scholarly journals Root Resorption of Adjacent Teeth Associated with Maxillary Canine Impaction in the Saudi Arabian Population: A Cross-Sectional Cone-Beam Computed Tomography Study

2021 ◽  
Vol 12 (1) ◽  
pp. 334
Author(s):  
Ahmed Mohammed Alassiry ◽  
Zaki Hakami

This study aimed to identify the location of root resorption in relation to an impacted maxillary canine and grade its severity using cone-beam computed tomography (CBCT) in the Saudi Arabian population. Materials and Methods: CBCT scans of 169 patients with maxillary canine impaction were evaluated. The location and the severity of root resorption of the affected tooth in relation to the impacted maxillary canine were recorded for each patient. Results: a total 204 impacted maxillary canines caused root resorption in 218 adjacent teeth. Maximum root resorption was present in 63.3% of the apical one-third of the root and 37.6% of the palatal surfaces. There was mild root resorption in 55%, moderate in 10% and severe in 35%. There was no statistically significant difference between the gender, age, type of impaction, side of impaction, and the number, location, or degree of root resorption. Multiple logistic regression models showed significant association (p = 0.024) between gender, type of impaction, and root resorption. A significant correlation was found between the level and the surface of the root resorption (p = 0.018). Conclusion: In the Saudi population, apical one-third root levels and palatal surfaces were primarily involved in root resorption caused by impacted canines. The females with bilateral canine impaction were more likely affected by root resorption.

Author(s):  
Shaili Pradhan ◽  
Rejina Shrestha ◽  
Ranjita Shrestha Gorkhali ◽  
Pramod Kumar Koirala

Introduction: The maxillary anterior region is becoming a major concern due to its aesthetic relevance. The buccal bone thickness is important for implant placement, orthodontic treatment and restorative treatment. Objective: To assess the thickness of alveolar bone in the maxillary central incisor using cone beam computed tomography (CBCT). Methods: A cross-sectional observational study was conducted at Department of Dental Surgery, Bir Hospital where CBCT of 53 samples from July 2019 till December 2019, the archived CBCT images was assessed retrospectively. The thickness of the labial bone in a direction perpendicular to the outer surface of the tooth root was measured at a distance of 2 mm from the cementoenamel junction (CEJ). The measurement was taken thrice and the mean measurement was considered. Results: The labial alveolar bone thickness in maxillary central incisor was found to be 0.55±0.27 mm at a distance of 2 mm from the CEJ. Only 2 (3.8%) of the samples had an alveolar thickness of >1 mm. No statistically significant difference was found with respect to gender and age. Conclusion: The average thickness of the labial alveolar bone in maxillary central incisor using cone beam computed tomography was found to be thin. 


2021 ◽  
Vol 11 (1) ◽  
pp. 22-26
Author(s):  
Hiwa S. Khidir ◽  
Saud J. Dizayee ◽  
Sangar H. Ali

Introduction: The purpose of this study was to find out the prevalence of C-shaped canals configurations in mandibular 2nd molar and to investigate the gender prevalence. Materials and Methods: A sample of 1200 patients’ cone beam computed tomography (CBCT) scans were screened and evaluated by a maxillofacial radiologist assessed the axial, sagittal, and coronal sections. Inclusion criteria applied to 801 patients (452 females and 349 male) aged 14–75 years were included in this study with total of 1567 mandibular 2nd molar was evaluated. Inclusion criteria: Available CBCT images of mandibular posterior teeth with at least one mandibular 2nd molar in the scan, absence of root canal treatment, absence of coronal or post coronal restorations, absence of root resorption or periapical lesions, and high-quality images. Canal configuration was classified by criteria’s which described by Fan et al. (2004): (i) Fused roots, (ii) a longitudinal groove on the buccal or lingual surface of the root, and (iii) at least one cross-section of the canal belongs to the C1, C2, or C3 configuration. Results: Considering 801 patients, 97 (12.1%) patients females 57 (7.1%) and 40 (5%) males had a C-shaped canal with no statistical difference between females and males (P > 0.05). Conclusion: The occurrence of C- shaped canal mandibular 2nd molar is approximately 12.1% and no significant difference was found by gender.


