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Teixeira LCL, da Silva BG, Couto MK, Tolentino EDS, da Silva MC. Bifurcation of the mandibular canal according to sex, age, and facial skeletal pattern: a morphological and morphometric study of cone beam computed tomography. Surg Radiol Anat 2024; 46:1073-1080. [PMID: 38832953 DOI: 10.1007/s00276-024-03394-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 05/21/2024] [Indexed: 06/06/2024]
Abstract
PURPOSE To assess the presence of mandibular canal bifurcation (BMC) and classify these variations by correlating findings with sex, age and facial skeletal pattern, measurements were made, including height, width, and distance from bifurcation to anatomical cortical bones. METHODS BMC was identified in cone beam CT exams of 301 patients and classified according to its origin, location, direction, configuration and ending. The height and width of the MC before and after the bifurcation; height and width of the BMC; and distance from BMC to alveolar (C1), buccal (C2), lingual (C3) and basal (C4) bone cortices were measured. All data were correlated with sex, age, and facial skeletal pattern (class I, II, III). The significance level was 5%. RESULTS 67 BMC (22.26%) were identified in 55 patients (18.28%). Bifurcations were more prevalent in females (p = 0.57), aged 18-39 years (p = 0.40), class I (p = 0.77). Single bifurcations, located in the posterior region of the mandible, originating in the MC, with a superior direction and ending in the retromolar foramen were more prevalent (p > 0.05). Mean cortical measurements were higher in male individuals, with significant differences only at C1 (p = 0.03). The mean height and width of BMC were 2.24 (± 0.62) and 1.75 (± 0.45) mm. There was no association between BMC classification and the variables studied (p > 0.05). CONCLUSION Approximately 1/5 of the population studied had BMC. There were no associations of BMC presence or characteristics with sex, age, and facial skeletal pattern. The distance from bifurcation to alveolar (superior) cortical bone is greater in male individuals.
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Affiliation(s)
| | - Breno Gabriel da Silva
- Department of Exact Sciences, "Luiz de Queiroz" College of Agriculture, University of São Paulo (ESALQ/USP), Avenida Pádua Dias, 11 - Agronomia, São Paulo, Piracicaba, 13418-900, Brazil
| | - Matheus Kawana Couto
- Department of Dentistry, State University of Maringá, Avenida Mandacaru, Maringá, Paraná, 1550, 87080-000, Brazil.
| | - Elen de Souza Tolentino
- Department of Dentistry, State University of Maringá, Avenida Mandacaru, Maringá, Paraná, 1550, 87080-000, Brazil
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An evaluation of mandibular canal variations: a systematic review and meta-analysis. Anat Sci Int 2023; 98:176-184. [PMID: 36038792 DOI: 10.1007/s12565-022-00682-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 08/22/2022] [Indexed: 02/07/2023]
Abstract
The inferior alveolar nerve and vessels are carried via the mandibular canal, which extends bilaterally from the inferior alveolar foramen to the mental foramen. Bifid and trifid mandibular canals result from abnormal fusions of nerve canals. The purpose of this study was to provide an up-to-date and comprehensive analysis of the prevalence of mandibular canal variations among healthy adults, and to identify any potential ethnic, sex, or laterality predilections. The prevalence of the bifid mandibular canal was 18.87% and that of the trifid canal 1.3%. Unilateral variants were three times commoner than bilateral. Each mandibular half had four canals emanating from separate openings on the lingual surface of the mandibular ramus. Retromolar and forward canals were the predominant subtypes, followed by dental; buccolingual were the least frequent. The mean length and diameter of the bifid mandibular canal were 13.62 mm and 1.63 mm, respectively. The possibility of a bifid mandibular canal is a crucial consideration in dental medicine. Because anatomical variations of the mandibular canal are fairly common, awareness of them is essential for anatomy teachers and for surgeons who operate in the oromaxillofacial region.
