scholarly journals Cone-Beam Computed Tomography Evaluation of Mental Foramen Variations: A Preliminary Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Mahnaz Sheikhi ◽  
Mitra Karbasi Kheir ◽  
Ehsan Hekmatian

Background. Mental foramen is important in surgical operations of premolars because it transfers the mental nerves and vessels. This study evaluated the variations of mental foramen by cone-beam computed tomography among a selected Iranian population.Materials and Methods. A total number of 180 cone-beam computed tomography projections were analyzed in terms of shape, size, direction, and horizontal and vertical positions of mental foramen in the right and left sides.Results. The most common shape was oval, opening direction was posterior-superior, horizontal position was in line with second premolar, and vertical position was apical to the adjacent dental root. The mean of foremen diameter was 3.59 mm.Conclusion. In addition to the most common types of mental foramen, other variations exist, too. Hence, it reflects the significance of preoperative radiographic examinations, especially 3-dimensional images to prevent nerve damage.

2020 ◽  
Vol 10 ◽  
pp. 34
Author(s):  
Khaled Beshtawi ◽  
Emad Qirresh ◽  
Mohamed Parker ◽  
Shoayeb Shaik

Objectives: To compare the linear measurements from digital panoramic (DP) radiographs and cone-beam computed tomography (CBCT) volumes for the localization of the mental foramen (MF). Material and Methods: Thirty-one patients with panoramic and CBCT radiographs depicted on the same machine were analyzed. The vertical and horizontal positions of the MF were compared by the differences in distances measured from reference points to the boundaries (tangents) of the MF in digital panoramic (DP) and CBCT reformatted panoramic (CRP) views. The vertical position of MF was also analyzed on CBCT oblique coronal views (CORO) and compared with its corresponding distances on DP and CRP views. Results: Statistically significant differences (P < 0.05) were found in all compared measurements between CRP and DP views. In addition, the vertical distance (Y1) compared between DP, CRP, and CORO views also showed a statistically significant measurement discrepancy in the mean distance (P < 0.000) with the highest mean difference of 1.59 mm (P < 0.05) was attained from Y1 (DP-CORO). Inter- and intra-examiner analysis indicated a high level of agreement for all measurements. Conclusion: The mean values of discrepancies in measurements between DP and CRP views for horizontal and vertical linear measurements were clinically tolerable. Nevertheless, significant differences in the vertical MF position were detected between the panoramic views (DP, CRP) and the coronal views (CORO). This implies that the use of coronal view measurements during implant planning might reduce the risk of neurovascular injuries.


2014 ◽  
Vol 39 (1) ◽  
pp. 85-89 ◽  
Author(s):  
K Cantekin ◽  
AE Şekerci

Objective: The aim of the present study was to clarify the occurrence, diameter, and location of the accessory mental foramen (AMF) using cone-beam computed tomography (CBCT) images from a sample of Turkish children. Study design: This retrospective was carried out using a total of 275 CBCT images from child and adolescent patients were randomly selected from existing records in the Department of Oral and Maxillofacial Radiology at the University of Erciyes, Kayseri, Turkey. The mental foramen (MF) and AMF were assessed on axial, sagittal, and coronal CBCT slices. Results: The mean age was 10.51 ± 3.32 years, consisting of 139 males (mean age 10.64 ± 3.42) and 126 females (mean age 10.38 ± 3.18). Twenty-one AMFs were observed in 18 of 275 patients (6.5%, 10 boys and eight girls). There was no significant difference in gender in relation to the prevalence of AMF (p = 0.65). The mean area of the 21 AMFs and the MF on the side with the AMF were 0.7 mm2 (SD ± 0.5) and 3.8 mm2 (SD ± 2.2), respectively. Conclusion: It is important to stress that detecting the AMN using CBCT with 3D reconstructions may reduce the risk of paralysis, hemorrhage, and postoperative pain in this region. Our study presents the first report assessing the occurrence, diameter, and location of the AMF in the pediatric population using CBCT images. In this respect, not surprisingly, the mean size of the AMF of our population is smaller than other reports in the literature that involve adult populations.