2019 ◽  
Vol 10 (1) ◽  
pp. 22-25
Author(s):  
Moiza Ijaz ◽  
Saira Ibrahim ◽  
Ayesha Aslam ◽  
Abdul Rehman ◽  
Sameena Younis ◽  
...  

Objective: To evaluate the type and depth of lingual concavity in posterior mandible using pre-treatment CBCT (Cone Beam Computed Tomography) images for dental implants. Study Design and Setting: A cross-sectional study was designed and conducted on pre-treatment CBCT scans of 75 patients at Armed Forces Institute of Dentistry, Rawalpindi, Pakistan from February 2018 to November 2018. Methodology: Pre-treatment CBCT scans of 75 patients were selected and following parameters were measured: type of ridge (undercut, parallel, convex), ridge width, ridge height, depth of lingual concavity, concavity angle, and location of the undercut. Data was analyzed using SPSS version .24. Post-stratification Mann-Whitney U test was used for effect modifiers, while Kruskal-Wallis test was used to compare study parameters between groups. P value <0.05 was taken as significant. Results: A mean concavity depth of 1.17±1.40 mm was observed while majority (46.7%) of the CBCT images presented with undercut type ridge. No significant difference was observed between males and females for any study parameter. Conclusion: Undercut ridges were frequently observed, posing a threat of lingual perforation during implant placement. Pre-operative assessment of implant site using CBCT can serve as a reliable method to avoid such complications


2018 ◽  
Vol 7 (3) ◽  
pp. 94-97 ◽  
Author(s):  
Santosh R. Patil ◽  
◽  
Kazuyuki Araki ◽  
Nidhi Yadav ◽  
Huwaina Abd Ghani ◽  
...  

2021 ◽  
Vol 25 (3) ◽  
pp. 170-177
Author(s):  
Taha Emre Köse ◽  
Onur Dinçer Köse ◽  
Gülay Altan Şallı

Summary Background/Aim: The purpose of this study was to assess the anterior buccal mandibular depressions (ABMD) prevalence and clinical characteristics at cone beam computed tomography images (CBCT). Material and Methods: 198 CBCT images with minimal depression between the mandibular molars were evaluated retrospectively. Presence and location of ABMD, its maximum depth, maximum width, cortical width, if any, alveolar crest width at maximum depth, the distance between maximum depth and alveolar crest apex and existing teeth in the relevant region were examined in cross-sectional views. Panoramic radiography of ABMD patients was evaluated for trabecular pattern and radiopacity to determine the area of interest. The possible lingual depression area on the maximum depth of ABMD slice was investigated and the same measurements for ABMD was performed. The presence of aperture / foramen in the ABMD area was also investigated. Results: The prevalence of ABMD was found as 43.43% where 82 cases were at bilateral side and 4 cases were only at left side. Lingual depression was observed in 20.7% right side and 30.2% left side of the ABMD cases. There was no statistically significant difference for maximum depth between different age groups. Most frequent location was observed in lateral and canine region (27.4%) followed by lateral-first premolar area (25.6%). Least frequent location was at canine-second premolar area (1.2%). Conclusions: ABMD is a lesser known area with a high prevalence observed on CBCT images. The detectability of the area on panoramic radiographs is limited. Clinicians should take into consideration ABMDs’ characteristics to avoid confusion with periapical pathologies. Failure to detect these areas before implant surgeries may cause complications. For this reason, it is important to be examined in detail for ABMD before surgery.


Author(s):  
Nasser Raqe Alqhtani ◽  
Ali Robaian Alqahtani ◽  
Abdulaziz Maree Alqahtani ◽  
Faisal Nahar Alazemi ◽  
Abdulelah Mohammed Shukr ◽  
...  