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Bifid Mandibular Canal: A Proportional Meta-Analysis of Computed Tomography Studies. Int J Dent 2023; 2023:9939076. [PMID: 36923560 PMCID: PMC10010879 DOI: 10.1155/2023/9939076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 01/20/2023] [Accepted: 02/08/2023] [Indexed: 03/08/2023] Open
Abstract
Introduction Growing body of evidences showed different grades in prevalence of bifid mandibular canals. Because the previous reviews focused solely on patient-level occurrence, hemi-mandible-level prevalence, bilateral symmetry, length, and diameter of bifid mandibular canals were required to be estimated collectively. The research question of this meta-analysis was "What is the prevalence of bifid mandibular canal among patients seeking computed tomography examinations"? Materials and Methods In vivo, computed tomography, and cross-sectional studies were eligible. Studies, with less than 100 subjects or anatomic site restriction or controlled class of bifid mandibular canal, were excluded. Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies was used to assess methodological quality of all included studies. Random effect meta-analyses for proportion of bifid mandibular canal were done. Results 40 studies met the inclusion criteria. All studies were selected for both systematic review and meta-analyses. Totally, 17714 patients and 31973 hemi-mandibles were included. All eligible studies showed moderate risk of bias on average. Resulting from the random effect model, more than 20% of patients seeking computed tomographic examinations had bifid mandibular canals (BMCs) which penetrated into slightly more than 14% of hemi-mandibles. Of the patients having bifid mandibular canals (BMCs), nearly 23% exhibited such anatomy on both sides of their mandibles. Estimated mean length and diameter of the accessory canals of bifid mandibular canals were 12.17 mm and 1.54 mm, respectively. Conclusion The geographical locations, classifications, reliability test, and voxel size of computed tomography were all implicated in the prevalence of bifid mandibular canals along with gender and laterality, although considerable heterogeneity and bias were detected.
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Kumar P, Dammani B, Mahajani MJ, Vadvadgi VH, Jawade R, Patil MV. A Two-Year Follow-Up Assessment of Decreasing Crestal Bone Levels Around Dental Implants in Patients Rehabilitated With Mandibular Implant Overdentures. Cureus 2022; 14:e29044. [PMID: 36237773 PMCID: PMC9553015 DOI: 10.7759/cureus.29044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 09/10/2022] [Indexed: 11/18/2022] Open
Abstract
Aim: This two-year follow-up study was aimed to evaluate declining crestal bone levels around dental implants in patients rehabilitated with mandibular implant-supported overdentures. A three-dimensional advanced radiographic tool, cone beam computed tomography (CBCT), was utilized as radiographic aid in this study. Materials & Methods: A total of 15 patients wearing mandibular implants supported overdentures were studied for two years. Randomization and strict inclusion/exclusion criteria were followed during study execution. Complete dentures were fabricated with standard methods, which were later anchored by a bilateral implant in the mandibular jaw. Bone loss at all four surfaces in all studied implants was estimated by the cone beam computed tomography (CBCT) technique. These assessments were done at postoperative follow-up periods of six, 12, 18, and 24 months. Duly signed and informed consent was obtained from all participating patients. Statistical Analysis and Results: The statistical analysis was completed by the software IBM Corp. Released 2013. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp. All relevant data was entered into it to be analyzed with suitable statistical tests. Out of all 15 studied patients, 11 were male, and four were female. P-value was very significant for the age range 35-40 years (0.01). In all instances, the lingual surface showed minimum, while the distal surface showed maximum bone loss when seen at all postoperative phases. Grossly, the mean bone loss ranged between 0.14-0.45. P-value was highly significant for the measurements made at the lingual and distal sides of implants (for both B and D positions). A comparison of both study groups by one-way ANOVA confirmed a highly significant p-value for estimations done between the groups (0.001). Conclusion: Within the limitations of the study, the authors confirmed that crestal bone levels showed a clear decreasing pattern in the postoperative phases. Since these deleterious processes can compromise long-term prosthesis success, operators should consider all these facts while planning to implant an overdenture prosthesis in the lower jaw.
