scholarly journals Custom Focal Trough in Cone-Beam Computed Tomography Reformatted Panoramic Versus Digital Panoramic for Mental Foramen Position to Aid Implant Planning

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.

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.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
P. López-Jarana ◽  
C. M. Díaz-Castro ◽  
A. Falcão ◽  
C. Falcão ◽  
J. V. Ríos-Santos ◽  
...  

Abstract Background The objective of this study was to measure two parameters involved in tri-dimensional implant planning: the position of the buccal and palatal bone wall and the palatal thickness. Methods Cone beam computed tomography (CBCT) images (Planmeca ProMax 3D) of 403 teeth (208 upper teeth and 195 lower teeth) were obtained from 49 patients referred to the Dental School of Seville from January to December 2014. The height difference between the palatal and buccal walls was measured on the most coronal point of both walls. The thickness of the palatal wall was measured 2 mm from the most coronal point of the palatal wall. Results The mean values in the maxilla were 1.7 ± 0.9 mm for central and lateral incisors, 2.2 ± 1.7 mm for canines, 1.6 ± 0.9 mm for premolars and 1.9 ± 1.5 mm for molars. In the lower jaw, the mean values were 1.3 ± 0.8 mm for incisors, 1.7 ± 1.2 mm for canines, 2.3 ± 1.3 mm for premolars, and 2.6 ± 1.7 mm for molars. In the upper jaw, more than 55% of maxillary teeth (excluding second premolars and molars) presented mean height differences greater than 1 mm. In the mandible, more than 60% of incisors showed a buccal bone thickness of 1 mm from the apical to lingual aspect. All teeth except the second premolar presented a buccal wall located more than 1 mm more apically than the lingual bone wall. Conclusions The buccal bone wall is located more apically (greater than 1 mm) than the palatal or lingual table in most of the cases assessed. The thickness of the palatal or lingual table is also less than 2 mm in the maxilla and mandible, except in the upper canines and premolars and the lower molars.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Dilhan İlgüy ◽  
Mehmet İlgüy ◽  
Erdoğan Fişekçioğlu ◽  
Semanur Dölekoğlu ◽  
Nilüfer Ersan

Aim. The aim of the present study was to examine the relationship between articular eminence inclination, height, and thickness of the roof of the glenoid fossa (RGF) according to age and gender and to assess condyle morphology including incidental findings of osseous characteristics associated with osteoarthritis (OA) of the temporomandibular joint (TMJ) using cone beam computed tomography (CBCT).Materials and Methods. CBCT images of 105 patients were evaluated retrospectively. For articular eminence inclination and height, axial views on which the condylar processes were seen with their widest mediolateral extent being used as a reference view for secondary reconstruction. Condyle morphology was categorized both in the sagittal and coronal plane.Results. The mean values of eminence inclination and height of males were higher than those of females (P<0.05). There were significant differences in the RGF thickness in relation to sagittal condyle morphology. Among the group of OA, the mean value of the RGF thickness for “OA-osteophyte” group was the highest (1.59 mm), whereas the lowest RGF values were seen in the “OA-flattening.”Conclusion. The sagittal osteoarthritic changes may have an effect on RGF thickness by mechanical stimulation and changed stress distribution. Gender has a significant effect on eminence height (Eh) and inclination.


2013 ◽  
Vol 84 (3) ◽  
pp. 459-466 ◽  
Author(s):  
Julia Naoumova ◽  
Heidrun Kjellberg ◽  
Reet Palm

ABSTRACT Objective: To assess the inter- and intraexaminer reliability of a measurement method for evaluation of eruption angles and position of palatal displaced canines (PDCs) with cone-beam computed tomography (CBCT) images and to test the validity of the measured angles on a dry skull. Materials and Methods: Twenty patients (eight boys, 12 girls; age 11.4 ± 1.2 years) were randomly chosen among 67 patients from a study evaluating the interceptive effect of extracting the deciduous canine in children with PDCs. In total, 60 images were analyzed, because each patient had three CBCT examinations (baseline, 6-month control, and endpoint). Two observers assessed the following measurements twice: mesioangular and sagittal angle, vertical position, canine cusp tip, and canine apex to dental arch. The validity of the angular measurements was tested against angular measurements on a dry skull using mathematical formulations. Results: The inter- and intraexaminer mean differences for angular and linear measurements were all low and statistically insignificant (P &gt; .05). The mean differences between the physical and 3D measurements were 0.5 ± 0.39 mm for the sagittal angle and 0.22 ± 0.19 mm for the mesioangular angle. Conclusions: Linear and angular measurements on CBCT images are accurate and precise and can be used to assess the precise position of a PDC.