2017 ◽  
Vol 7 (2) ◽  
pp. 20
Author(s):  
Seda Falakaloglu ◽  
Artemisa Veis

Aim: Knowledge of the position of the mental foramen is important to prepare strategy when administering regional anesthesia, performing dental surgical procedures, endodontic treatments. Also, it is critical to analyze diameter of mental foramen in sagittal, coronal, and axial images.  The aim of this retrospective study was to determine the diameter of the MF in different planes from CBCT images. Methodology: This study was designed at Department of Endodontics, Dicle University, Diyarbakır, Turkey. One hundred twenty three (67 female, 56 male) CBCT scans that met the study criteria were obtained. All images were obtained from i-CAT (Imaging Sciences International, Hatfield, PA). Data were analyzed using Student’s t-tests and Tukey HSD tests. Results: For the analysis of age, data were divided into four groups: 12–17, 18–29, 30–49, and ≥50 years. The data were also divided into two groups by gender. Axial and coronal image measurements were also divided into right and left. There was a statistical difference compared with females and males (p<0.05). In the coronal plane, the right region showed significant differences in measurements between the groups (p<0.05). In the axial plane, there was no statistically significant difference between them (p>0.05). The differences between the groups in the left region in the axial plane measurements were significant (p<0.05). Conclusions: Using CBCT imaging superimposition of anatomical structures can be eliminated. It is important that determine that the size of the mental foramen. This study is a retrospective study using CBCT from patient and find that the size of the mental foramen. How to cite this article: Falakaloglu S, Veis A. Determining the size of the mental foramen: A cone-beam computed tomography study. Int Dent Res 2017;7:20-25. 


RSBO ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 12-09
Author(s):  
Cláudia Gemaque Marinho ◽  
Pedro Luiz de Carvalho ◽  
Edson Marcos Leal Soares Ramos ◽  
Fabricio Mesquita Tuji ◽  
Nicolau Conte Neto

The mandibular canal is an anatomic structure that extends bilaterally from the mandibular foramen to the mental foramen. Objective: To identify the presence, extension, and length of the mandibular incisive canal with a cone-beam computed tomography, and to determine correlations with the positioning of the mental foramen and mandibular canal in a selected Brazilian Amazon population. Material and methods: The measurements of the incisive canal that ends at the mandible’s lower buccal and lingual border, at its initial and terminal portions, were obtained from 95 odontological examinations using cone-beam computed tomography. These measurements were compared with the measurements of the distance between the mandibular canal ending at the same cortices in 2 distinct regions at the mental foramen region. Pearson’s correlation test was used to establish a relationship between these measurements. Results: The mandibular incisive canal’s bilateral identification mean age was of 44.29 ± 11.04 y and the mean length was 10.38 ± 4.01 mm. Moderate correlations were found between the measurements of the mandibular incisive canal, mental foramen, and mandibular canal. Conclusion: The mandibular incisive canal can reach the region of the median line, and it did not present differences between the genders or for the length and distance of the mandibular incisive canal to the cortices ending at the mandible base.


2020 ◽  
Vol 47 (4) ◽  
pp. 303-310
Author(s):  
Prasanna Arvind TR ◽  
SP Saravana Dinesh

