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Examination of Mandibular Lingual Foramen Variations with Cone Beam Computed Tomography: A Pilot Study

Yıl 2024, Cilt: 6 Sayı: 2, 224 - 231, 30.08.2024
https://doi.org/10.51122/neudentj.2024.106

Öz

Aim: The aim of this study was to determine the number, location, dimensions, and distance from the lower edge of the mandible and the crest of the medial and lateral lingual foramen (MLF-LLF) in cone beam computed tomography (CBCT) images and to evaluate the relationships with age and gender.
Material and Methods: The locations of MLF and LLF were identified in cross CT sections and their numbers, the dimensions of the foramen, the distances were recorded, and relationships with age and gender were evaluated.
Results: The study included 93 patients (mean age 39.85±13.28 years), with 48 male and 45 female participants. One MLF was found in 48 patients, 2 in 33 patients, 3 in 5 patients, and no MLF in 7 patients. 1 LLF was detected in 32 patients, and 2 LLF in 5 patients. No foramen was found in 5 patients. The MLF dimensions and the distance of the MLF to the lower edge of the mandible in men were found to be significantly higher than women. It was determined that as age increases, the distance of MLFs from the lower edge of the mandible increases. MLFs were mostly located above the genial tubercle. A total of 16 LLFs were identified in the anterior region outside the midline, 20 LLFs in the premolar region, and 6 in the molar region.
Conclusion: This study revealed that LFs were predominantly located in the midline and in the inter-foraminal area. A detailed radiological examination of these areas must be performed before the operations.

Kaynakça

  • Sekerci AE, Sisman Y, Payveren MA. Evaluation of location and dimensions of mandibular lingual foramina using cone-beam computed tomography. Surg Radiol Anat. 2014;36:857-64.
  • Liu MQ, Chen KJ, Fu KY. Lateral lingual foramina and canals in the mandible: CBCT evaluation of 506 patients in North China. Chin J Dent Res. 2021;24:177-83.
  • Wang YM, Ju YR, Pan WL, Chan CP. Evaluation of location and dimensions of mandibular lingual canals: a cone beam computed tomography study. Int J Oral Maxillofac Surg. 2015;44:1197-203.
  • Zhang C, Zhuang L, Fan L, Mo J, Huang Z, Gu Y. Evaluation of mandibular lingual foramina with cone-beam computed tomography. J Craniofac Surg. 2018;29:e389-e94.
  • Sahman H, Sekerci AE, Ertas ET. Lateral lingual vascular canals of the mandible: a CBCT study of 500 cases. Surg Radiol Anat. 2014;36:865-70.
  • Soto R, Concha G, Pardo S, Caceres F. Determination of presence and morphometry of lingual foramina and canals in Chilean mandibles using cone-beam CT images. Surg Radiol Anat. 2018;40:1405-10.
  • Dubois L, de Lange J, Baas E, Van Ingen J. Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg. 2010;39:412-5.
  • Kalpidis CD, Konstantinidis AB. Critical hemorrhage in the floor of the mouth during implant placement in the first mandibular premolar position: a case report. Implant Dent. 2005;14:117-24.
  • Woo BM, Al-Bustani S, Ueeck BA. Floor of mouth haemorrhage and life-threatening airway obstruction during immediate implant placement in the anterior mandible. Int J Oral Maxillofac Surg. 2006;35:961-4.
  • McDonnell D, Reza Nouri M, Todd ME. The mandibular lingual foramen: a consistent arterial foramen in the middle of the mandible. J Anat. 1994;184:363-9.
  • de Andrade Santos JB, de Brito FC, e Mello Dias EC. Prevalence of lingual foramina in the anterior mandible: A cone-beam computed tomography study. J Oral Maxillofac Radiol. 2020;8:10-5.
  • Gahleitner A, Hofschneider U, Tepper G, et al. Lingual vascular canals of the mandible: evaluation with dental CT. Radiology. 2001;220:186-9.
  • Taschieri S, Corbella S, Silnovic A, et al. Frequency and anatomic variability of the mandibular lingual foramina: a cone-beam CT study. BMC Med Imaging. 2022;22:12.
  • von Arx T, Matter D, Buser D, Bornstein MM. Evaluation of location and dimensions of lingual foramina using limited cone-beam computed tomography. J Oral Maxillofac Surg. 2011;69:2777-85.
  • Eshak M, Brooks S, Abdel-Wahed N, Edwards PC. Cone beam CT evaluation of the presence of anatomic accessory canals in the jaws. Dentomaxillofac Radiol. 2014;43:20130259.
  • Katakami K, Mishima A, Kuribayashi A, Shimoda S, Hamada Y, Kobayashi K. Anatomical characteristics of the mandibular lingual foramina observed on limited cone-beam CT images. Clin Oral Implants Res. 2009;20:386-90.
  • Demiralp KO, Bayrak S, Orhan M, Alan A, Kursun Cakmak ES, Orhan K. Anatomical characteristics of the lingual foramen in ancient skulls: a cone beam computed tomography study in an Anatolian population. Folia Morphol. 2018;77:514-20.
  • Kuzu TE, Öztürk K. Evaluation of the locations of posterior superior alveolar artery and lingual foramen in cone beam computed tomography before dental implant treatment. ADO Klin Bilim Derg. 2023;12:371-7.
  • Sheikhi M, Mosavat F, Ahmadi A. Assessing the anatomical variations of lingual foramen and its bony canals with CBCT taken from 102 patients in Isfahan. Dent Res J. 2012;9:S45-51.
  • Xie L, Li T, Chen J, Yin D, Wang W, Xie Z. Cone-beam CT assessment of implant-related anatomy landmarks of the anterior mandible in a Chinese population. Surg Radiol Anat. 2019;4:927-34.

