Research Article
BibTex RIS Cite

Evaluation of submandibular gland and submandibular fossa: A combined cone beam computed tomography and ultrasound study

Year 2023, Volume: 57 Issue: 3, 128 - 132, 28.09.2023
https://doi.org/10.26650/eor.20231109135

Abstract

Purpose: The purpose of this study was to use Cone Beam Computed Tomography (CBCT) to evaluate the submandibular fossa (SF) morphometrically and ultrasonography (USG) to evaluate the submandibular gland (SG).
Materials and Methods: Radiological evaluation was performed on 40 SFs and SGs from 20 patients. The depth and width of the SF were measured on axial CBCT sections, while the anteroposterior, medio-lateral, and supero-inferior lengths and volumes of the SGs were measured by USG. Statistical analysis was performed to evaluate CBCT and USG measurements.
Results: The study found a statistically significant positive correlation between SF depth and SG medio-lateral dimension (p = 0.023), SF width and SG antero-posterior dimension (p = 0.021), and SF width and SG volume (p = 0.000). However, there was no significant correlation between SF depth and SG volume (p=0.146).
Conclusion: The SF is an important area in surgical procedures planned in the mandibular posterior region, especially in implant applications. The dimensions of the SF are closely related to the dimensions of the SG. USG can be used to examine the SG without the risk of ionizing radiation.

References

  • Bayrak S, Demirturk-Kocasarac H, Yaprak E, Ustaoglu G, Noujeim M. Correlation between the visibility of submandibular fossa and mandibular canal cortication on panoramic radiographs and submandibular fossa depth on CBCT. Med Oral Patol Oral Cir Bucal 2018;23:e105. google scholar
  • Kamburoğlu K, Acar B, Yüksel S, Paksoy CS. CBCT quantitative evaluation of mandibular lingual concavities in dental implant patients. Surg Radiol Anat 2015;37:1209-15. google scholar
  • Sumer AP, Zengin AZ, Uzun C, Karoz TB, Sumer M, Danaci M. Evaluation of submandibular fossa using computed tomography and panoramic radiography. Oral Radiol 2015;31:23-7. google scholar
  • de Souza LA, Souza Picorelli Assis NM, Ribeiro RA, Pires Carvalho AC, Devito KL. Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery. Ann Anat 2016;205:53-9. google scholar
  • Bialek EJ, Jakubowski W, Zajkowski P, Szopinski KT, Osmolski A. US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. Radiographics 2006;26:745-63. google scholar
  • Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006;72:75-80. google scholar
  • Kamburoğlu K, Kiliç C, Ozen T, Yüksel SP. Measurements of mandibular canal region obtained by cone-beam computed tomography: a cadaveric study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e34-42. google scholar
  • Naitoh M, Katsumata A, Kubota Y, Hayashi M, Ariji E. Relationship between cancellous bone density and mandibular canal depiction. Implant Dent 2009;18:112-8. google scholar
  • Ritter L, Mischkowski RA, Neugebauer J, Dreiseidler T, Scheer M, Keeve E, et al. The influence of body mass index, age, implants, and dental restorations on image quality of cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:e108-16. google scholar
