Mauricio Augusto Aquino de Castro1, Sâmila Gonçalves Barra2, Manuel Oscar Lagravere Vich3, Mauro Henrique Guimaraes Abreu4, Ricardo Alves Mesquita5. 1. School of Dentistry, Federal University of Minas Gerais, Antonio Carlos Ave., 6627-Pampulha, Belo Horizonte, MG, 31270-010, Brazil. 2. School of Dentistry, Federal University of Minas Gerais, Antonio Carlos Ave., 6627-Pampulha, Belo Horizonte, 31270-010, Brazil. samilagbarra@gmail.com. 3. University of Alberta, 5-524 ECHA, 11405-87th Ave, Edmonton, T6G1C9, Canada. 4. Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Av. Antonio Carlos, 6627, Pampulha, Belo Horizonte, MG, T6G1C9, Brazil. 5. Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Av. Antonio Carlos, 6627. Pampulha, Belo Horizonte, MG, 31.270-010, Brazil.
Abstract
PURPOSE: The mandibular canal must be considered in dental procedures to avoid injuries of the alveolar inferior nerve. The occurrence of anatomical variations of the mandibular canal increases the risk of neurovascular injuries. The purpose of this study was to identify and describe the prevalence of mandibular canal branching (MCB) using cone beam computer tomography (CBCT). METHODS: Seven hundred standardized CBCTs were selected. The images were evaluated for the presence of MCB and for the detection of pathologies that could affect the structure of the canals. The data were analyzed using descriptive statistics and the Chi-squared test. RESULTS: The prevalence of MCB was 41.1%. There was no statistical difference between genders with the presence of the branches (p > 0.005). The highest prevalence was in the premolar and retromolar regions. Pathologies found in the molar region were frequently connected with MCB (77.8%), and the most common pathology related to branches was periapical lesion. CONCLUSIONS: Mandibular canal branching presented a high prevalence in CBCT imagery, more frequently located in regions of the premolar and retromolar. An adequate diagnosis of the MCB is necessary to perform dental procedures and verify possible associated pathologies.
PURPOSE: The mandibular canal must be considered in dental procedures to avoid injuries of the alveolar inferior nerve. The occurrence of anatomical variations of the mandibular canal increases the risk of neurovascular injuries. The purpose of this study was to identify and describe the prevalence of mandibular canal branching (MCB) using cone beam computer tomography (CBCT). METHODS: Seven hundred standardized CBCTs were selected. The images were evaluated for the presence of MCB and for the detection of pathologies that could affect the structure of the canals. The data were analyzed using descriptive statistics and the Chi-squared test. RESULTS: The prevalence of MCB was 41.1%. There was no statistical difference between genders with the presence of the branches (p > 0.005). The highest prevalence was in the premolar and retromolar regions. Pathologies found in the molar region were frequently connected with MCB (77.8%), and the most common pathology related to branches was periapical lesion. CONCLUSIONS: Mandibular canal branching presented a high prevalence in CBCT imagery, more frequently located in regions of the premolar and retromolar. An adequate diagnosis of the MCB is necessary to perform dental procedures and verify possible associated pathologies.
Authors: A Kuribayashi; H Watanabe; A Imaizumi; W Tantanapornkul; K Katakami; T Kurabayashi Journal: Dentomaxillofac Radiol Date: 2010-05 Impact factor: 2.419