Evaluation of the relationship between appearances of the lingual foramen on panoramic radiography and cone-beam computed tomography.

AIM: The aim of this retrospective study is to determine the level of visibility of the lingual foramen in panoramic radiography using cone-beam computed tomography (CBCT) as a reference tool. METHOD: A total of 200 patients (111 females and 89 males) were included in the study. Cross-sectional CBCT images of the mandible in the midline were used to locate and define the orifice and diameter of each lingual canal that was detected. The appearance of the lingual foramen in the anterior mandible in panoramic radiography was assessed using a five-point ordinal scale. Descriptive statistics including tables and graphs were used. The correlation between CBCT and panoramic radiography findings were analyzed using Chi-square tests. RESULTS: The lingual foramen was found to be located most frequently in the mandibular midline, above the genial tubercle (78.5%). A narrow-diameter type was found to occur most frequently (56.5%). A prominent genial tubercle was the most commonly found type (57.5%). The lingual foramen could be definitively identified in panoramic radiographs in only 8 cases (4%), while a high degree of probability was found in 25 cases (12.5%). The lingual foramen appears wider and therefore more distinctive in panoramic radiographs when the angulation of the lingual canal is less than 20° to the ground plane. CONCLUSIONS: Radiological evaluation with panoramic radiographs alone may lead to inadequate assessments prior to surgical procedures involving the anterior mandible. Clinicians may consider using three-dimensional imaging for procedures with a risk of hemorrhagic and neurosensory complications such as dental implant placement in the anterior mandible.

Cone beam computed tomography evaluation of variations in the sella turcica in a Turkish population.

BACKGROUND: The aim of the study was to analyse the variations of the sella turcica and their relationship to age and gender. MATERIALS AND METHODS: The cone beam computed tomography (CBCT) images of the patients who referred to Gaziantep University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology were analysed by two examiners and 200 CBCT images were evaluated retrospectively. Sella turcica shapes of individuals were described according to Axelsson's classification as either normal or with aberrations including: oblique anterior wall, double contour of the floor, sella turcica bridging, irregularity in the posterior part of the dorsum sella, and pyramidal shape of the dorsum sella. RESULTS: Normal sella turcica was the most common type seen in 100 (49.8%) individuals. The secondary common type was double contour of the floor of sella turcica seen in 46 (22.9%) patients. Thirty-two (15.9%) patients had oblique anterior wall. Seventeen (8.5%) individuals had pyramidal shape of the dorsum sella, 3% irregularity in the posterior part of the sella turcica. None of the patients had sella turcica bridging. Irregularity in the posterior part of the sella turcica and pyramidal shape of the dorsum sella were reported significantly more frequent in female than male. CONCLUSIONS: Sella turcica varies in shape and morphology regardless of age. Normal sella turcica was the most frequent type in the study group. Irregularity in the posterior part of the sella turcica and pyramidal shape of the dorsum sella were reported more frequent in female than male.

Study of kissing molars in Turkish population sample.

BACKGROUND: "Kissing" or "rosetting" of molars are extremely rare phenomenon with limited cases in the dental literature. It was first described in 1973, refers to contacting occlusal surfaces of the impacted mandibular second and third molars. The aim of the present study was to report the incidence of kissing molars (KMs), classification, incorporated pathologies, and its management in a group of Turkish population. MATERIALS AND METHODS: The panoramic radiographs of the patients who referred to Gaziantep University Faculty of Dentistry between January 2012 and November 2014 for surgical treatment retrospectively were evaluated. The cases of KM were determined and evaluated with respect to its type, combined pathology, and treatment. RESULTS: Of the 6570 radiographs included in the study, 4 were seen to present as KM illustrating 0.060% of the sample. Three cases were Class II (0.045%), and only one case was encountered as Class III (0.015%). The mean age at the time that the KM teeth were identified was 34 years with a range from 29 to 40 years. Three of the patients were male, one of the patients was female, and all cases were seen unilaterally. One of the KMs was associated with dentigerous cyst formation. CONCLUSION: KM is a very rare clinical condition and few treatment options described. Early detection is essential to preclude complications and to provide more successful treatment. In this study, we evaluated the cases of KM and review of the literature also presented.

Multiple tooth anomalies in a nonsyndromic patient with class II division 2 malocclusions: A case report and a literature review.

Reports in the literature about the craniofacial characteristics of patients with class II division 2 malocclusions show a lot of different patterns accompanied by palatally displaced upper incisors, congenital missing teeth, polydiastema, fusion, germination, tooth impaction, peg-shaped lateral incisors, persistent teeth, hypodontia, persistent deciduous teeth, transpositions, and supernumerary teeth. The following case report focuses on the description of the clinical characteristics observed on a patient with a very unusual conjunction of dental and skeletal anomalies mentioned above, as well as a literature review on the related issues. Extra-intra-oral examinations, radiographic evaluations, orthodontic consultation, and reviewing the literature concluded that this nonsyndromic patient that refused to receive all dental treatment approaches is special with its uniqueness.