arter
dc.subjectPeriodontal cerrahi prosedürleri
dc.subjectÜç boyutlu görüntüleme
dc.titleRadiological analysis of palatal arterial anatomy for periodontal surgery: insights from 3D-RA
dc.typeArticle

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