Accuracy of CBCT and 3D Stereolithographic Model in Identifying the Anterior Loop of the Mental Nerve: A Study on Cadavers.

2012 ◽  
pp. 120312120551003
Author(s):  
Ruben R. Santana ◽  
Jaime Lozada ◽  
Alejandro Kleinman ◽  
Aladdin Al-Ardah ◽  
Alan Herford ◽  
...  
2019 ◽  
Vol 19 (2) ◽  
pp. 168-172
Author(s):  
Ashish Gupta ◽  
Lovekesh Pubreja ◽  
Rahul Malik ◽  
Neha Gupta

2012 ◽  
Vol 38 (6) ◽  
pp. 668-676 ◽  
Author(s):  
Ruben R. Santana ◽  
Jaime Lozada ◽  
Alejandro Kleinman ◽  
Aladdin Al-Ardah ◽  
Alan Herford ◽  
...  

The objective of this ex vivo cadaver study was to determine the accuracy of cone beam computerized tomography (CBCT) and a 3-dimensional stereolithographic (STL) model in identifying and measuring the anterior loop length (ANLL) of the mental nerve. A total of 12 cadavers (24 mental nerve plexus) were used for this study. Standardized CBCT scans of each mandible were obtained both with and without radiographic contrast tracer injected into the mental nerve plexus, and STL models of the two acquired CBCT images were made. The ANLL were measured using CBCT, STL model, and anatomy. The measurements obtained from the CBCT images and STL models were then analyzed and compared with the direct anatomic measurements. A paired sample t test was used, and P values less than .05 were considered statistically significant. The mean difference between CBCT and anatomic measurement was 0.04 mm and was not statistically significant (P = .332), whereas the mean difference between STL models and anatomic measurement was 0.4 mm and was statistically significant (P = .042). There was also a statistical significant difference between CBCT and the STL model (P = .048) with the mean difference of 0.35 mm. Therefore, CBCT is an accurate and reliable method in determining and measuring the ANLL but the STL model over- or underestimated the ANLL by as much as 1.51 mm and 1.83 mm, respectively.


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 ◽  
...  

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.


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Kumar Chandan Srivastava

Objective: The anatomy of mental foramen (MF) is a noteworthy landmark during any surgical procedures in the inter-foraminal region. Thus, the study aims at evaluating the location of MF and the emergence pattern of MN in three status of dentition in Saudi Arabian population. Material and Methods: In a prospective study, we have analyzed 240 cone beam computed tomography (CBCT) for the location of MF and the emergence pattern of MN. The study comprising three groups, namely dentulous, partially edentulous and edentulous, each having eighty CBCT scans. We presented the data in percentages. The chisquare and McNemar’s test were used for testing association and pair-wise analysis, respectively. Results: The most common location of MF was below the apex of the second premolar irrespective of dentition status, with 54.2% in right and 60% in the left side of the jaw. Among the dentition status, left side of the mandible has shown significant variation for the location of MF, whereas gender and age showed variation in the right side. Anterior loop (AL) (Type-III) the emergence pattern of MN was the highest in all dentition status, with 51.7% in right and 53.8% on the left side. The variation in the emergence pattern of MN in terms of gender and side of the jaw was statistically significant. Conclusion: In the Saudi Arabian population, the apex of second premolar and type III/AL was the most prevalent location of MF and the emergence pattern of MN, respectively. KEYWORDS Anterior loop; Cone beam CT; Mandible; Mental foramen; Mental nerve.


2013 ◽  
Vol 3 (1) ◽  
pp. 21 ◽  
Author(s):  
Aastha Manchanda ◽  
AshaRaghunandan Iyengar ◽  
Seema Patil ◽  
KikkeriSeetharamiaha Nagesh ◽  
Sushma Mehkri

2019 ◽  
Vol 18 (4) ◽  
pp. 689-695
Author(s):  
Rakhi Issrani ◽  
Namdeo Prabhu ◽  
Arunpriya Srinivasan ◽  
Mohammad Khursheed Alam

In any surgical procedure, proper consideration to anatomical structures along with their precise position is of utmost importance. One such anatomical region in anterior mandible is anterior loop of mental nerve. The dental procedure carried out in anterior mandible can lead to neurosensory disturbances if this loop is injured. The presence of anterior loop have been made using conventional imaging modalities like panoramic and periapical radiography, however, limitations of two-dimensional imaging results in either over- or underestimation of the actual size making its use restricted. Cone Beam Computed Tomography is a gold standard threedimensional imaging modality that allows generating multi-planar slices of an area of interest; its accuracy for analysis and linear measurements of craniofacial structures have been confirmed by several studies. This paper highlights the role of accurate and thorough assessment of the inter-foraminal region and anterior loop of the mental nerve prior to any surgical procedure especially in anterior mandible to avert any neurological complications. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.689-695


2011 ◽  
Vol 69 (1) ◽  
pp. 182-185 ◽  
Author(s):  
Brion Benninger ◽  
Dan Miller ◽  
Anand Maharathi ◽  
Winthrop Carter

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