scholarly journals Relationship between mandibular incisive canal and mental foramen using cone-beam computed tomography in a selected Brazilian Amazon population

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.

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

Introduction: 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 BrazilianAmazon 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.


Author(s):  
Zahra Ghoncheh ◽  
Behrang Moghaddam Zadeh ◽  
Sahar Shaeri

Objective: Comprehensive knowledge about the anatomy of the surgical site is an important prerequisite for any surgical procedure. This study aimed to assess the prevalence, position and anatomical characteristics of mandibular incisive canal (MIC), lingual foramen (LF) and anterior loop of the mandibular canal (ALMC) in an Iranian population using cone beam computed tomography (CBCT). Materials and Methods: This study was conducted on 103 patients who underwent CBCT prior to implant placement. The CBCT scans of patients were evaluated by two observers to determine the visibility and length of MIC, LF and ALMC. The buccolingual inclination of MIC at the initiation point of canal and canal path were also studied. Results: The prevalence of MIC, LF and ALMC was 90%, 76% and 84% on CBCT scans, respectively. The mean length of MIC and ALMC was 7.5mm and 1.2mm, respectively and the mean width of LF was 0.9mm. The MIC had a buccal inclination at the initiation point and approximated the lingual plate as extended towards the midline. Analytical statistics including independent samples t-test, paired samples t-test, ANOVA analyses were applied. Conclusion: Considering the high prevalence of MIC, ALMC and LF and wide range of MIC (1.2mm to 20mm) and ALMC (1mm to 9.9mm) length, CBCT is recommended for patients prior to surgical procedures in the anterior mandible to determine the exact location of these anatomical structures.


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.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ricardo Raitz ◽  
Elisabeth Shimura ◽  
Israel Chilvarquer ◽  
Marlene Fenyo-Pereira

Objectives.The region between mental foramens is considered as a zone of choice for implants. However, complications may arise due to an extension anterior to the mental foramen that forms the mandible incisive canal [MIC]. Our goal is to evaluate identification of MIC by both panoramic radiograph [PAN] and cone-beam computed tomography [CBCT].Methods.150 cases with bilateral MIC were analyzed. Images of a radiolucent canal, within the trabecular bone, surrounded by a radiopaque cortical bone representing the canal walls, and extending to the anterior portion beyond the mental foramen, were considered by two independent radiologists as being images of MIC. PAN and CBCT of these cases were evaluated by 2 other radiologists at different times. Agreement between results of examination methods was assessed by the Kappa coefficient. The interexaminer and intramethod rates for detection of MIC were analyzed by the McNemar test. Gender, mandible side, examiner, and type of method were analyzed by the generalized estimating equations [GEE] model.Results.significant difference between examiners [PAN: P=0.146; CBCT:P=0.749] was not observed. Analysis by GEE model showed no significant difference between genders[P=0.411]and examiners[P=0.183]. However, significant difference was observed for identification in both mandible right side[P=0.001], where the identification frequency was higher, and CBCT method[P<0.001].Conclusions.PAN was not shown to be a safe examination to identify MIC. CBCT should always be used in preoperative planning and to reduce the number of complications in implant surgeries.


2021 ◽  
Vol 9 (A) ◽  
pp. 1117-1122
Author(s):  
Sherif Shafik El-Bahnasy ◽  
Magdy Youakim ◽  
Mohamed Shamel ◽  
Hisham El Sheikh

AIM: The purpose of the study was to measure and compare the prevalence of mandibular canal (MC) location variations in regard to mandibular first molars in both genders at different age groups. METHODS: A retrospective study was performed on 80 cone-beam computed tomography scans. Distance between MC and apical apices of first molars, buccal and lingual cortical plates was measured in both sides. RESULTS: 80 scans with 160 sides were analyzed. Distances was measured bilaterally for all scans with mean (5.22 ± 0.77) in men versus (4.1 ± 0.7) in women at group age 31–40 apical to apices of first molars. The mean was (3.77 ± 0.62) in men versus (2.81 ± 0.47) in women at same age group at buccal side, lingually the mean was (4.02 ± 0.67) in men versus (3.67 ± 0.26) in women in the same age group. CONCLUSION: Our study showed that there were decrease in measurements in older age group in both genders and in female groups more than male groups but with no statistical significant difference.


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 12 (4) ◽  
pp. 136-141
Author(s):  
Marouf Noruzi ◽  
Maryam Mostafavi ◽  
Aysan Ghaznavi ◽  
Amir Ardalan Abdollahi

Background: Determining the incidence and anatomic features of accessory mental foramen (AMF) in the Iranian population is of vital importance. This study investigated the prevalence and anatomic characteristics of AMF using cone-beam computed tomography (CBCT) in a selected Iranian population. Methods: A total of 853 CBCT images from 440 women and 413 men were examined in this cross-sectional retrospective study. The images were evaluated by two independent observers using reconstructed 3-dimensional, cross-sectional, and panoramic views. Several parameters were assessed, including the location of AMF relative to mental foramen (MF), size and the point of canal bifurcations, and the distance between the main and accessory canals. Finally, statistical differences in the AMF prevalence in terms of gender and direction and its location were evaluated by the Mann-Whitney U test (P<0.05). Results: The prevalence of AMF was 10.55%, which was more frequently located in the posterior inferior area relative to the main MF, and its nerve was more frequently originated from the anterior loop (P=0.001). There were no statistically significant differences in gender (P=0.26) and direction (P=0.4). The mean distance of AMF was 7.62 mm. The mean height of MF and the AMF vertical height were 13.65 mm and 52.12 mm in those with AMF on one side, respectively, and this difference was statistically significant (P=0.001). The sizes of the MF and AMF were 3.2 mm (large diameter), 2.3 mm (small diameter), and 1.4 mm (large diameter), and 1.1 mm (small diameter), respectively. Conclusions: Based on the findings of the present study, the prevalence of AMF according to hemi-mandibular was 5.80% in the selected Iranian population. Thus, AMF might branch from any section of the inferior alveolar nerve and the mandibular canal.


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