Uncommon trajectory variations of the mandibular canal and of the mandibular incisive canal: case report.

Autor: de Souza Tolentino E; Dentistry Department, Maringá State University, Maringá, PR, Brazil, elen_tolentino@hotmail.com., Silva PA, Pagin O, Centurion BS, Molin SK, de Souza Tolentino L
Jazyk: angličtina
Zdroj: Surgical and radiologic anatomy : SRA [Surg Radiol Anat] 2013 Nov; Vol. 35 (9), pp. 857-61. Date of Electronic Publication: 2013 Jun 02.
DOI: 10.1007/s00276-013-1138-9
Abstrakt: Purpose: This paper aims to report and discuss a case in which unusual anatomical variations were observed in the mandibular canal (MC) and the mandibular incisive canal (MIC) in a same patient.
Materials and Methods: A 49-year-old healthy female was referred for mandibular dental implant placement. Panoramic radiography and cone beam computed tomography (CBCT) were performed. Cross-sections, axial, coronal, panoramic reconstructions and volume rendering were obtained.
Results: The panoramic radiograph did not show any evidence of abnormality. CBCT showed a bifid MC on the right side. It extended to the buccal cortex, exteriorized for 6 mm and returned to its conventional trajectory to reach the mental foramen. On the left side, the MIC initially followed its normal trajectory for 4 mm but, in the canine region, it also extended to the buccal cortex and exteriorized.
Conclusion: The advent of CBCT in Dentistry allowed a greater accuracy in the diagnosis of anatomical variations in the jaws, preventing injury to the neurovascular bundle and enabling an adequate surgical planning in the region.
Databáze: MEDLINE
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