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Soman C, Wahass T, Alahmari H, Alamri N, Albiebi A, Alhabashy M, Talha A, Alqhtani N. Prevalence and Characterization of bifid mandibular Canal Using Cone Beam Computed Tomography: A Retrospective Cross-Sectional Study in Saudi Arabia. Clin Cosmet Investig Dent 2022; 14:297-306. [PMID: 36204472 PMCID: PMC9531612 DOI: 10.2147/ccide.s386098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Accepted: 09/20/2022] [Indexed: 12/01/2022] Open
Abstract
Aim The purpose of this study is to determine the prevalence and morphological characteristics of the bifid mandibular canal in a Saudi Arabian subpopulation, to aid in preventing surgical complications near the mandibular canal. Patients and Methods Using CBCT images obtained from the Radiology unit database in a University Hospital Clinics. A total of 488 CBCT images were investigated (244 Female – 178 Male). In the present study, the Naitoh classification was used to categorize the bifid mandibular canal into the following types: 1) Retromolar canal; 2) Dental canal; 3) Forward canal (with or without confluence); and 4) Buccolingual canal. Additional variation (Trifid canal) was included. All CBCTs were assessed in coronal, sagittal, axial, as well as panoramic views using specialized software. Results The prevalence of BMC was 28.7% (95% CI, 24.5 to 33.2), Gender (p = 0.404) and age (p = 0.654) had no statistical significances, laterality of BMC, patients with unilateral BMC were significantly older than those with bilateral BMC (mean ± SD ages of 40.5 ± 13.5 and 32.9 ± 13.8, respectively, p = 0.009). About two-thirds (67.5%) of the investigated BMC cases were found unilateral. The most common reported type of BMC was retromolar canal. Conclusion The incidence of bifid mandibular canal using CBCT is considered relatively high in Saudi Arabian subpopulation, with the most common type was the retro-molar canal.
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Affiliation(s)
- Cristalle Soman
- Department of Oral and Maxillofacial Surgery and Diagnostic Science, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Tariq Wahass
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
- Correspondence: Tariq Wahass, College of Dentistry, Riyadh Elm University, 4078, Alshabareqah St, Ishbiliyah District, Riyadh, Saudi Arabia, Tel +966 0112402529, Email
| | - Hatem Alahmari
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Nader Alamri
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Assaf Albiebi
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | | | | | - Nasser Alqhtani
- Department of Oral and Maxillofacial Surgery and Diagnostic Science, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia
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Asar NV, Çimen T, Duruel O, Goyushov S, Karabulut E, Tözüm TF. Inferior alveolar nerve topography and its bifurcation features: a cone beam computed tomography evaluation. Minerva Dent Oral Sci 2022; 71:149-154. [PMID: 35758828 DOI: 10.23736/s2724-6329.21.04644-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Mandibular canal (MC) is the most important vital structure in mandible to prevent from complications such as bleeding and paresthesia. The aims of the present study were to inform the features (diameter, distances to the mandibular borders, and distance to tooth apex) of the MC for each posterior tooth region, and to present the bifurcation features of the MC. METHODS Four-hundreds-eighteen MC images of 209 patients were evaluated. The parameters were recorded from right and left hemi-mandibles for each posterior teeth region: 1) MC diameter; 2) MC and mandibular basis distance; 3) MC and crest distance; 4) MC and tooth apex distance; 5) MC and buccal plate distance; 6) MC and lingual plate distance; and 7) possible implant length (the distance between 2 mm coronal of the MC and 1 mm apical of the crest). Additionally, MC bifurcation type and bifid mandibular canal length were noted for right and left sides. RESULTS While higher MC diameter values were recorded at molars, MC diameter in first premolars bilaterally were the lowest. In premolars, MC and mandibular basis distance showed higher values than molars. There was a trend of decrease in MC and crest distance from molars to premolars. The highest MC and tooth apex distance was measured in second molar; however, the lowest was in the first premolar. Additionally, MC and buccal plate distances were higher in molars, while MC and lingual plate distances were higher in premolars. Possible implant length in first premolar was the lowest, when it was the highest in second molars. CONCLUSIONS For simulating overall MC topography, it extended bucco-coronally from molars to premolars. Due to this topography, possible implant length increased from premolars to molars.
