The nasopalatine canal and its relationship with the maxillary central incisors: a cone-beam computed tomography study
DOI:
https://doi.org/10.33448/rsd-v10i15.22978Keywords:
Diagnosis Differential; Cone-beam computed tomography; Incisor.Abstract
Objective: To evaluate the dimensions of the nasopalatine canal (NPC) and its relationship with the maxillary central incisors (MCI) using cone-beam computed tomography (CBCT) and to determine variations in the NPC in relation to age and gender. Methods: CBCT scans from 333 patients (67% female; 35.9 ± 14.6 years) were included. The CBCT scan was analyzed to determine the length and diameter of the NPC, the distance between the NPC and the MCI, and to evaluate the morphology of the NPC. The data were analyzed using the independent Student's t-test, the Mann–Whitney and Kruskal–Wallis tests, and Dunn's post-test (p < 0.05). Results: The average diameter and length of the NPC were 2.92 ± 0.91 mm and 12.67 ± 3.32 mm, respectively. The minimum and maximum distance between the MCI and the NPC were 0.78 ± 0.42 mm and 2.56 ± 1.38 mm, respectively. The NPC of male patients was greater in length compared with the female patients (p < 0.05). The majority presented a funnel-like morphology (34.1%), followed by a cylindrical morphology (27.5%). Conclusions: There was variability in the dimensions of the NPC and its relationship with the MCI, which was influenced by gender and age.
References
Acar, B., & Kamburoğlu K. (2015). Morphological and volumetric evaluation of the nasopalatinal canal in a Turkish population using cone-beam computed tomography. Surgical and Radiologic Anatomy, 37(3), 259-265. https://doi.org/10.1007/s00276-014-1348-9.
Asaumi, R., Kawai, T., Sato, I., Yoshida, S., & Youse, T. (2010). Three-dimensional observation of the incisive canal and the surrounding bone using cone-beam computed tomography. Oral Radiology, 26, 20–28.
Bornstein, M. M., Balsiger, R., Sendi, P., & von Arx, T. (2011). Morphology of the nasopalatine canal and dental implant surgery: a radiographic analysis of 100 consecutive patients using limited cone-beam computed tomography. Clinical Oral Implants Research, 22(3), 295-301. https://doi.org/10.1111/j.1600-0501.2010.02010.x.
Chatriyanuyoke, P., Lu, C. I., Suzuki, Y., Lozada, J. L., Rungcharassaeng, K., Kan, J. Y., & Goodacre, C. J. (2012). Nasopalatine canal position relative to the maxillary central incisors: a cone beam computed tomography assessment. The Journal of Oral Implantology, 38(6), 713-717. doi: 10.1563/AAID-JOI-D-10-00106.
Creasy, J. E., Mines, P., & Sweet, M. (2009). Surgical trends among endodontists: the results of a web-based survey. Journal of Endodontics, 35(1), 30-34. https://doi.org/10.1016/j.joen.2008.10.008.
Etoz, M., & Sisman, Y. (2014). Evaluation of the nasopalatine canal and variations with cone-beam computed tomography. Surgical and Radiologic Anatomy, 36(8), 805-812. https://doi.org/10.1007/s00276-014-1259-9.
Fernández-Alonso, A., Suárez-Quintanilla, J. A., Muinelo-Lorenzo, J., Bornstein, M. M., Blanco-Carrión, A., & Suárez-Cunqueiro, M. M. (2014). Three-dimensional study of nasopalatine canal morphology: a descriptive retrospective analysis using cone-beam computed tomography. Surgical and Radiologic Anatomy, 36(9), 895-905. https://doi.org/10.1007/s00276-014-1297-3.
Fernández-Alonso, A., Suárez-Quintanilla, J. A., Rapado-González, O., & Suárez-Cunqueiro, M. M. (2015). Morphometric differences of nasopalatine canal based on 3D classifications: descriptive analysis on CBCT. Surgical and Radiologic Anatomy, 37(7), 825-833. https://doi.org/10.1007/s00276-015-1470-3.
Friedrich, R. E., Laumann, F, Zrnc, T., & Assaf, A. T. (2015). The nasopalatine canal in adults on cone beam computed tomograms – A clinical study and review of the literature. In Vivo, 29(4), 467–486.
Jain, N. V., Gharatkar, A. A., Parekh, B. A., Musani, S. I., & Shah, U. D. (2017). Three-dimensional analysis of the anatomical characteristics and dimensions of the nasopalatine canal using cone beam computed tomography. Journal of Maxillofacial and Oral Surgery, 16(2):197-204. https://doi.org/10.1007/s12663-016-0879-5.
Kim, Y. T., Lee, J. H., & Jeong, S. N. (2020). Three-dimensional observations of the incisive foramen on cone-beam computed tomography image analysis. Journal of Periodontal & Implant Science, 50(1), 48-55. https://doi.org/10.5051/jpis.2020.50.1.48.