Background: Dental implants are considered the first option to replace missing teeth. Alveolar bone resorption gradually progresses following tooth extraction leading to loss of vertical bone dimension for implant placement. The lateral window approach is the most commonly used procedure to treat vertical bone loss. Objectives: The aim of the present study is to evaluate the lateral wall thickness (LWT) of the maxillary sinus and determine the influence of gender and side on maxillary LWT. Methods: This study involved a cross sectional retrospective study. Cone- beam computed tomography data were collected from 99 patients with a total of 198 maxillary sinuses that met the inclusion criteria. The patient age ranged from 18 to 35 years. On the selected sagittal section, the points of measurement are determined by a perpendicular line at 5 mm from the lowest point of the sinus floor. Measurements were done at four different areas; first premolar (P1), second premolar (P2), first molar (M1), and second molar (M2). Descriptive statistics were used to calculate mean lateral wall thickness for each tooth, and student’s t-test was used to test the effect of gender and side on maxillary LWT. Results: The greatest mean LWT was observed around the left first maxillary molar (2.43±0.82), while the lowest mean LWT was observed around the right second maxillary premolar (1.62±0.61). There was no significant difference in the LWT around any tooth (M1 p=0.56, M2 p=0.92, P1 p=0.14, P2 p=0.19). Conclusion: There was no significant difference in both males and females of the lateral wall thickness in the left and right side of maxillary sinus.


2018 ◽  
Vol 88 (4) ◽  
pp. 384-389 ◽  
Author(s):  
Cuc Thi Thu Ngo ◽  
Leonard S. Fishman ◽  
P. Emile Rossouw ◽  
Hongyue Wang ◽  
Omar Said

ABSTRACT Objective: To determine the usefulness of panoramic radiographs in determining the labio-palatal position of maxillary impacted canines (MICs) and root resorption of permanent incisors on cone-beam computed tomography (CBCT) in correlation with the mesiodistal position of MICs on panoramic radiographs. Materials and Methods: This retrospective radiographic study reviewed 64 patients with 86 MICs. Subjects were divided into two groups: group I (&lt;15 years old) and group II (&gt;15 years old). The mesiodistal position of the MICs' cusp tips was classified into five sectors on panoramic radiographs. The labio-palatal position of the MICs and root resorption of permanent incisors were evaluated on CBCT. The statistical correlation between panoramic radiograph and CBCT results was examined using the chi-square test and the Fisher exact test. Results: Most of the positions of MICs were palatal (67%), followed by labial (28%) and mid-alveolus (5%; P &lt; .05). Labial positioned MICs on CBCT were more frequent in panoramic sector 1, mid-alveolus MICs were more common in sector 2, and palatally positioned MICs were more frequent in sectors 3, 4, and 5. The association between sectors of the MICs on panoramic images and the labio-palatal position of the MICs on CBCT was statistically significant (P &lt; .001). Root resorption of adjacent incisors showed a significant difference according to sector location (P &lt; .01) and was mainly found in sectors 4 and 5. Conclusions: This study showed that the labio-palatal position of MICs and resorption of permanent incisors might be predicted using sector location on panoramic radiographs.


2016 ◽  
Vol 7 (4) ◽  
pp. 179-181 ◽  
Author(s):  
Almas Binnal ◽  
E Ceena Denny ◽  
Ritika Jindal

ABSTRACT Background Lingual foramen is usually located in the midline, leveled with or superior to the genial tubercles. The success of implant placements is dependent on the radiological examination, which helps the clinician to determine the parameters of implant placement by revealing the structures like the course of the nerves, location of foramens, height and shape of alveolar bone, etc. The present study was done to assess the appearance, visibility, location, and types of lingual foramen in the mandibular region. Materials and methods A cross-sectional retrospective study was conducted using cone beam computed tomography (CBCT) images of 116 patients who attended the department for various imaging purposes. The examinations were carried out using the Promax three-dimensional (3D) CBCT unit. The cross-sectional images were examined to detect the presence, number, and position of the lingual foramen. Chi-square and Fisher's exact tests were used for comparison of categorical data. Results We observed lingual foramen in 116 patients and their number ranged from 1 to 3. When comparing the position, it was observed that lingual foramen was located at approximately two-thirds (60th percentile from the alveolar crest) distance from the alveolar crest to lower border of the mandible and there was no significant difference in various age groups or between both genders. Conclusion Lingual foramen transmits neurovascular bundles to surrounding structures, hence any damage to the lingual foramen during surgical procedures can result in hemorrhage and/or neurosensory disturbances. It is therefore mandatory for a dentist to be aware of the structures present in the anterior mandible when considering any surgical procedures or implant planning. Hence, CBCT plays a pivotal role during implant planning and surgical procedures in dentistry. How to cite this article Denny CE, Natarajan S, Ahmed J, Binnal A, Jindal R. Anatomic Variation in Lingual Foramen: A Cone beam Computed Tomography Study. World J Dent 2016;7(4):179-181.


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