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Affiliation(s)
- Neset V Asar
- College of Dentistry, Department of Periodontics, University of Illinois at Chicago, Chicago, IL, USA
- Department of Prosthetic Dentistry, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Tansu Çimen
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Alanya Alaaddin Keykubat University, Antalya, Turkey
| | - Onurcem Duruel
- Private Practitioner Limited in Periodontology and Implantology, Ankara, Turkey
| | - Samir Goyushov
- Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey
| | - Erdem Karabulut
- Department of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Tolga F Tözüm
- College of Dentistry, Department of Periodontics, University of Illinois at Chicago, Chicago, IL, USA -
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GÜNEŞ N, GÜLER R, DEMİRCAN AĞIN H, DÜNDAR S, ERATİLLA V. A retrospective evaluation of bifid mandibular canal prevalence of Southeastern Anatolia population by cone-beam computed tomography. CUMHURIYET DENTAL JOURNAL 2022. [DOI: 10.7126/cumudj.1032866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Prevalence of bifid and trifid mandibular canals with unusual patterns of nerve branching using cone beam computed tomography. Odontology 2021; 110:203-211. [PMID: 34263380 DOI: 10.1007/s10266-021-00638-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 07/08/2021] [Indexed: 10/20/2022]
Abstract
Lack of knowledge concerning the inferior alveolar canal anatomical variations had proven to increase the incidence of surgical complications, so the study aimed to assess the configuration and prevalence of bifid and trifid mandibular canals using cone beam CT in Egyptian subpopulation. Cone beam CT scans of 278 patients (530 hemi-mandibles) were included in the study, in which bifid and trifid mandibular canals or any other branching patterns were recorded and evaluated. Bifid canals were categorized following Naitoh classification, and the diameter of the main mandibular and accessory canals was measured. Bifid canals were detected in 181 canals (34%) while trifid canals in 46 canals (8.7%). Upon classifying the bifid canals, 78 canals showed forward type, 40 retromolar type, 33 dental type, and 7 canals showed buccolingual type. Two special bifid canals subtypes were reported in 23 canals and nine distinct patterns of trifid canals were reported in our study. In addition, unusual patterns of canal branching were reported in 5 cases. The mean diameter of the accessory canals was 1.18 ± .54 mm and the main canal was 3.98 ± 1.31 mm. This study reported a high prevalence (54%) of canal branching, which reinforces the importance of cone beam CT in pre-surgical planning.
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Shamala A, Qaid N, Aldilami A, AL-Jawfi K. Prevalence and morphological assessment of bifid mandibular canal using cone beam computed tomography among a group of yemeni adults. JOURNAL OF INDIAN ACADEMY OF ORAL MEDICINE AND RADIOLOGY 2021. [DOI: 10.4103/jiaomr.jiaomr_218_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Zhou X, Gao X, Zhang J. Bifid mandibular canals: CBCT assessment and macroscopic observation. Surg Radiol Anat 2020; 42:1073-1079. [PMID: 32399625 DOI: 10.1007/s00276-020-02489-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 04/30/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Xinyao Zhou
- Department of Oral and Maxillofacial Surgery, Tianjin Medical University Stomatological Hospital, 12 Qixiangtai Road, Tianjin, 300070, China
| | - Xiaoyu Gao
- Department of Oral and Maxillofacial Surgery, Tianjin Medical University Stomatological Hospital, 12 Qixiangtai Road, Tianjin, 300070, China
| | - Jian Zhang
- Department of Oral and Maxillofacial Surgery, Tianjin Medical University Stomatological Hospital, 12 Qixiangtai Road, Tianjin, 300070, China.