Objective: To interpret a correlation between buccolingual inclination of molars and palatal depth in hyperdivergent patients and to identify importance of determining inclination of molars in assessing transverse discrepancies (as skeletal or dental) Design: This was a retrospective cone beam computed tomography (CBCT) study. Setting: The study was conducted in the Department of Orthodontics, Saveetha Dental College and Hospital, Tamil Nadu, India. Methods: This was a retrospective CBCT study of 79 patients who underwent diagnostic CBCT for treatment purposes. The CBCT scans were evaluated systematically and the required parameters were accessed with suitable reference planes. Student’s t-test (95% confidence interval) was performed to determine buccolingual inclination of first molars between the right and left sides. Only patients with a vertical growth pattern and skeletal class I relation were included and they were classified into three groups based on their palate depth. Results: In patients with palatal depth > 22 mm, the mean inclination of molars was 7.4°; with palatal depth in the range of 19–22 mm, the mean inclination of molars was 5.23°; and with palatal depth < 19 mm, the mean inclination of molars was 2.9°. Results showed that there was a significant correlation between the buccolingual inclination of molars and the palate depth in vertical growers ( P < 0.05). Conclusion: The buccolingual inclination of first molars is increased in patients with greater palatal depth. This parameter is helpful in classifying crossbites as skeletal or dental. The amount of compensation required to correct the cross bite can be adjusted using Korkhaus Index.


Author(s):  
Max-Philipp Lentzen ◽  
Maximilian Riekert ◽  
Johannes Buller ◽  
Andrea Grandoch ◽  
Matthias Zirk ◽  
...  

Abstract Purpose This study was conducted to elucidate volumetric data of mandibular condyles of orthognathic patients by analyzing cone beam computed tomography images based upon semiautomatic segmentation. Methods Cone beam computed tomography images of 87 patients with malocclusions were analyzed in this retrospective study. Patients were between 17 and 53 years old and diagnosed with Angle class I, II, or III malocclusion. By using the validated open-source software “ITK-SNAP,” the volumetric measurements of 174 mandibular condyles were performed. Volumetric analysis was performed according to intra-subject side differences by paired Student t test. In accordance to inter-subject side, gender, age and type of malocclusion differences bivariate analysis and ANOVA were applied. Results The mean volume for the right condyle was 1.378 ± 0.447 cm3, with a maximum of 2.379 cm3 and a minimum of 0.121 cm3. The mean volume for the left side was 1.435 ± 0.474 cm3, with a maximum of 3.264 cm3 and a minimum of 0.109 cm3. Bivariate analysis indicated a highly significant inter-subject difference between the volume of the left and right mandibular condyles (p < 0.01). Females had a significantly smaller condyle volume than males (p < 0.05 left condyle; p < 0.01 right condyle). Conclusion The fact that shape and volume of mandibular condyles show a high susceptibility to pathological alterations and particularly malocclusions makes a precise knowledge about volumetric changes indispensable. Our results show that significant inter-subject differences in condyle volume could be found with respect to the side and gender. Larger volumes could be assessed for the left condyle and for male patients.


Author(s):  
Bashir Ahmed ◽  
Manoj Kumar ◽  
. Bushra ◽  
Suneel Kumar Punjabi ◽  
Raj Kumar ◽  
...  

Objective: To assess the occurrence and location of the mental foramen in relation to gender and age by using cone-beam computed tomography. Materials and Methods: A descriptive case series study was conducted at department of radiology at advance diagnostic care centre, Institute of Dentistry, Liaquat University of Medical & Health Sciences Hyderabad. One hundred and fifty patients of either gender, having age 18-40 years with retained permanent dentition and recommended for cone-beam computed tomography (CBCT) radiograph were selected by non-probability convenient sampling technique. Patients with history of bone disease, old trauma and not willing to participate were excluded. CBCT imaging of each patient will be performed and assessed for occurrence and location of the mental foramen. Results: Out of 150 patients, male were 98 (65.3%) and female were 52 (34.7%) with mean age of 28.8 ± 6.9 (18-40) years. Position 4 was the most common right side horizontal position with 74(49.3%) patients followed by position 3 with 69(46.0%) patients, position 5 with 6(4.0%) patients and position 2 with 1(0.7%) patients. Similarly position 4 was the most common left side horizontal position with 75(50.0%) patients followed by position 3 with 70(46.7%) patients, and position 5 with 5(3.3%) patients. Position 1 was only choice either for right or left side vertical position in all patients i.e., 150 (100.0%). Conclusion: It was concluded from the study that no significant difference was observed in occurrence and location of the mental foramen in relation to gender and age by using cone-beam computed tomography.


