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Alveolar arch of maxilla

The alveolar arch of the maxilla is the curved, horseshoe-shaped bony structure forming the inferior portion of the maxilla. It contains the alveoli (tooth sockets) for the maxillary teeth and plays a central role in dental anatomy, occlusion, facial contour, and maxillofacial imaging.

The alveolar arch is dynamic, undergoing structural changes with tooth eruption, loss, and age, and is a key region assessed in dentistry, orthodontics, implant planning, trauma evaluation, and head and neck imaging.

Synonyms

  • Maxillary alveolar arch

  • Alveolar process of maxilla

  • Maxillary dental arch

Location

  • Forms the inferior margin of the maxilla

  • Extends bilaterally from the maxillary tuberosity on each side

  • Curves anteriorly to form the upper dental arch

  • Located inferior to the maxillary sinus

  • Superior to the oral cavity

  • Anterior to the hard palate

Anatomical components

  • Alveolar process:

    • Vertical bony ridge of the maxilla

  • Dental alveoli:

    • Sockets for incisors, canines, premolars, and molars

  • Interalveolar septa:

    • Bone between adjacent tooth sockets

  • Interradicular septa:

    • Bone between roots of multirooted teeth

  • Alveolar crest:

    • Superior margin of the alveolar bone between teeth

Relations

Superiorly:

  • Maxillary sinus floor

  • Body of the maxilla

Inferiorly:

  • Oral cavity

  • Gingiva and maxillary teeth

Anteriorly:

  • Anterior nasal spine (near midline)

  • Upper lip soft tissues

Posteriorly:

  • Maxillary tuberosity

  • Pterygopalatine region (posterior relation)

Medially:

  • Hard palate

  • Nasal cavity (via palatal process)

Laterally:

  • Buccal cortex of the maxilla

  • Buccal soft tissues

Developmental anatomy

  • Develops in association with tooth eruption

  • Alveolar height increases during mixed and permanent dentition

  • Tooth loss leads to alveolar resorption, most pronounced in the vertical dimension

  • Degree of pneumatization of maxillary sinus influences alveolar bone thickness

X-ray appearance

Dental and skull radiographs (periapical / panoramic / occlusal views):

  • Alveolar arch: Curved radiopaque bony ridge

  • Dental sockets: Radiolucent spaces surrounded by radiopaque lamina dura

  • Alveolar crest: Thin radiopaque line between teeth

  • Relationship to teeth: Clearly delineated tooth roots within alveoli

CT appearance

Non-contrast CT:

  • Cortical bone: Hyperdense buccal and palatal cortices

  • Cancellous bone: Lower-density trabecular pattern

  • Dental alveoli: Well-defined socket contours

  • Maxillary sinus floor: Closely related to posterior alveolar arch

Post-contrast CT:

  • Alveolar bone: No intrinsic enhancement

MRI appearance

T1-weighted images:

  • Cortical bone: Low signal intensity

  • Cancellous marrow: Intermediate to high signal depending on fatty content

  • Teeth: Signal void structures

  • Adjacent soft tissues: Normal gingiva and oral mucosa signal

T2-weighted images:

  • Cortical bone and teeth: Low signal

  • Marrow: Intermediate signal

CT VRT 3D image

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X-Ray image

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