The thickness of parietal bones in a new zealand sample of cadaveric skulls in relation to calvarial bone graft.
Objectives To evaluate the average thickness of the parietal bones in their different regions to identify the ideal site(s) for calvarial bone graft harvest. Methods and Materials Thickness of the parietal bones of 25 wet cranial vaults of New Zealand European origin was measured in 135 different locations using an electronic caliper. Analyses to identify the ideal harvest sites were conducted so that the sites fit the features of an ideal harvest site described in the literature as: (1) 6 mm of minimum thickness and (2) 2 cm away from the midline. Results and Conclusion The overall average thickness was 6.69 ± 0.22 mm. The average thickness at different sites within the same bone ranged from 2.85 to 6.93 mm. In keeping with previous studies, the report observed a progressive thickening of the parietal bone in medial and posterior directions. Of the 135 different locations measured, only 20% exceeded an average thickness of 6 mm as well as being 2 cm away from the sagittal midline. These locations were mainly located between 6 to 11 cm posterior to the coronal suture and 2 to 5 cm away from the sagittal suture. Conclusion Harvesting the calvarial bone graft in the area 6 to 11 cm posterior to the coronal suture and 2 cm away from the midline is recommended based on our study using cadaveric cranial vaults of New Zealand Europeans.
Faculty of Dentistry, University of Otago-Oral Diagnostic and Surgical Sciences, Dunedin.
Han J
HJ
Choi
Faculty of Dentistry, University of Otago-Oral Diagnostic and Surgical Sciences, Dunedin.
Rohana K
RK
De Silva
Faculty of Dentistry, University of Otago-Oral Diagnostic and Surgical Sciences, Dunedin.
Darryl C
DC
Tong
Faculty of Dentistry, University of Otago-Oral Diagnostic and Surgical Sciences, Dunedin.
Harsha L
HL
De Silva
Faculty of Dentistry, University of Otago-Oral Diagnostic and Surgical Sciences, Dunedin.
Robert M
RM
Love
Department of Preventative and Social Medicine, School of Medicine, University of Otago, Dunedin, Otago, New Zealand.
Josie
J
Athens
Calvarial graft; bone graft; graft harvest; reconstruction