2020 ◽  
Vol 16 (3) ◽  
pp. 90-95
Author(s):  
Irina Shelegova ◽  
Artur Heigetyan ◽  
Dar'ya Vazhenina ◽  
Natal'ya Nurieva

Subject. The article discusses the possibilities of cone-beam computed tomography in the study of the anatomy of the mental foramen: size, shape, topography, as well as the optical density of bone tissue at the mental foramen. The goal is to investigate the size, shape and topography of the mental foramen, as well as the optical density of bone tissue in it using cone-beam computed tomography. Methodology. The computed tomograms of the lower jaws of 26 patients were analyzed, according to which the vertical and horizontal dimensions of the mental openings were measured on the right and left, the number and sizes of additional mental openings, their location according to the Tebo and Telford classification, and the bone mineral density under the mental opening were determined. Statistical analysis was carried out using Microsoft Excel, Windows 9. Results. The resulting average dimensions of the right (4.01x3.93 mm) and left (3.81x3.95) mental holes confirm the results of more extensive studies done earlier. In the first case (1.9 %), an anatomical variation of the mental opening was revealed: 3 holes with dimensions 2.1×2.1 mm, 2.0×0.9, and 1.9×2.4. The symmetrical location of the chin foramen was found in 15 patients (57.7 %). In most cases, types III (25 %) and IV (53.84 %) of the location of the mental opening were identified. The average optical density of bone tissue under the mental foramen on the right side was 1618.9±145.1 HU, on the left ― 1571.64±159.64. There were no significant differences in the optical density of bone tissue for types II―IV of the location of the mental foramen. Conclusions. A significant variability in the topography of the mental foramen was revealed, in this regard, methods of mental anesthesia with a personalized approach, for example, the method of anesthesia of the intraosseous part of the chin nerve, are becoming relevant (authors Rabinovich S.A., Vasiliev Yu.L., Tsybulkin A.G.). High values of the optical density of bone tissue at the mental foramen confirm the ineffectiveness of diffusion of anesthetics through the cortical plate.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Ewa Zmyslowska-Polakowska ◽  
Mateusz Radwanski ◽  
Slawomir Ledzion ◽  
Michal Leski ◽  
Agnieszka Zmyslowska ◽  
...  

Introduction. The mental foramen (MF) is a bilateral opening localized on an anterior surface of the mandible. A precise location as well as well-defined shape, size, and number of the MF is crucial for different clinical dental procedures. The aim of this study was to determine a size and location of the MF in relation to the lower teeth using the cone-beam computed tomography (CBCT) study. Material and Methods. In a group of 201 patients (106 males and 95 females) the CBCT images were performed using the GX CB-500 device (Gendex, USA). Results. No significant differences in values of the horizontal (H) and vertical (V) diameters as well as the H:V ratio on both sides in relation to the age of participants were found. In males both average values of a horizontal diameter (p=0.031) and vertical diameter (p=0.001) were significantly higher on the right side than in the female subgroup, whereas on the left side only an average value of a vertical diameter was significantly higher in men (p=0.006) in comparison to women. Moreover, the H:V ratio was significantly lower in males on the left side (p=0.032). There were no significant relationships between age and gender of the patients (p>0.05) and the type of mental foramen on the right and left sides. Conclusions. The application of the CBCT study enabled a precise determination of the shape, size, and position of the mental foramen in relation to the neighboring anatomical structures on a representative group of the Polish patients. The results obtained may contribute to guidelines for dental procedures including anesthesia of the mental nerve and endodontic, implantology, and dental surgery with regard to the location of mental foramen depending on the sex and age of patients.


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