scholarly journals Evaluation of Mental Foramen with Cone Beam Computed Tomography: A Systematic Review of Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Antoinette Pelé ◽  
Pierre-Alexandre Berry ◽  
Charles Evanno ◽  
Fabienne Jordana
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Systematic Reviews ◽  
Cone Beam Computed Tomography ◽  
Case Reports ◽  
Preoperative Evaluation ◽  
Mental Foramen ◽  
Cone Beam ◽  
Cochrane Library ◽  
Anterior Loop

Purpose. The aim of this systematic review is to assess whether the anatomy of mental foramen is precisely evaluable with cone beam computed tomography (CBCT) before implantation in humans. Methods. A systematic review was carried out to evaluate the anatomy of mental foramen (size, position, symmetry, anterior loop, and accessory mental foramen or multiple mental foramina). According to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, an electronic search of three databases (Medline, Web of Science, and Cochrane Library) was undertaken until June 2020 and was supplemented by manual searching. Two reviewers will independently perform the processes of study inclusion, data extraction, and quality assessment. Systematic reviews, studies about children, and case reports were excluded. Only studies using CBCT to do preoperative evaluation were selected. Results. From 728 potentially eligible articles, 72 were included in the qualitative analysis and quantitative synthesis. This systematic review provided an assessment of the anatomy of the mental foramen. The mental foramen was located mostly between the two premolars (between 50.4% and 61.95%) or apically to the second premolar (from 50.3% to 57.9%). The mean diameter of the mental foramen was bigger in males than in females; the difference between them could reach 0.62 mm. The anterior loop seemed to be longer in males (between 0.87 ± 1.81 and 7.25 ± 2.02 mm) than in females (between 0.81 ± 1.18 and 6.52 ± 1.63 mm) and with the presence of teeth (from 0.91 ± 1.18 to 2.55 ± 1.28 for dentate people and from 0.25 ± 0.61 to 2.40 ± 0.88 mm for edentate population). The anterior loop and the accessory mental foramina were detected more frequently with CBCT than panoramic X-ray: only between 0.0 and 48.6% AMFs detected with CBCT were also seen with panoramic images. Clinical Significance. The mental foramen (MF) is an important landmark for local anesthesia and surgical and implantology procedures. Its location, morphology, and anatomical variations need to be considered to avoid mental nerve injury. The aim of this review is to evaluate the mental foramen using CBCT through a systematic literature review to improve knowledge of this complex area for the clinician.

scholarly journals Evaluation of the size and location of the mental foramen and anterior loop of the lower alveolar nerve in the Brazilian population using cone beam computed tomography

2021 ◽  
Vol 10 (8) ◽  
pp. e36410817216
Author(s):  
Caroline Chepernate Vieira dos Santos ◽  
Izabella Sol ◽  
Karen Rawen Tonini ◽  
Leda Maria Pescinini Salzedas ◽  
Fernanda Costa Yogui ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Average Distance ◽  
Mental Foramen ◽  
Brazilian Population ◽  
Cone Beam ◽  
Common Location ◽  
Anterior Loop ◽  
Significant Difference ◽  
Average Size

Objective: The aim of this study was to evaluate the size, shape and location of the mental foramen (MF) and anterior loop (AL) in the Brazilian population through the analysis of cone beam computed tomography (CBCT) and panoramic radiography (PR). Method: We analyzed the location, shape and size of the MF, the distance between the upper wall of the MF and the alveolar crest (AC), the size of the AL and the presence of lingual anastomosis. Results: Fifty PR and CBCT exams were analyzed. In relation to the MF, the most common location was between premolars (56%), the most common shape was the oval shape (83%) and the average size in the PR was 3.63 mm and in the CBCT was3.66 mm. The average distance from the MF to the AC in the PR was 17.29 mm and in the CBCT was 11.48 mm. The average AL size was 3 mm, the smallest being 1 mm and the largest being 5 mm. Static analysis was performed to verify the relationship between the distance from the foramen to the AC with the values ​​that were found in the PR and CBCT, which showed a statistically significant difference (p=<0.001) between them. Lingual anastomosis could be seen in 22% of the analyzed hemimandibles. Conclusion: CBCT is a reliable diagnostic test for planning rehabilitation near the MF. The distance between the implant and the foramen must be analyzed individually.

scholarly journals Frequency of accessory mental foramen and anatomical variability of mental nerve anterior loop in a Peruvian population: A retrospective cone-beam computed tomography study.

