Morphometrical analysis of the human mandibular canal: a CT investigation

被引:25
作者
de Oliveira Junior, Marcello Rodrigues [1 ,2 ]
Santos Saud, Andre Luis [1 ,3 ]
Fonseca, Debora Rodrigues [1 ,2 ]
De-Ary-Pires, Bernardo [1 ]
Pires-Neto, Mario Ary [1 ]
de Ary-Pires, Ricardo [1 ]
机构
[1] Univ Fed Rio de Janeiro, Inst Ciencias Biomed, CCS, BR-21941590 Rio De Janeiro, Brazil
[2] Getulio Vargas State Hosp, Dept Oral & Maxillofacial Surg, Rio De Janeiro, Brazil
[3] Hosp Ipanema, Dept Oral & Maxillofacial Surg, Rio De Janeiro, Brazil
关键词
Odontology; Dentistry; Mandible; Oral implants; Oral surgery; INFERIOR ALVEOLAR NERVE; COMPUTED-TOMOGRAPHY; PANORAMIC RADIOGRAPHS; EDENTULOUS MANDIBLES; VERTICAL HEIGHTS; 3RD MOLARS; BONE; OSTEOTOMY; MAXILLARY; IMPLANTS;
D O I
10.1007/s00276-010-0708-3
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
This study aimed to clarify the correct localization of the mandibular canal (MC) that is essential in order to avoid injuries to the inferior alveolar neurovascular bundle during oral surgical procedures. We have analyzed the position of the MC using computed tomography data bank examinations of the oral region from 50 partially dentulous Brazilian patients aging from 25 to 75 years old (mean +/- A SD values = 51.70 +/- A 4.50; females = 27; males = 23) that were obtained with the purpose of dental restoration and without any gross pathology of the mandible. Axial images were 1-mm-thick slices using bone regular algorithm, without intravenous contrast. We have measured (mean +/- A SD) the orthogonal distances between the MC and the following selected regions of the mandible: (a) the buccal cortical plate (6.10 +/- A 1.52 mm); (b) the inferior border of the mandible (10.55 +/- A 2.28 mm); (c) the lingual cortical plate (3.98 +/- A 1.14 mm); and (d) the superior border of the alveolar process (16.98 +/- A 2.85 mm). Our morphometric findings may help clarifying the detailed anatomy of the MC and its topographical relations for the planning of dental implantation.
引用
收藏
页码:345 / 352
页数:8
相关论文
共 29 条
[1]   Bone density in human dentate and edentulous mandibles using computed tomography [J].
Bassi, F ;
Procchio, M ;
Fava, C ;
Schierano, G ;
Preti, G .
CLINICAL ORAL IMPLANTS RESEARCH, 1999, 10 (05) :356-361
[2]   Dental implants and microvascular free fibula flap: 23 patients [J].
Bodard, A. -G. ;
Bemer, J. ;
Gourmet, R. ;
Lucas, R. ;
Coroller, J. ;
Salino, S. ;
Breton, P. .
REVUE DE STOMATOLOGIE DE CHIRURGIE MAXILLO-FACIALE ET DE CHIRURGIE ORALE, 2008, 109 (06) :363-366
[3]   Current concepts in maxillofacial imaging [J].
Boeddinghaus, Rudolf ;
Whyte, Andy .
EUROPEAN JOURNAL OF RADIOLOGY, 2008, 66 (03) :396-418
[4]  
DAL PONT G, 1961, J Oral Surg Anesth Hosp Dent Serv, V19, P42
[5]   Mandibular morphological changes in low bone mass edentulous females: evaluation of panoramic radiographs [J].
Dutra, Vinicius ;
Devlin, Hugh ;
Susin, Cristiano ;
Yang, Jie ;
Horner, Keith ;
Correa Fernandes, Artur Rocha .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2006, 102 (05) :663-668
[6]  
Felice P, 2009, EUR J ORAL IMPLANTOL, V2, P7
[7]   The use of 3-dimensional reconstructions to evaluate the anatomic relationship of the mandibular canal and impacted mandibular third molars [J].
Friedland, Bernard ;
Donoff, Bruce ;
Dodson, Thomas B. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2008, 66 (08) :1678-1685
[8]   The evaluation of vertical heights of maxillary and mandibular bones and the location of anatomic landmarks in panoramic radiographs of edentulous patients for implant dentistry [J].
Güler, AU ;
Sumer, M ;
Sumer, P ;
Biçer, I .
JOURNAL OF ORAL REHABILITATION, 2005, 32 (10) :741-746
[9]  
Hanazawa T, 2004, CLIN ORAL IMPLAN RES, V15, P226
[10]   Vulnerability of the inferior alveolar nerve and mental nerve during genioplasty: An anatomic study [J].
Hwang, K ;
Lee, WJ ;
Song, YB ;
Chung, IH .
JOURNAL OF CRANIOFACIAL SURGERY, 2005, 16 (01) :10-14