Volumetric CBCT analysis of the palatine process of the anterior maxilla: a potential source for bone grafts

Abstract

The aim of this research was to use cone-beam computerized tomography (CBCT) to analyze the available bone volume in the palatine process of the maxilla (PPM), which is a potential source of bone grafts. 20 CBCT scans were evaluated. From the most caudal axial slice of the PPM, the bony surface was calculated cranially up to the nasal floor. The predetermined thickness of each slice was 0.9mm. A 2mm safety margin was established considering the incisive canal and teeth 14–24. A ±0.1mm error deviation was established for all calculations. By connecting these points and those defined at the posterior bone boundary, a surface was obtained. A three-dimensional (3D) image of the delimited zone was constructed and analyzed using 3D imaging software. The study comprised 6 women and 14 men (mean age 39.4±11.5 years). Calculated bone volume averaged 2.41±0.785cm3. The palatine process of the maxilla contains a considerable bone volume (2.41±0.785cm3). This area should be regarded as a potential donor site for the regeneration of maxillary atrophic bones. Further investigation is required before these findings lead to routine clinical application.