Purpose: The purpose of this study was to elucidate the differences of the prevalence and diameter of the posterior superior alveolar artery (PSAA) and the distance of its inferior border from the alveolar crest on computed tomography (CT) images according to age and sex. Materials and Methods: CT images of maxilla in 200 patients were randomly selected from patients who underwent CT imaging at Yonsei University Dental Hospital, and analyzed. The prevalence of the PSAA in maxillary sinus and the distance of its inferior border from the alveolar crest in the premolar and molar area were measured. Results: The average prevalence of the PSAA on CT images was 52.0%, and it is higher in males (64%) than in females (40%). The diameter of the PSAA was 1.52 ± 0.47 mm (mean ± SD), and larger in males. The distance from the PSAA to the alveolar crest was greater in the premolar area (18.90 ± 4.21 mm) than in the molar area (15.45 ± 4.04 mm), and it did not differ significantly with age or sex. Conclusions: The prevalence of the PSAA on CT images was higher, and the diameter was larger in males. The PSAA was more close to the alveolar crest in the molar areas. The evaluation of the PSAA in maxillary sinus on CT images before surgery could reduce the likelihood of excess bleeding during surgery especially in molar areas.

Sungtae Kim, DDS, PhD/Yoon-Jin Lee, DDS, MS/Sojin Lee, DDS/Hong-Seok Moon, DDS, PhD/Moon-Kyu Chung, DDS, PhD: Purpose: To investigate the change in 89 patients? pain and anxiety following implant surgery and to evaluate the correlation among anxiety, pain, and influencing factors. Materials and Methods: Eighty-nine patients were included in this study. Subjective factors influencing pain perception included anxiety from the overall dental treatment (scored on the Dental Anxiety Scale [DAS]) and anxiety relative to the time from implant surgery. Objective factors were sex, age, and implant location and number. Patients completed questionnaires just before surgery (T0), immediately after surgery (T1), 1 day after surgery (T2), and 1 week after surgery (T3). Results: The average pain perception was highest at T2, followed by T1 and T3. Pain perception at T1 was significantly higher in women and for a larger number of implant placements. Pain perception at T2 was significantly higher in women and when DAS and anxiety scores were high. The pain score at T3 was significantly higher in women and when anxiety scores were high. The results from multiple linear regression analysis showed that pain perception was significantly higher at T1 in women and for a larger number of implant placements, and at T3 when the dental anxiety score was high. Conclusion: Within the limitations of this study, a patient?s anxiety represented by dental anxiety score and state of anxiety scores affected pain intensity 1 day after implant surgery. Sex and the number of implants affected pain intensity immediately after implant surgery. Patients who have high pain intensity 1 week after implant surgery showed high pain intensity at each time point. Int J Oral Maxillofac Implants 2013:28;531?535. doi: 10.11607/jomi.2713

Objective: Ultraviolet (UV) light treatment of titanium, ie, photofunctionalization, has been extensively reported to enhance the osteoconductivity of titanium in animal and in vitro studies. This is the first study to examine whether photofunctionalization is effective on commercial dental implants in vivo. Materials and Methods: Dental implants with a microroughened surface were placed into dog jawbones. Photofunctionalization was performed by treating implants with UV light for 15 minutes using a photo device immediately before placement. Four weeks after placement, bone-implant integration was evaluated using a removable torque test and static and dynamic histology. Results: Implant surfaces were converted from hydrophobic to super-hydrophilic after photofunctionalization. Removable torque for photofunctionalized implants was significantly higher by 50% than that for untreated implants. Bone-implant contact (BIC) was significantly higher for photofunctionalized implants in all zones examined: marginal, cortical, and bone marrow zones. An intensive mineralized layer was exclusively present in marginal bone at photofunctionalized interface. Dynamic histology identified early-onset, long-lasting robust bone deposition at photofunctionalized interface. Conclusions: Photofunctionalization enhanced the morphology, quality, and behavior of periimplant osteogenesis, including the increased BIC, expedited robust interfacial bone deposition, and improved marginal bone seal and support.