Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans

Background. Knowing the radiologic anatomy of the mandibular canal is essential to perform optimal anesthetic techniques in dentistry, especially in endodontic and surgical procedures. Bifid mandibular canals figure as anatomic variations that may hamper dental anesthesia and lead to surgical accident...

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Main Authors: C. Casagrande, S. G. Orestes, A. D. Schroder, A. A. De-Lima, A. Franco, I. Makeeva, Â. Fernandes
Format: Article
Language:Russian
Published: Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) 2018-09-01
Series:Сеченовский вестник
Subjects:
Online Access:https://www.sechenovmedj.com/jour/article/view/73
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author C. Casagrande
S. G. Orestes
A. D. Schroder
A. A. De-Lima
A. Franco
I. Makeeva
Â. Fernandes
author_facet C. Casagrande
S. G. Orestes
A. D. Schroder
A. A. De-Lima
A. Franco
I. Makeeva
Â. Fernandes
author_sort C. Casagrande
collection DOAJ
description Background. Knowing the radiologic anatomy of the mandibular canal is essential to perform optimal anesthetic techniques in dentistry, especially in endodontic and surgical procedures. Bifid mandibular canals figure as anatomic variations that may hamper dental anesthesia and lead to surgical accidents.Objective. This study aims to investigate the prevalence of bifid mandibular canals in cone beam computed tomography (CBCT) images of patients under dental treatment.Material and methods. The sample consisted of 700 patients (448 females and 252 males) under dental treatment. CBCT images taken from each patient for dental treatment purposes were analyzed retrospectively in order to search for bifid mandibular canals. The detected bifid mandibular canals were classified according to their morphological arrangement and the prevalence of this anatomic variation was tested for association with patients’ sex using Pearson’s Chi-square test (2).Results. The prevalence rate of bifid mandibular canals reached 2% (n=14). Mandibular canals with an additional bifurcation towards the anterior region of the mandibular ramus were the most prevalent (100%). Lack of statistical association was observed between the occurrence of bifid mandibular canals and patients’ sex ( p >0.05).Conclusion. Despite uncommon, bifid mandibular canals may occur. Dentists must be aware of this anatomic variation to perform safely and optimally in the clinical routine.
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spelling doaj.art-d88a4ae03b70465aa6d6fce280c49f252023-03-13T09:51:33ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482018-09-0103545810.47093/2218-7332_2018.3.54-5872Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scansC. Casagrande0S. G. Orestes1A. D. Schroder2A. A. De-Lima3A. Franco4I. Makeeva5Â. Fernandes6Federal University of ParanáFederal University of ParanáSchool of Health Sciences, Pontifícia Universidade Católica do ParanáFederal University of ParanáInstitute of Dentistry, Sechenov UniversityInstitute of Dentistry, Sechenov UniversityFederal University of ParanáBackground. Knowing the radiologic anatomy of the mandibular canal is essential to perform optimal anesthetic techniques in dentistry, especially in endodontic and surgical procedures. Bifid mandibular canals figure as anatomic variations that may hamper dental anesthesia and lead to surgical accidents.Objective. This study aims to investigate the prevalence of bifid mandibular canals in cone beam computed tomography (CBCT) images of patients under dental treatment.Material and methods. The sample consisted of 700 patients (448 females and 252 males) under dental treatment. CBCT images taken from each patient for dental treatment purposes were analyzed retrospectively in order to search for bifid mandibular canals. The detected bifid mandibular canals were classified according to their morphological arrangement and the prevalence of this anatomic variation was tested for association with patients’ sex using Pearson’s Chi-square test (2).Results. The prevalence rate of bifid mandibular canals reached 2% (n=14). Mandibular canals with an additional bifurcation towards the anterior region of the mandibular ramus were the most prevalent (100%). Lack of statistical association was observed between the occurrence of bifid mandibular canals and patients’ sex ( p >0.05).Conclusion. Despite uncommon, bifid mandibular canals may occur. Dentists must be aware of this anatomic variation to perform safely and optimally in the clinical routine.https://www.sechenovmedj.com/jour/article/view/73anatomycone beam computed tomographymandibular canalradiologystomatology
spellingShingle C. Casagrande
S. G. Orestes
A. D. Schroder
A. A. De-Lima
A. Franco
I. Makeeva
Â. Fernandes
Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
Сеченовский вестник
anatomy
cone beam computed tomography
mandibular canal
radiology
stomatology
title Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
title_full Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
title_fullStr Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
title_full_unstemmed Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
title_short Radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
title_sort radiographic and anatomic investigation on the prevalence of bifid mandibular canals in cone beam computed tomography scans
topic anatomy
cone beam computed tomography
mandibular canal
radiology
stomatology
url https://www.sechenovmedj.com/jour/article/view/73
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