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Ngeow WC, Chai W. The clinical anatomy of accessory mandibular canal in dentistry. Clin Anat 2020; 33:1214-1227. [DOI: 10.1002/ca.23567] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 12/20/2019] [Accepted: 01/11/2020] [Indexed: 01/06/2023]
Affiliation(s)
- Wei Cheong Ngeow
- Faculty of Dentistry, Department of Oral and Maxillofacial Clinical Sciences University of Malaya Kuala Lumpur Malaysia
| | - Wen‐Lin Chai
- Faculty of Dentistry, Department of Restorative Dentistry University of Malaya Kuala Lumpur Malaysia
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Jain S, Choudhary K, Nagi R, Shukla S, Kaur N, Grover D. New evolution of cone-beam computed tomography in dentistry: Combining digital technologies. Imaging Sci Dent 2019; 49:179-190. [PMID: 31583200 PMCID: PMC6761063 DOI: 10.5624/isd.2019.49.3.179] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 04/24/2019] [Accepted: 05/08/2019] [Indexed: 02/06/2023] Open
Abstract
Panoramic radiographs and computed tomography (CT) play a paramount role in the accurate diagnosis, treatment planning, and prognostic evaluation of various complex dental pathologies. The advent of cone-beam computed tomography (CBCT) has revolutionized the practice of dentistry, and this technique is now considered the gold standard for imaging the oral and maxillofacial area due to its numerous advantages, including reductions in exposure time, radiation dose, and cost in comparison to other imaging modalities. This review highlights the broad use of CBCT in the dentomaxillofacial region, and also focuses on future software advancements that can further optimize CBCT imaging.
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Affiliation(s)
- Supreet Jain
- Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Sakri, Bilaspur, India
| | - Kartik Choudhary
- Department of Pedodontics and Preventive Dentistry, Mansarovar Dental College, Bhopal, India
| | - Ravleen Nagi
- Department of Oral Medicine and Radiology, Swami Devi Dayal Hospital and Dental College, Panchkula, India
| | - Stuti Shukla
- Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Sakri, Bilaspur, India
| | - Navneet Kaur
- Department of Periodontology, National Dental College and Hospital, Dera Bassi, Mohali, India
| | - Deepak Grover
- Department of Periodontology, National Dental College and Hospital, Dera Bassi, Mohali, India
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Okumuş Ö, Dumlu A. Prevalence of bifid mandibular canal according to gender, type and side. J Dent Sci 2019; 14:126-133. [PMID: 31210887 PMCID: PMC6562102 DOI: 10.1016/j.jds.2019.03.009] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Revised: 03/14/2019] [Indexed: 12/19/2022] Open
Abstract
Background/purpose An awareness of mandibular canal variations may help prevent complications due to nerve damage that can occur during surgery. The aim of this study is to evaluate the variations of mandibular canal distribution and frequency via cone beam computed tomography (CBCT), retrospectively, in a Turkish population. Materials and methods The study population comprises 500 (250 female, 250 male) randomly selected participants between the ages of 14 and 79 years. The study was conducted in Marmara University, Faculty of Dentistry, in the Department of Dentomaxillofacial Radiology. The distribution and frequency of mandibular canal variations were evaluated using the Naitoh classification, which includes retromolar canal, forward canal, dental canal, and buccolingual canal. The trifid canal was also included in this study. The data were analysed using IBM SPSS statistics 20.0. The data were then compared based on age group and gender. Results Bifid mandibular canals (BMCs) were found in 200 (40%) of the 500 subjects, and in 248 of the 1000 sides (24.8%). Mandibular canal variations were observed in 71.5% of patients on the right side, 52.5% on left side and 24% bilaterally. The forward canal was the most common type (48.8%), followed by the retromolar canal (26.2%), the dental canal (12.9%), the buccolingual canal (9.7%), and the trifid canal (2.4%). Conclusion BMCs were detected at a high rate in the Turkish subpopulation. Moreover, CBCT appears to be an appropriate method to assess the entity and shape of BMCs.