  • de Oliveira-Santos C, Souza PH, de Azambuja Berti-Couto S, Stinkens L, Moyaert K, Rubira-Bullen IR, et al. Assessment of variations of the mandibular canal through cone beam computed tomography. Clin Oral Investig 2012;16:387-93. google scholar
  • Arisan V, Karabuda ZC, Avsever H, Özdemir T. Conventional multi-slice computed tomography (CT) and cone-beam CT (CBCT) for computer-assisted implant placement. Part I: relationship of radiographic gray density and implant stability. Clin Implant Dent Relat Res 2013;15:893-906. google scholar
  • Cassetta M, Stefanelli LV, Pacifici A, Pacifici L, Barbato E. How accurate is CBCT in measuring bone density? A comparative CBCT-CT in vitro study. Clin Implant Dent Relat Res 2014;16:471-8. google scholar
  • Quirynen M, Mraiwa N, van Steenberghe D, Jacobs R. Morphology and dimensions of the mandibular jaw bone in the interforaminal region in patients requiring implants in the distal areas. Clin Oral Implants Res 2003;14:280-5. google scholar
  • Parnia F, Fard EM, Mahboub F, Hafezeqoran A, Gavgani FE. Tomographic volume evaluation of submandibular fossa in patients requiring dental implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e32-6. google scholar
  • Zengel P, Schrötzlmair F, Reichel C, Paprottka P, Clevert DA. Sonography: the leading diagnostic tool for diseases of the salivary glands. Semin Ultrasound CT MR 2013;34:196-203. google scholar
  • Stratemann SA, Huang JC, Maki K, Miller AJ, Hatcher DC. Comparison of cone beam computed tomography imaging with physical measures. Dentomaxillofac Radiol 2008;37:80-93. google scholar
  • Kobayashi K, Shimoda S, Nakagawa Y, Yamamoto A. Accuracy in measurement of distance using limited cone-beam computerized tomography. Int J Oral Maxillofac Implants 2004;19:228-31. google scholar
  • Damstra J, Fourie Z, Huddleston Slater JJ, Ren Y. Accuracy of linear measurements from cone-beam computed tomography-derived surface models of different voxel sizes. Am J Orthod Dentofacial Orthop 2010;137:16.e1-6; discussion -7. google scholar
  • Gandage SG, Kachewar SG. An Imaging Panorama of Salivary Gland Lesions as seen on High Resolution Ultrasound. J Clin Diagn Res 2014;8:Rc01-13. google scholar
  • Isaacson TJ. Sublingual hematoma formation during immediate placement of mandibular endosseous implants. J Am Dent Assoc 2004;135:168-72. google scholar
  • Niamtu J, 3rd. Near-fatal airway obstruction after routine implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:597-600. google scholar
  • Çağlayan F, Ocak A, Sümbüllü MA. Supramandibular lymph nodes in dental patients by ultrasonography. Nobel Med 2019; 15. google scholar
  • Philipsen HP, Takata T, Reichart PA, Sato S, Suei Y. Lingual and buccal mandibular bone depressions: a review based on 583 cases from a world-wide literature survey, including 69 new cases from Japan. Dentomaxillofac Radiol 2002;31:281-90. google scholar
  • Alghamdi AS. Pain sensation and postsurgical complications in posterior mandibular implant placement using ridge mapping, panoramic radiography, and infiltration anesthesia. ISRN Dent 2013;2013:134210. google scholar
  • Nilsun B, Canan B, Evren H, Kaan O. Cone-Beam Computed Tomography Evaluation of the Submandibular Fossa in a Group of Dental Implant Patients. Implant Dent 2019;28:329-39. google scholar
Year 2023, Volume: 57 Issue: 3, 128 - 132, 28.09.2023
https://doi.org/10.26650/eor.20231109135

