Position of the mental foramen on panoramic radiographs and its relation to the horizontal course of the mandibular canal: a computed tomographic analysis.
Clin Oral Implants Res
; 24(8): 890-5, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-22220715
ABSTRACT
AIM:
The purposes of this study were (1) to investigate the bucco-lingual course of the mandibular canal in the bony structure and (2) to figure out the relationship between the position of mental foramen on panoramic radiographs and the horizontal course of the mandibular canal. MATERIALS ANDMETHODS:
A database of panoramic radiography and spiral computed tomography (CT) scans was searched and 100 subjects were selected based on the criteria. Mental foramina were classified into four groups according to its antero-posterior position. Three measurements were made on each slice of coronal CT scans at three different points (1) apex of second premolar; (2) median point of two root apexes of first molar; and (3) median point of two root apexes of second molar. The bucco-lingual ratios were calculated to access the relative bucco-lingual position of the mandibular canal.RESULTS:
The distribution of subjects according to the type of mental foramen was (1) type 3, 67%; (2) type 2, 26%; (3) type 4, 5%; and (4) type 1, 2%. The overall horizontal course of the mandibular canal was relatively constant from the second molar to first molar, whereas much significant directional change was found on the remaining course. Between types 2 and 3, no statistically significant differences were found at the level of the second molar and first molar (P = 0.461 and 0.965, respectively). Only below the second premolar, significant differences were found (P = 0.001).CONCLUSIONS:
Based on the findings of our computed tomographic image analysis, the position of mental foramen on panoramic radiographs was affected by its horizontal course of inferior alveolar nerve. The significant horizontal direction change of the course was found after the canal passing below the mandibular first molar regardless of the antero-posterior position of mental foramen.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Radiografia Panorâmica
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Tomografia Computadorizada Espiral
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Mandíbula
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Oral Implants Res
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article