scholarly journals Prevalence and Anatomic Characteristics of Accessory Mental Foramen Using Cone-Beam Computed Tomography Views in an Iranian Population

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.

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.


Urolithiasis ◽  
2021 ◽  
Author(s):  
R. A. Kingma ◽  
M. J. H. Voskamp ◽  
B. H. J. Doornweerd ◽  
I. J. de Jong ◽  
S. Roemeling

AbstractCone beam computed tomography (CBCT) provides multiplanar cross-sectional imaging and three-dimensional reconstructions and can be used intraoperatively in a hybrid operating room. In this study, we investigated the feasibility of using a CBCT-scanner for detecting residual stones during percutaneous nephrolithotomy (PCNL). Intraoperative CBCT-scans were made during PCNL procedures from November 2018 until March 2019 in a university hospital. At the point where the urologist would have otherwise ended the procedure, a CBCT-scan was made to image any residual fragments that could not be detected by either nephroscopy or conventional C-arm fluoroscopy. Residual fragments that were visualized on the CBCT-scan were attempted to be extracted additionally. To evaluate the effect of this additional extraction, each CBCT-scan was compared with a regular follow-up CT-scan that was made 4 weeks postoperatively. A total of 19 procedures were analyzed in this study. The mean duration of performing the CBCT-scan, including preparation and interpretation, was 8 min. Additional stone extraction, if applicable, had a mean duration of 11 min. The mean effective dose per CBCT-scan was 7.25 mSv. Additional extraction of residual fragments as imaged on the CBCT-scan occurred in nine procedures (47%). Of the follow-up CT-scans, 63% showed a stone-free status as compared to 47% of the intraoperative CBCT-scans. We conclude that the use of CBCT for the detection of residual stones in PCNL is meaningful, safe, and feasible.


2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Andre Luiz Ferreira Costa ◽  
Aline Kataki Paixão ◽  
Bianca Costa Gonçalves ◽  
Celso Massahiro Ogawa ◽  
Thiago Martinelli ◽  
...  

This study aimed to investigate the olfactory fossa according to the Keros classification using cone beam computed tomography. This cross-sectional study analysed cone beam computed tomography images selected from a database belonging to a radiology centre. The scans of 174 healthy patients were analysed by using the Xoran software. Gender, age, and side were correlated with the Keros classification. The mean age of the 174 patients was 45.3 years. The most prevalent Keros classification was type II (65.52%), followed by type III (20.69%) and type I (13.79%). No significant differences were found between Keros classification and the variables age, right side (pvalue = 0.4620), and left side (pvalue = 0.5709). There were also no significant differences between gender and the variables right side (pvalue = 0.1421) and left side (pvalue = 0.2136). Based on these results, we suggest that cone beam computed tomography can be recommended for analysis of the anterior skull base. Keros type II was the most prevalent type in our sample.


Author(s):  
Munetaka Naitoh ◽  
Yuichiro Hiraiwa ◽  
Hidetoshi Aimiya ◽  
Kenichi Gotoh ◽  
Eiichiro Ariji

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.


2020 ◽  
Vol 69 (2) ◽  
pp. 91
Author(s):  
MilosZ Zivic ◽  
MiroslavR Vasovic ◽  
AleksandarB Acovic ◽  
AnaZ Lukovic ◽  
IvanaK Zivanovic-Macuzic ◽  
...  

2020 ◽  
Author(s):  
Amin Golshah ◽  
Navid Rezae ◽  
Sara Heshmati

Abstract Background: This study aimed to assess the buccolingual inclination of canine and first and second molar teeth and the curve of Wilson in different sagittal skeletal patterns in untreated adults using cone-beam computed tomography (CBCT). Methods: Sixty-six CBCT scans of adults (mean age: 28.74±5.25 years) were evaluated in this cross-sectional study. The images were standardized using the Frankfurt horizontal plane and the interorbital line. The sagittal skeletal pattern was determined using the ANB angle and Wits appraisal. Inclination angles were measured by NNT Viewer and Mimics software. The curve of Wilson was measured by connecting the tips of mesiobuccal and mesiolingual cusps of maxillary first and second molars along the buccal groove and measuring the formed angle. Data were analyzed using ANOVA. Results: The intraobserver agreement was 0.969. The mean inclination of maxillary first and second molars in class I and III patients was significantly higher than that in class II patients (P<0.05). The mean inclination of mandibular first and second molars in class II patients was significantly higher than that in class I and III patients (P<0.05). The difference in inclination of maxillary and mandibular canine teeth was not significant (P>0.05). The mean curve of Wilson in second molars of class II patients was significantly higher than that in class I patients (P<0.05). Conclusion: In different sagittal skeletal patterns, a compensatory relationship exists between the opposing teeth, which along with the standards of crowns, can be used to determine the appropriate position of teeth in dental arch.


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.


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