Mandibular Lingual Foramen Varyasyonlarının Konik Işınlı Bilgisayarlı Tomografi ile İncelenmesi: Pilot Çalışma

Yıl 2024, Cilt: 6 Sayı: 2, 224 - 231, 30.08.2024
https://doi.org/10.51122/neudentj.2024.106

Öz

Amaç: Bu çalışmada, konik ışınlı bilgisayarlı tomografi (KIBT) görüntülerinden medial ve lateral lingual foramenlerin (MLF-LLF) sayısı, yerleşimi, boyutları, mandibula alt kenarı ve kret tepesine olan uzaklıklarının belirlenmesi ve bu verilerin yaş ve cinsiyetle olan ilişkilerinin değerlendirilmesi amaçlanmıştır
Gereç ve Yöntemler: Tomografi kesitlerinde MLF ve LLF lokasyonları belirlenmiş ve sayıları kaydedilmiştir. Foramenlerin boyutları, mandibula alt kenarı ve alveol kret tepesine olan mesafeleri ölçülmüş ve yaş ve cinsiyetle olan ilişkileri değerlendirilmiştir.
Bulgular: Çalışmaya dahil edilen 93 hastanın 48’i erkek, 45’i kadındır ve hastaların yaş ortalaması 39.85±13,28’dir. 48 hastada 1 tane MLF, 33 hastada 2 tane, 5 hastada ise 3 tane bulunurken sadece 7 hastada MLF bulunamamıştır. 32 hastada 1 tane LLF, 5 hastada ise 2 adet LLF tespit edilmiştir. 5 hastada ise foramen bulunamamıştır. Erkeklerin MLF boyutları ve MLF’lerinin mandibula alt kenarına uzaklıkları, kadınlara göre anlamlı düzeyde daha yüksek bulunmuştur. Yaş arttıkça MLF’lerin mandibula alt kenarı ile olan mesafesinin arttığı belirlenmiştir. MLF’lerin çoğunlukla genial tüberkül üstünde yer aldıkları belirlenmiştir. LLF’lerin 16 tanesinin orta hat harici anterior bölgede, 20 tanesinin premolarlar sahasında, 6 tanesinin de molar bölgede olduğu belirlenmiştir.
Sonuç: Bu çalışmanın sonucunda; LF’lerin çoğunlukla orta hatta ve mental foramenler arası sahada olduğu görülmüştür. Cerrahi operasyon öncesi bu sahaların radyolojik muayenesinin detaylı bir şekilde yapılması gerekmektedir.

