Bifid Mandibular Canal: A Case Review and Retrospective Review of CBCTs
| Autor: | Eun Y Choi, Keith A Sonneveld, Peter T Mai, Maritzabel Hogge, Jason E. Portnof |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Immediate Dental Implant Loading Demographics Radiography Dentistry Mandibular canal Case presentation Demographic data Implant surgery Case review 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Radiography Panoramic Medicine Humans Retrospective review business.industry Mandibular Condyle 030206 dentistry Cone-Beam Computed Tomography medicine.anatomical_structure Hospital Restructuring Female Oral Surgery business |
| Zdroj: | Implant dentistry. 27(6) |
| ISSN: | 1538-2982 |
| Popis: | Purpose This case presentation and retrospective review of cone-beam computed tomograms is to evaluate prevalence, classification, and demographics of bifid mandibular canals (BMC) to inform practitioners on this variation and avoid untoward complications due to failure to diagnose. Materials and methods Two thousand one hundred thirty scans were evaluated by 2 oral and maxillofacial radiologists. BMCs were noted and classified according to Naitoh. Demographic data were also collected and analyzed. Results Twenty-eight patients were noted to have bifid mandibular canal, with an average age of 39 years (± 19.5), with no strong sex predilection. Patients (1.31%) were noted to have bifid canals. A greater percentage of patients were shown to have bilateral bifid canals (42.9%) versus either unilateral side (25% left, 32.1% right), but is statistically insignificant. Prevalence was greatest in types 1 and 3 (35.9% and 51.3%, respectively, P = 0.000011). Types 2 and 4 were much less common. Conclusion BMCs are an important anatomic variation that has implications on any mandibular surgery, including implant surgery. Just more than 1% of patients have this variation, but failure to recognize this in a patient can result in poor outcome, as illustrated in the case presented. |
| Databáze: | OpenAIRE |
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