Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study

Aim: The study aimed to correlate the position of mandibular foramen with occlusal plane as a clinical guide for inferior alveolar nerve block (IANB) injection in children from 3 to 13 years of age. Materials and Methods: The study was carried out on 180 children visiting our department and required...

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Main Authors: Rashmi Hitesh Shukla, Amita Tiku
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2018;volume=9;issue=3;spage=372;epage=375;aulast=Shukla
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author Rashmi Hitesh Shukla
Amita Tiku
author_facet Rashmi Hitesh Shukla
Amita Tiku
author_sort Rashmi Hitesh Shukla
collection DOAJ
description Aim: The study aimed to correlate the position of mandibular foramen with occlusal plane as a clinical guide for inferior alveolar nerve block (IANB) injection in children from 3 to 13 years of age. Materials and Methods: The study was carried out on 180 children visiting our department and required orthopantomogram as a routine diagnostic aid. Mandibular casts were obtained and radiographs were digitally analyzed to obtain linear and angular measurements. Statistical Analysis: The measurements were correlated with the position of mandibular foramen with Karl Pearson's correlation test. Results: The results of the study suggest that the needle for IANB should be placed below the occlusal plane in 3–4-year-old children (1.26 mm approximately), almost at the level of occlusal plane in 5–7 years (0.33 mm), above the occlusal plane in 7–9 years (1.54 mm), 9–12 years (1.64 mm), 11–12 years (1.98 mm), and 12–13 years (2.9 mm), respectively. The distance of the mandibular foramen from anterior border of mandible was greater than that from posterior border. The gonial angle values decrease with increasing age. Conclusion: The bony landmarks within the jaws keep changing their relative positions along with the skeletal growth. It is therefore necessary to modify the placement of needle during local anesthesia techniques with advancing age.
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spelling doaj.art-22bccfce7c8244dfb18ea9a2e595e29b2022-12-21T18:52:17ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612018-01-019337237510.4103/ccd.ccd_73_18Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic studyRashmi Hitesh ShuklaAmita TikuAim: The study aimed to correlate the position of mandibular foramen with occlusal plane as a clinical guide for inferior alveolar nerve block (IANB) injection in children from 3 to 13 years of age. Materials and Methods: The study was carried out on 180 children visiting our department and required orthopantomogram as a routine diagnostic aid. Mandibular casts were obtained and radiographs were digitally analyzed to obtain linear and angular measurements. Statistical Analysis: The measurements were correlated with the position of mandibular foramen with Karl Pearson's correlation test. Results: The results of the study suggest that the needle for IANB should be placed below the occlusal plane in 3–4-year-old children (1.26 mm approximately), almost at the level of occlusal plane in 5–7 years (0.33 mm), above the occlusal plane in 7–9 years (1.54 mm), 9–12 years (1.64 mm), 11–12 years (1.98 mm), and 12–13 years (2.9 mm), respectively. The distance of the mandibular foramen from anterior border of mandible was greater than that from posterior border. The gonial angle values decrease with increasing age. Conclusion: The bony landmarks within the jaws keep changing their relative positions along with the skeletal growth. It is therefore necessary to modify the placement of needle during local anesthesia techniques with advancing age.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2018;volume=9;issue=3;spage=372;epage=375;aulast=ShuklaInferior alveolar nerve blockmandibular foramenocclusal plane
spellingShingle Rashmi Hitesh Shukla
Amita Tiku
Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study
Contemporary Clinical Dentistry
Inferior alveolar nerve block
mandibular foramen
occlusal plane
title Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study
title_full Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study
title_fullStr Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study
title_full_unstemmed Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study
title_short Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study
title_sort correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children a digital panoramic radiographic study
topic Inferior alveolar nerve block
mandibular foramen
occlusal plane
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2018;volume=9;issue=3;spage=372;epage=375;aulast=Shukla
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AT amitatiku correlationofmandibularforamentoocclusalplaneasaclinicalguideforinferioralveolarnerveblockinchildrenadigitalpanoramicradiographicstudy