2020 ◽  
Vol 9 (3) ◽  
pp. 202-211
Author(s):  
José Heberth Tofiño-Medina ◽  
◽  
Luis Ernesto Arriola-Guillén ◽  
Yalil Augusto Rodríguez-Cárdenas ◽  
Aron Aliaga-Del Castillo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Morphological Characteristics ◽  
Mental Foramen ◽  
Cone Beam ◽  
Anatomical Landmarks ◽  
Mental Nerve ◽  
Anterior Border ◽  
Accessory Mental Foramen ◽  
Anterior Loop

Objective: To evaluate the frequency of accessory mental foramen (AMF) and anatomical variants of the mental nerve anterior loop using cone-beam computed tomography (CBCT) in a Peruvian population. Material and methods: This retrospective cross-sectional study evaluated 80 hemi-mandibles from 40 subjects using CBCT. The sample included 38 females and 42 males, with an average age of 25±4.45 years. A 3D multi-planar reconstruction was performed to identify the location and presence of accessory mental foramina, their morphological characteristics (oval or circular), their position with respect to the mental foramen (MF), anterior loop (AL) path and other anatomical landmarks including lengths and angles. Statistical analyses included chi square and t-tests. The significance level was p<0.05. Results: The frequency of AMF was 17% and the average distance AL-MF was 4.76±1.97mm. The measurements of the anterior border of AL and MF to the inferior mandibular border showed significant differences according to the sex (p<0.001 and p=0.009, respectively). Conclusion: The AMF prevalence was approximately 17%. There is no association between the AMF position and its morphology, sex or side evaluated. The distances from the anterior border of the AL and from the inferior border of the MF to the inferior mandibular border were greater in males. These findings should be considered when planning implant or mini-implant placement in this region.

scholarly journals Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review

2019 ◽  
Vol 21 (4) ◽  
pp. 407-426 ◽  
Author(s):  
K. Horner ◽  
S. Barry ◽  
M. Dave ◽  
C. Dixon ◽  
A. Littlewood ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Systematic Reviews ◽  
Cone Beam Computed Tomography ◽  
Ex Vivo ◽  
Cone Beam ◽  
Paediatric Research ◽  
Diagnostic Efficacy ◽  
Paediatric Patients

Abstract Purpose To determine in which clinical situations it is indicated or contra-indicated to prescribe cone beam computed tomography (CBCT) for paediatric patients. Methods Systematic review of in vivo paediatric research studies of diagnostic efficacy using CBCT, with supplementary searches for guideline documents on CBCT and for systematic reviews permitting inclusion of ex vivo and adult studies. Results After screening, 190 publications were included, mostly case studies. No systematic reviews were found of in vivo paediatric research. Fourteen studies of diagnostic efficacy were identified. The supplementary searches found 18 guideline documents relevant to the review and 26 systematic reviews. The diagnostic efficacy evidence on CBCT was diverse and often of limited quality. There was ex vivo evidence for diagnostic accuracy being greater using CBCT than radiographs for root fractures. The multiplanar capabilities of CBCT are advantageous when localising dental structures for surgical planning. Patient movement during scanning is more common in children which could reduce diagnostic efficacy. Conclusions No strong recommendations on CBCT are possible, except that it should not be used as a primary diagnostic tool for caries. Guidelines on use of CBCT in the paediatric age group should be developed cautiously, taking into account the greater radiation risk and the higher economic costs compared with radiography. CBCT should only be used when adequate conventional radiographic examination has not answered the question for which imaging was required. Clinical research in paediatric patients is required at the higher levels of diagnostic efficacy of CBCT.

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