Topic
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
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Maxillary alveolar arch
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Alveolar process of maxilla
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Maxillary dental arch
Location
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Forms the inferior margin of the maxilla
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Extends bilaterally from the maxillary tuberosity on each side
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Curves anteriorly to form the upper dental arch
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Located inferior to the maxillary sinus
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Superior to the oral cavity
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Anterior to the hard palate
Anatomical components
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Alveolar process:
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Vertical bony ridge of the maxilla
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Dental alveoli:
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Sockets for incisors, canines, premolars, and molars
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Interalveolar septa:
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Bone between adjacent tooth sockets
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Interradicular septa:
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Bone between roots of multirooted teeth
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Alveolar crest:
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Superior margin of the alveolar bone between teeth
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Relations
Superiorly:
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Maxillary sinus floor
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Body of the maxilla
Inferiorly:
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Oral cavity
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Gingiva and maxillary teeth
Anteriorly:
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Anterior nasal spine (near midline)
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Upper lip soft tissues
Posteriorly:
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Maxillary tuberosity
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Pterygopalatine region (posterior relation)
Medially:
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Hard palate
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Nasal cavity (via palatal process)
Laterally:
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Buccal cortex of the maxilla
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Buccal soft tissues
Developmental anatomy
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Develops in association with tooth eruption
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Alveolar height increases during mixed and permanent dentition
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Tooth loss leads to alveolar resorption, most pronounced in the vertical dimension
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Degree of pneumatization of maxillary sinus influences alveolar bone thickness
X-ray appearance
Dental and skull radiographs (periapical / panoramic / occlusal views):
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Alveolar arch: Curved radiopaque bony ridge
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Dental sockets: Radiolucent spaces surrounded by radiopaque lamina dura
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Alveolar crest: Thin radiopaque line between teeth
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Relationship to teeth: Clearly delineated tooth roots within alveoli
CT appearance
Non-contrast CT:
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Cortical bone: Hyperdense buccal and palatal cortices
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Cancellous bone: Lower-density trabecular pattern
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Dental alveoli: Well-defined socket contours
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Maxillary sinus floor: Closely related to posterior alveolar arch
Post-contrast CT:
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Alveolar bone: No intrinsic enhancement
MRI appearance
T1-weighted images:
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Cortical bone: Low signal intensity
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Cancellous marrow: Intermediate to high signal depending on fatty content
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Teeth: Signal void structures
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Adjacent soft tissues: Normal gingiva and oral mucosa signal
T2-weighted images:
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Cortical bone and teeth: Low signal
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Marrow: Intermediate signal
CT VRT 3D image
X-Ray image