Kaynakça

  • Sekerci AE, Sisman Y, Payveren MA. Evaluation of location and dimensions of mandibular lingual foramina using cone-beam computed tomography. Surg Radiol Anat. 2014;36:857-64.
  • Liu MQ, Chen KJ, Fu KY. Lateral lingual foramina and canals in the mandible: CBCT evaluation of 506 patients in North China. Chin J Dent Res. 2021;24:177-83.
  • Wang YM, Ju YR, Pan WL, Chan CP. Evaluation of location and dimensions of mandibular lingual canals: a cone beam computed tomography study. Int J Oral Maxillofac Surg. 2015;44:1197-203.
  • Zhang C, Zhuang L, Fan L, Mo J, Huang Z, Gu Y. Evaluation of mandibular lingual foramina with cone-beam computed tomography. J Craniofac Surg. 2018;29:e389-e94.
  • Sahman H, Sekerci AE, Ertas ET. Lateral lingual vascular canals of the mandible: a CBCT study of 500 cases. Surg Radiol Anat. 2014;36:865-70.
  • Soto R, Concha G, Pardo S, Caceres F. Determination of presence and morphometry of lingual foramina and canals in Chilean mandibles using cone-beam CT images. Surg Radiol Anat. 2018;40:1405-10.
  • Dubois L, de Lange J, Baas E, Van Ingen J. Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg. 2010;39:412-5.
  • Kalpidis CD, Konstantinidis AB. Critical hemorrhage in the floor of the mouth during implant placement in the first mandibular premolar position: a case report. Implant Dent. 2005;14:117-24.
  • Woo BM, Al-Bustani S, Ueeck BA. Floor of mouth haemorrhage and life-threatening airway obstruction during immediate implant placement in the anterior mandible. Int J Oral Maxillofac Surg. 2006;35:961-4.
  • McDonnell D, Reza Nouri M, Todd ME. The mandibular lingual foramen: a consistent arterial foramen in the middle of the mandible. J Anat. 1994;184:363-9.
  • de Andrade Santos JB, de Brito FC, e Mello Dias EC. Prevalence of lingual foramina in the anterior mandible: A cone-beam computed tomography study. J Oral Maxillofac Radiol. 2020;8:10-5.
  • Gahleitner A, Hofschneider U, Tepper G, et al. Lingual vascular canals of the mandible: evaluation with dental CT. Radiology. 2001;220:186-9.
  • Taschieri S, Corbella S, Silnovic A, et al. Frequency and anatomic variability of the mandibular lingual foramina: a cone-beam CT study. BMC Med Imaging. 2022;22:12.
  • von Arx T, Matter D, Buser D, Bornstein MM. Evaluation of location and dimensions of lingual foramina using limited cone-beam computed tomography. J Oral Maxillofac Surg. 2011;69:2777-85.
  • Eshak M, Brooks S, Abdel-Wahed N, Edwards PC. Cone beam CT evaluation of the presence of anatomic accessory canals in the jaws. Dentomaxillofac Radiol. 2014;43:20130259.
  • Katakami K, Mishima A, Kuribayashi A, Shimoda S, Hamada Y, Kobayashi K. Anatomical characteristics of the mandibular lingual foramina observed on limited cone-beam CT images. Clin Oral Implants Res. 2009;20:386-90.
  • Demiralp KO, Bayrak S, Orhan M, Alan A, Kursun Cakmak ES, Orhan K. Anatomical characteristics of the lingual foramen in ancient skulls: a cone beam computed tomography study in an Anatolian population. Folia Morphol. 2018;77:514-20.
  • Kuzu TE, Öztürk K. Evaluation of the locations of posterior superior alveolar artery and lingual foramen in cone beam computed tomography before dental implant treatment. ADO Klin Bilim Derg. 2023;12:371-7.
  • Sheikhi M, Mosavat F, Ahmadi A. Assessing the anatomical variations of lingual foramen and its bony canals with CBCT taken from 102 patients in Isfahan. Dent Res J. 2012;9:S45-51.
  • Xie L, Li T, Chen J, Yin D, Wang W, Xie Z. Cone-beam CT assessment of implant-related anatomy landmarks of the anterior mandible in a Chinese population. Surg Radiol Anat. 2019;4:927-34.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağız ve Çene Cerrahisi, Ağız, Diş ve Çene Radyolojisi
Bölüm ARAŞTIRMA MAKALESİ
Yazarlar

Merve Çakır 0000-0002-4340-0309

Cansu Büyük 0000-0001-8126-0928

Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 14 Ocak 2024
Kabul Tarihi 25 Nisan 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 2

Kaynak Göster

Vancouver Çakır M, Büyük C. Examination of Mandibular Lingual Foramen Variations with Cone Beam Computed Tomography: A Pilot Study. NEU Dent J. 2024;6(2):224-31.