MAXILLA
Upper jaw
Anatomy
Clinical notes
Dentoalveolar
topography
Nerve and blood
supply
CORPUS MAXILLAE
MARGO
INFRAORBITALIS
FOR. INFRAORBITALE
FOSSA CANINA
FOSSA INCISIVA
INCISURA NASALIS
PR. ALVEOLARIS
JUGA ALVEOLARIA
PR. FRONTALIS
CRISTA LACRIMALIS
ANT.
SULCUS LACRIMALIS
PR. ZYGOMATICUS
Sinus maxillaris - foramina
accessoria
Below pr. uncinatus form the medial wall of sinus the
collagenous tissue = fontanella ant. et post. in
which for. accessoria may be occure
25--30%
25
Solitary or multiple
Congenital or secondary to disease process
Sinus maxillaris – decrease of floor
The toothed jaw The edentulous jaw
Variable layer of spongy bone between sinus and roots
of teeth
CAVE!
Opening of sinus
maxillaris
Sinus maxillaris - septa
Primary:
arising from the
development of the
maxilla
Secondary:
arising from the
pneumatization of
the sinus floor
following tooth
septa
25% - 35%
CAVE!
The separately maxillary sinus puncture
Dental implants
Corpus maxillae - facies ant. (fossa
canina)
Caldwell-Luc
Caldwell-
antrostomy
Corpus maxillae - facies post. (tuber
maxillae)
CAVE!
Alveolar foramens:
a.,v.,n. alveolaris sup.
post. - local anesthesia
Thin bone → during
molar teeth extraction
can occur maxillary
tuberosity fractures
Corpus maxillae – fac. orbitalis – infraorbital
canal
CAVE !
Maxillary sinus disease
can lead to dehiscence
of the orbital floor →
secondary neuralgia of
trigeminal nerve
Palatum – zones of mucous
membrane 1 – the marginal zone
2 – the incisive papilla
3 – the adipose zone
4 – the zone of the
palatine seam,
mucoperiosteum
5 – the glandular zone
6 – the soft palate
Palatum: A and H
line
A
H
A line
localized on the line between hard and soft palate
H line
line between mobile and immobile parts of the soft
palate
Dentoalveolar
topography
Important for anesthesia, extraction, injury,
implantology, endodontic treatment ...
1. The transverse asymmetry of alveolus
2. The rate of the spongy and the compact bone
3. The relationship the roots the upper jaw to
neighbouring structures
1. The transverse asymmetry of
alveolus
The dental and skeletal arch are asymmetric !
Roots of the teeth:
1-5 eccentric by vestibular direction
6-7 in alveolar process axis
2. The rate of the spongy/compact
bone
The layer of compact bone is thinner than in the
lower jaw
Roots of the 1-
1-5 are surrounded by the compact
bone. Posterior there are variable layer of
retroalveolar spongy bone.
bone. The width of the alveolus
depend on the arching palate
Roots of the molars are surrounded by thin layer of
the compact bone (except infrazygomatic crest)
Incisivi, canini, Molars
premolars
Compact bone and variable
thickness of spongy bone
lingually Only compact
bone
3. The relationship the roots the upper jaw
to neighbouring structures
Nasal cavity
Infraorbital foramen
Maxillary sinus
Nasal cavity
Infraorbital foramen
Variable layer of spongy
bone between nasal cavity
and roots of incisivi
Root of 3 localized between
nasal cavity and sinus
maxillaris
CAVE!
Radices 1,2: periapical inflammatory may led to
abscess of the floor of nasal cavity
Radix 3: relation to a.,v., n. infraorbitalis and -
possible trombophebitis of cavernous sinus
Maxillary
sinuslayer of spongy
Variable
bone between maxillary
sinus and roots of
posterior teeth
CAVE!
Periapical inflammation developing at the root
apices of maxillary molars and premolars are very
close to the floor of the maxillary sinus - sinusitis or
empyema
Potential oro
oro--antral communication by the extraction
Inflammation in sinus
maxillaris
Nerve and blood
supply
Trigeminal nerve
Maxillar nerve - infraorbital
nerve
anterior sup. alv. nerve
middle sup. alv. nerve
posterior sup. alv. nerve
Maxillary artery
Post. sup. alveolar
a.
Infraorbital a.
ant. sup. alveolar
a.