Abstract

References

  • Bayrak S, Demirturk-Kocasarac H, Yaprak E, Ustaoglu G, Noujeim M. Correlation between the visibility of submandibular fossa and mandibular canal cortication on panoramic radiographs and submandibular fossa depth on CBCT. Med Oral Patol Oral Cir Bucal 2018;23:e105. google scholar
  • Kamburoğlu K, Acar B, Yüksel S, Paksoy CS. CBCT quantitative evaluation of mandibular lingual concavities in dental implant patients. Surg Radiol Anat 2015;37:1209-15. google scholar
  • Sumer AP, Zengin AZ, Uzun C, Karoz TB, Sumer M, Danaci M. Evaluation of submandibular fossa using computed tomography and panoramic radiography. Oral Radiol 2015;31:23-7. google scholar
  • de Souza LA, Souza Picorelli Assis NM, Ribeiro RA, Pires Carvalho AC, Devito KL. Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery. Ann Anat 2016;205:53-9. google scholar
  • Bialek EJ, Jakubowski W, Zajkowski P, Szopinski KT, Osmolski A. US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. Radiographics 2006;26:745-63. google scholar
  • Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006;72:75-80. google scholar
  • Kamburoğlu K, Kiliç C, Ozen T, Yüksel SP. Measurements of mandibular canal region obtained by cone-beam computed tomography: a cadaveric study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e34-42. google scholar
  • Naitoh M, Katsumata A, Kubota Y, Hayashi M, Ariji E. Relationship between cancellous bone density and mandibular canal depiction. Implant Dent 2009;18:112-8. google scholar
  • Ritter L, Mischkowski RA, Neugebauer J, Dreiseidler T, Scheer M, Keeve E, et al. The influence of body mass index, age, implants, and dental restorations on image quality of cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:e108-16. google scholar
  • de Oliveira-Santos C, Souza PH, de Azambuja Berti-Couto S, Stinkens L, Moyaert K, Rubira-Bullen IR, et al. Assessment of variations of the mandibular canal through cone beam computed tomography. Clin Oral Investig 2012;16:387-93. google scholar
  • Arisan V, Karabuda ZC, Avsever H, Özdemir T. Conventional multi-slice computed tomography (CT) and cone-beam CT (CBCT) for computer-assisted implant placement. Part I: relationship of radiographic gray density and implant stability. Clin Implant Dent Relat Res 2013;15:893-906. google scholar
  • Cassetta M, Stefanelli LV, Pacifici A, Pacifici L, Barbato E. How accurate is CBCT in measuring bone density? A comparative CBCT-CT in vitro study. Clin Implant Dent Relat Res 2014;16:471-8. google scholar
  • Quirynen M, Mraiwa N, van Steenberghe D, Jacobs R. Morphology and dimensions of the mandibular jaw bone in the interforaminal region in patients requiring implants in the distal areas. Clin Oral Implants Res 2003;14:280-5. google scholar
  • Parnia F, Fard EM, Mahboub F, Hafezeqoran A, Gavgani FE. Tomographic volume evaluation of submandibular fossa in patients requiring dental implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e32-6. google scholar
  • Zengel P, Schrötzlmair F, Reichel C, Paprottka P, Clevert DA. Sonography: the leading diagnostic tool for diseases of the salivary glands. Semin Ultrasound CT MR 2013;34:196-203. google scholar
  • Stratemann SA, Huang JC, Maki K, Miller AJ, Hatcher DC. Comparison of cone beam computed tomography imaging with physical measures. Dentomaxillofac Radiol 2008;37:80-93. google scholar
  • Kobayashi K, Shimoda S, Nakagawa Y, Yamamoto A. Accuracy in measurement of distance using limited cone-beam computerized tomography. Int J Oral Maxillofac Implants 2004;19:228-31. google scholar
  • Damstra J, Fourie Z, Huddleston Slater JJ, Ren Y. Accuracy of linear measurements from cone-beam computed tomography-derived surface models of different voxel sizes. Am J Orthod Dentofacial Orthop 2010;137:16.e1-6; discussion -7. google scholar
  • Gandage SG, Kachewar SG. An Imaging Panorama of Salivary Gland Lesions as seen on High Resolution Ultrasound. J Clin Diagn Res 2014;8:Rc01-13. google scholar
  • Isaacson TJ. Sublingual hematoma formation during immediate placement of mandibular endosseous implants. J Am Dent Assoc 2004;135:168-72. google scholar
  • Niamtu J, 3rd. Near-fatal airway obstruction after routine implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:597-600. google scholar
  • Çağlayan F, Ocak A, Sümbüllü MA. Supramandibular lymph nodes in dental patients by ultrasonography. Nobel Med 2019; 15. google scholar
  • Philipsen HP, Takata T, Reichart PA, Sato S, Suei Y. Lingual and buccal mandibular bone depressions: a review based on 583 cases from a world-wide literature survey, including 69 new cases from Japan. Dentomaxillofac Radiol 2002;31:281-90. google scholar
  • Alghamdi AS. Pain sensation and postsurgical complications in posterior mandibular implant placement using ridge mapping, panoramic radiography, and infiltration anesthesia. ISRN Dent 2013;2013:134210. google scholar
  • Nilsun B, Canan B, Evren H, Kaan O. Cone-Beam Computed Tomography Evaluation of the Submandibular Fossa in a Group of Dental Implant Patients. Implant Dent 2019;28:329-39. google scholar
There are 25 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Original Research Articles
Authors

Esin Akol Görgün 0000-0002-6711-7188

Fatma Çağlayan 0000-0002-0666-8824

Publication Date September 28, 2023
Submission Date April 26, 2022
Published in Issue Year 2023 Volume: 57 Issue: 3

Cite

EndNote Akol Görgün E, Çağlayan F (September 1, 2023) Evaluation of submandibular gland and submandibular fossa: A combined cone beam computed tomography and ultrasound study. European Oral Research 57 3 128–132.