Lo Muzio, L., Mascitti, M., Santarelli, A., Rubini, C., Bambini, F., Procaccini, M., Bertossi, D., Albanese, M., Bondì, V., & Nocini, P. F. (2017). Cystic lesions of the jaws: a retrospective clinicopathologic study of 2030 cases. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 124(2), 128-138. https://doi.org/10.1016/j.oooo.2017.04.006.
Mardinger, O., Namani-Sadan, N., Chaushu, G., & Schwartz-Arad, D. (2008). Morphologic changes of the nasopalatine canal related to dental implantation: a radiologic study in different degrees of absorbed maxillae. Journal of Periodontology, 79(9), 1659–1662. https://doi.org/ 10.1902/jop.2008.080043.
Mraiwa, N., Jacobs, R., Van Cleynenbreugel, J., Sanderink, G., Schutyser, F., Suetens, P., van Steenberghe, D., & Quirynen, M. (2004). The nasopalatine canal revisited using 2D and 3D CT imaging. Dentomaxillofacial Radiology, 33(6), 396-402. https://doi.org/10.1259/dmfr/53801969.
Özçakır-Tomruk, C., Dölekoğlu, S., Özkurt-Kayahan, Z., & İlgüy, D. (2016). Evaluation of morphology of the nasopalatine canal using cone-beam computed tomography in a subgroup of Turkish adult population. Surgical and Radiologic Anatomy, 38(1), 65–70. https://doi.org/10.1007/s00276-015-1520-x.
Panjnoush, M., Norouzi, H., Kheirandish, Y., Shamshiri, A. R., & Mofidi, N. (2016). Evaluation of morphology and anatomical measurement of nasopalatine canal using cone beam computed tomography. Journal of Dentistry (Tehran, Iran), 13(4), 287–294.
Patel, S., Brown, J., Semper, M., Abella, F., & Mannocci, F. (2019). European Society of Endodontology position statement: Use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. International Endodontic Journal, 52(12), 1675-1678. https://doi.org/10.1111/iej.13187.
Ricucci, D., Amantea, M., Girone, C., Feldman, C., Rôças, I. N., & Siqueira Jr, J. F. (2020a). An unusual case of a large periapical cyst mimicking a nasopalatine duct cyst. Journal of Endodontics, 46(8),1155–1162. https://doi.org/10.1016/j.joen.2020.04.013.
Ricucci, D., Amantea, M., Girone, C., & Siqueira Jr, J. F. (2020b). Atypically grown large periradicular cyst affecting adjacent teeth and leading to confounding diagnosis of non-endodontic pathology. Australian Endodontic Journal, 46(2), 272–281. https://doi.org/10.1111/aej.12381.
Song, W. C., Jo, D. I., Lee, J. Y., Kim, J. N., Hur, M. S., Hu, K. S., Kim, H. J., Shin, C., & Koh, K. S. (2009). Microanatomy of the incisive canal using three-dimensional reconstruction of microCT images: an ex vivo study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 108(4), 583-590. https://doi.org/10.1016/j.tripleo.2009.06.036.
Suter, V. G., Büttner, M., Altermatt, H. J., Reichart, P. A., & Bornstein, M. M. (2011). Expansive nasopalatine duct cysts with nasal involvement mimicking apical lesions of endodontic origin: a report of two cases. Journal of Endodontics, 37(9), 1320–1326. https://doi.org/10.1016/j.joen.2011.05.041.
Suter, V. G., Jacobs, R., Brücker, M. R., Furher, A., Frank, J., von Arx, T., & Bornstein, M. M. (2016). Evaluation of a possible association between a history of dentoalveolar injury and the shape and size of the nasopalatine canal. Clinical Oral Investigation, 20(3):553-561. https://doi.org/10.1007/s00784-015-1548-7.
Thakur, A. R., Burde, K., Guttal, K., & Naikmasur, V. G. (2013). Anatomy and morphology of the nasopalatine canal using cone-beam computed tomography. Imaging Science in Dentistry, 43(4), 273-281. https://doi.org/10.5624/isd.2013.43.4.273.
Tsuneki, M., Maruyama, S., Yamazaki, M., Abé, T., Adeola, H. A., Cheng, J., Nishiyama, H., Hayashi, T., Kobayashi, T., Takagi, R., Funayama, A., Saito, C., & Saku, T. (2013). Inflammatory histopathogenesis of nasopalatine duct cyst: a clinicopathological study of 41 cases. Oral Diseases, 19(4), 415-424. https://doi.org/10.1111/odi.12022.
Vieira, C. C., Pappen, F. G., Kirschnick, L. B., Cademartori, M. G., Nóbrega, K. H. S., do Couto, A. M., Schuch, L. F., Melo, L. A., dos Santos, J. N., de Aguiar, M. C. F., & Vasconcelos, A. C. U. (2020). A retrospective Brazilian multicenter study of biopsies at the periapical area: identification of cases of nonendodontic periapical lesions. Journal of Endodontics, 46(4), 490-495. https://doi.org/10.1016/j.joen.2020.01.003.
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