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Affiliation(s)
- Özlem Okumuş
- Department of Dentomaxillofacial Radiology, Altınbas University, Faculty of Dentistry, Istanbul, Turkey
| | - Asım Dumlu
- Department of Dentomaxillofacial Radiology, Marmara University, Faculty of Dentistry, Istanbul, Turkey
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Zhang YQ, Zhao YN, Liu DG, Meng Y, Ma XC. Bifid variations of the mandibular canal: cone beam computed tomography evaluation of 1000 Northern Chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:e271-e278. [DOI: 10.1016/j.oooo.2018.06.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 05/28/2018] [Accepted: 06/14/2018] [Indexed: 10/28/2022]
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Iwanaga J, Wilson C, Simonds E, Vetter M, Kusukawa J, Yamaki KI, Oskouian RJ, Tubbs RS. First Report of a Bifid Mandibular Canal Containing a Large Vein Draining into the Anterior Jugular Vein. Kurume Med J 2018; 65:27-30. [PMID: 30158357 DOI: 10.2739/kurumemedj.ms651004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The bifid mandibular canal (BMC) is an anatomical variant of the mandible that is often observed on cone-beam computed tomographic images. We identified a BMC during routine cadaveric dissection. The upper mandibular canal contained the inferior alveolar nerve and artery, and the lower mandibular canal contained a large inferior alveolar vein. This latter vein left the mandible through a lateral lingual foramen and joined the anterior jugular vein. Additionally, this vein gave rise to small tributaries to the mental foramen and anterior surface of the mandible from the second mandibular canal. To our knowledge, this is the first report illustrating the contents of a BMC and drainage of a vein into the large anterior jugular vein.
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Affiliation(s)
- Joe Iwanaga
- Seattle Science Foundation.,Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine.,Dental and Oral Medical Center, Kurume University School of Medicine
| | | | | | | | - Jingo Kusukawa
- Dental and Oral Medical Center, Kurume University School of Medicine
| | - Koh-Ichi Yamaki
- Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine
| | | | - R Shane Tubbs
- Seattle Science Foundation.,Department of Anatomical Sciences, St. George's University
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FREITAS GBD, FREITAS e SILVA AD, MANHÃES JÚNIOR LRC, JUNQUEIRA JLC. Prevalence evaluation and classification of bifid mandibular canals in CBCT exams in different facial types. REVISTA DE ODONTOLOGIA DA UNESP 2018. [DOI: 10.1590/1807-2577.10617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objetive The aim of this study is to establish the prevalence and classification of mandibular canal alterations using cone beam computed tomography (CBCT) in different facial types. This research was submitted and approved by the research ethics committee, registration number 2.065.839. Material and method The sample consisted of 90 CBCTs from the São Leopoldo Mandic Dental School database (Campinas-SP), divided into three groups according to brachycephalic, dolichocephalic and mesocephalic facial types. Result Of the 90 patients, 23 presented bifid mandible canals (25.6%), of which 60.9% were in males and 39.1% in females. In 39.1%, the canal bifurcation occurred towards the retromolar region (class D), 21.7% had a trajectory to an alveolar or upper direction (class C) and 13.1% were classified as C-E. For the remaining classifications (A, E, F and A-E), the frequencies were in the range of 8.7% to 4.3%. None of the 23 cases of mandibular canal bifurcation was classified as B (mesial direction). Conclusion According to the results obtained from this study, the prevalence of bifid mandibular canals was found to be 25.6%, with class D being the most prevalent for the retromolar region and the highest occurrence was unilaterally on the left side. When evaluating the occurrence of bifid mandibular canals in relation to facial types, brachycephalic patients were the most affected.
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