2018 ◽  
Vol 22 (1) ◽  
pp. 38-42
Author(s):  
Maria Elpida Kalaitzoglou ◽  
Eleni Kantilieraki ◽  
Charalampos Beltes ◽  
Christos Angelopoulos ◽  
Panagiotis Beltes

SummaryBackground/Aim: To analyze the internal morphology of mandibular incisors with two root canals using cone-beam computed tomography (CBCT). Material and Methods: 289 (143 central and 146 lateral) extracted intact mandibular incisors were radiographed for detection of a second root canal. The teeth presenting a second root canal were imaged with CBCT and evaluated regarding: root canal type, the distance of the cementoenamel junction (CEJ) to the bifurcation of the canals and the distance of the canal fusion to the apical foramen (in teeth in which canals rejoined). Results: Out of 143 central and 146 lateral mandibular incisors, 41 (28.7%) and 44 (30.1%) teeth respectively showed a second root canal. Types II, III, V and an additional type to Vertucci’s classification were identified. Type III was the most prevalent and presented in 30 (73.2%) central and 34 (77.3%) lateral mandibular incisors with two root canals. The mean values of the distance of the CEJ to the canal bifurcation were 4.2 mm and 4.0 mm for central and lateral mandibular incisors respectively. The mean values of the distance of the canal fusion to the apical foramen 5.5 mm and 5.1 mm for central and lateral mandibular incisors respectively. Conclusions: Mandibular incisors with two root canals mainly present with Vertucci’s Type 3 canal configuration. The canal bifurcation was identified mostly at the coronal and middle thirds of the root, while the canal fusion occurred in the middle third of the root.


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.


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.


F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 166 ◽  
Author(s):  
Doaa Ahmed Fouad Hamed ◽  
Mostafa Mohamed El Dawlatly ◽  
Sahar Hosny El Dessouky ◽  
Reham Mohamed Hamdy

Background: To assess whether the linear measurements obtained from stitched cone beam computed tomography (CBCT) images were as accurate as the direct skull measurements. Methods: Nine dry human skulls were marked with gutta-percha at reference points to obtain Twenty-two linear measurements on each skull. Ten measurements in the cranio-caudal plane, two measurements in the antero-posterior plane, and ten measurements in the medio-lateral plane. CBCT linear measurements obtained using stitching software were measured and compared with direct skull measurements. Results: The absolute Dahlberg error between direct linear measurements and linear measurements on stitched CBCT images ranged from (0.07 mm to 0.41 mm). The relative Dahlberg error ranged from (0.2% to 1.8%). Moreover, Intra-class Correlation Coefficient (ICC) ranged from (0.97 to 1.0) indicating excellent agreement. Conclusion: Stitched CBCT linear measurements were highly comparable to the direct skull measurements using a digital caliper.


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.


2019 ◽  
Vol 90 (2) ◽  
pp. 224-232
Author(s):  
Jong-Moon Chae ◽  
Jae Hyun Park ◽  
Kiyoshi Tai ◽  
Kyosuke Mizutani ◽  
Satoshi Uzuka ◽  
...  

ABSTRACT Objectives: To evaluate the condyle-fossa relationship in adolescents with various skeletal patterns using cone-beam computed tomography (CBCT). Materials and Methods: CBCT images obtained in 120 adolescent patients were used for this study. The patients were divided into 3 groups according to 3 criteria: (1) age (early, middle, and late adolescence); (2) facial height ratio or Jarabak quotient (hyperdivergent, normodivergent, and hypodivergent); and (3) ANB classification (Class I, Class II, and Class III). Temporomandibular joint space (TMJS: AS, anterior space; SS, superior space; PS, posterior space; MS, medial space; LS, lateral space), width and depth of the condyle (MLT, mediolateral thickness; APT, anteroposterior thickness), articular slope (ArS) and vertical height of the fossa (VHF) were measured and compared using CBCT. Results: Differences in condyle-fossa relationships were not significantly different between male and female adolescents, but were significantly different (P &lt; .05) between left and right sides. The mean values showed no statistical differences according to age and skeletal pattern. Most measurements in the sagittal view showed that SS was the greatest, and the mean ratio of AS to SS to PS was 1.00 to 1.27 to 1.19, respectively. The mean values of coronal MS and LS were not significantly different. Conclusions: There were almost no statistical differences in the TMJS in adolescents across various factors except between left and right sides.


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