Evaluation of the size and location of the mental foramen and anterior loop of the lower alveolar nerve in the Brazilian population using cone beam computed tomography

Authors

DOI:

https://doi.org/10.33448/rsd-v10i8.17216

Keywords:

Mental Foramen; Diagnosis oral; Dental implants.

Abstract

Objective: The aim of this study was to evaluate the size, shape and location of the mental foramen (MF) and anterior loop (AL) in the Brazilian population through the analysis of cone beam computed tomography (CBCT) and panoramic radiography (PR). Method: We analyzed the location, shape and size of the MF, the distance between the upper wall of the MF and the alveolar crest (AC), the size of the AL and the presence of lingual anastomosis. Results: Fifty PR and CBCT exams were analyzed. In relation to the MF, the most common location was between premolars (56%), the most common shape was the oval shape (83%) and the average size in the PR was 3.63 mm and in the CBCT was3.66 mm. The average distance from the MF to the AC in the PR was 17.29 mm and in the CBCT was 11.48 mm. The average AL size was 3 mm, the smallest being 1 mm and the largest being 5 mm. Static analysis was performed to verify the relationship between the distance from the foramen to the AC with the values ​​that were found in the PR and CBCT, which showed a statistically significant difference (p=<0.001) between them. Lingual anastomosis could be seen in 22% of the analyzed hemimandibles. Conclusion: CBCT is a reliable diagnostic test for planning rehabilitation near the MF. The distance between the implant and the foramen must be analyzed individually.

References

Alves, Y. B., Gonçalves, L. F. F., Pinheiro, L. R. ., & Sales, M. A. O. de. (2021). Anomalous mental foramina: Case report and anatomical considerations. Research, Society and Development, 10(4), e35510414294. https://doi.org/10.33448/rsd-v10i4.14294

Apostolakis, D., & Brown, J. E. (2012). The anterior loop of the inferior alveolar nerve: prevalence, measurement of its length and a recommendation for interforaminal implant installation based on cone beam CT imaging. Clinical oral implants research, 23(9), 1022–1030. https://doi.org/10.1111/j.1600-0501.2011.02261.x

Bavitz, J. B., Harn, S. D., Hansen, C. A., & Lang, M. (1993). An anatomical study of mental neurovascular bundle-implant relationships. The International journal of oral & maxillofacial implants, 8(5), 563–567.

Brito, A. C. R. (2014). Visualização da alça anterior do nervo mentual e canal incisivo mandibular: comparação entre radiografia panorâmica e tomografia computadorizada de feixe cônico. (Dissertação). Universidade Estadual de Campinas.

do Carmo Oliveira, M., Tedesco, T. K., Gimenez, T., & Allegrini, S., Jr (2018). Analysis of the frequency of visualization of morphological variations in anatomical bone features in the mandibular interforaminal region through cone-beam computed tomography. Surgical and radiologic anatomy : SRA, 40(10), 1119–1131. https://doi.org/10.1007/s00276-018-2040-2

Ernst, T., & Inke, G. (1962). Zeitschrift fur Anatomie und Entwicklungsgeschichte, 123, 126–136.

Greenstein, G., & Tarnow, D. (2006). The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. Journal of periodontology, 77(12), 1933–1943. https://doi.org/10.1902/jop.2006.060197

J, P. C., Marimuthu, T., C, K., Devadoss, P., & Kumar, S. M. (2018). Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study. Clinical implant dentistry and related research, 20(4), 531–534. https://doi.org/10.1111/cid.12609

Kheir, M. K., & Sheikhi, M. (2017). Assessment of the anterior loop of mental nerve in an Iranian population using cone beam computed tomography scan. Dental research journal, 14(6), 418–422. https://doi.org/10.4103/1735-3327.218566

Madeira, M.C. (1995). Anatomia da face: bases anátomo-funcionais para a prática odontológica (6ª ed). Sarvier.

Malamed, S.F. (2013). Manual de anestesia local (6a ed). Rio de Janeiro: Elsevier.

Morgado, T. (2013). Variações anatômicas do canal mandibular. Dissertação de mestrado, Universidade Fernando Pessoa, Porto, Portugal.

Neiva, R. F., Gapski, R., & Wang, H. L. (2004). Morphometric analysis of implant-related anatomy in Caucasian skulls. Journal of periodontology, 75(8), 1061–1067. https://doi.org/10.1902/jop.2004.75.8.1061

Prados-Frutos, J. C., Salinas-Goodier, C., Manchón, Á., & Rojo, R. (2017). Anterior loop of the mental nerve, mental foramen and incisive nerve emergency: tridimensional assessment and surgical applications. Surgical and radiologic anatomy : SRA, 39(2), 169–175. https://doi.org/10.1007/s00276-016-1690-1

Rácz, L., Maros, T., & Seres-Sturm, L. (1981). Die anatomischen Variationen des Nervus alveolaris inferior und ihre Bedeutung in der Praxis [Anatomical variations of the nervus alveolaris inferior and their importance for the practice (author's transl)]. Anatomischer Anzeiger, 149(4), 329–332.

Ramalho-Ferreira, G, Faverani, L. P., Gomes, P. C. M., Assunção, W. G., & Garcia Júnior, I. R. (2010). Complicações na reabilitação bucal com implantes osseointegráveis. Revista Odontológica de Araçatuba, 31(1), 51-55.

Tejada, C. M. L. (2006). Avaliação tomográfica da alça anterior na região mentual e sua implicação cirúrgica.Estudo transversal. Dissertação de mestrado. Instituto Latino Americano de Pesquisa e Ensino Odontológico, Curitiba, Paraná.

Uchida, Y., Noguchi, N., Goto, M., Yamashita, Y., Hanihara, T., Takamori, H., Sato, I., Kawai, T., & Yosue, T. (2009). Measurement of anterior loop length for the mandibular canal and diameter of the mandibular incisive canal to avoid nerve damage when installing endosseous implants in the interforaminal region: a second attempt introducing cone beam computed tomography. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 67(4), 744–750. https://doi.org/10.1016/j.joms.2008.05.352

Velasco-Torres, M., Padial-Molina, M., Avila-Ortiz, G., García-Delgado, R., Catena, A., & Galindo-Moreno, P. (2017). Inferior alveolar nerve trajectory, mental foramen location and incidence of mental nerve anterior loop. Medicina oral, patologia oral y cirugia bucal, 22(5), e630–e635. https://doi.org/10.4317/medoral.21905

Wismeijer, D., van Waas, M. A., Vermeeren, J. I., & Kalk, W. (1997). Patients' perception of sensory disturbances of the mental nerve before and after implant surgery: a prospective study of 110 patients. The British journal of oral & maxillofacial surgery, 35(4), 254–259. https://doi.org/10.1016/s0266-4356(97)90043-7

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Published

14/07/2021

How to Cite

SANTOS, C. C. V. dos; SOL, I.; TONINI, K. R. .; SALZEDAS, L. M. P. .; YOGUI, F. C. .; PONZONI, D. . Evaluation of the size and location of the mental foramen and anterior loop of the lower alveolar nerve in the Brazilian population using cone beam computed tomography. Research, Society and Development, [S. l.], v. 10, n. 8, p. e36410817216, 2021. DOI: 10.33448/rsd-v10i8.17216. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17216. Acesso em: 22 nov. 2024.

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Health Sciences