Evaluation of Morphology and Anatomical Measurement of Nasopalatine Canal Using Cone Beam Computed Tomography
Identifieur interne : 000844 ( Main/Exploration ); précédent : 000843; suivant : 000845Evaluation of Morphology and Anatomical Measurement of Nasopalatine Canal Using Cone Beam Computed Tomography
Auteurs : Mehrdad Panjnoush [Iran] ; Hamideh Norouzi [Iran] ; Yasaman Kheirandish [Iran] ; Ahmad Reza Shamshiri [Iran] ; Niloufar Mofidi [Iran]Source :
- Journal of Dentistry (Tehran, Iran) [ 1735-2150 ] ; 2016.
Abstract
Precise radiographic assessment of the nasopalatine canal is required to prevent implant failure. The purpose of the current study was to determine the three dimensional (3D) morphology, as well as the dimensions of the nasopalatine canal using cone beam computed tomography (CBCT).
In this descriptive cross-sectional study, maxillary CBCT images from 300 patients (150 men, 150 women) were retrospectively evaluated. Sagittal and coronal views were reviewed to determine the nasopalatine canal morphology and dimensions. The difference in canal dimensions between men and women was evaluated using the Student’s t-test while the difference in canal morphology between the two sexes was assessed using Chi-square test.
A total of 199 (66.3%) patients had type A canal (cylindrical without a branch), 69 (23%) had type B canal (a canal with a branch in the upper part), and 32 (10.7 %) had type C canal (a canal with a branch in the middle part). Incisive foramen diameter was 4.7±1.11mm on the sagittal section. Alveolar bone width in the anterior part of the canal was 12.3±1.7mm in the upper one third, 10.7±1.7mm in the middle one third, and 9.8±1.4mm in the lower one third. The angle of canal with palate was 109.5±5.7°. On the coronal sections, canal length was 14.1±3.0mm, incisive foramen diameter was 4.6±1.0mm, and canal diameter in the nasal floor was 5.1±1.0mm.
Significant differences in canal morphology were observed among the patients and CBCT was useful in determining nasopalatine canal morphology and its dimensions before implant placement.
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PubMed: 28127321
PubMed Central: 5253222
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wicri:level="1"><nlm:aff id="AFF2"> Dentist, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Dentist, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Kheirandish, Yasaman" sort="Kheirandish, Yasaman" uniqKey="Kheirandish Y" first="Yasaman" last="Kheirandish">Yasaman Kheirandish</name><affiliation wicri:level="1"><nlm:aff id="AFF3"> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Shamshiri, Ahmad Reza" sort="Shamshiri, Ahmad Reza" uniqKey="Shamshiri A" first="Ahmad Reza" last="Shamshiri">Ahmad Reza Shamshiri</name><affiliation wicri:level="1"><nlm:aff id="AFF4"> Assistant Professor, Department of Community Oral Health, Dental Research Center, Dentistry Research Institute, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Assistant Professor, Department of Community Oral Health, Dental Research Center, Dentistry Research Institute, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Mofidi, Niloufar" sort="Mofidi, Niloufar" uniqKey="Mofidi N" first="Niloufar" last="Mofidi">Niloufar Mofidi</name><affiliation wicri:level="1"><nlm:aff id="AFF5"> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Kurdistan University of Medical Sciences, Sanandaj, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Assistant Professor, 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School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Norouzi, Hamideh" sort="Norouzi, Hamideh" uniqKey="Norouzi H" first="Hamideh" last="Norouzi">Hamideh Norouzi</name><affiliation wicri:level="1"><nlm:aff id="AFF2"> Dentist, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Dentist, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Kheirandish, Yasaman" sort="Kheirandish, Yasaman" uniqKey="Kheirandish Y" first="Yasaman" last="Kheirandish">Yasaman Kheirandish</name><affiliation wicri:level="1"><nlm:aff id="AFF3"> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Shamshiri, Ahmad Reza" sort="Shamshiri, Ahmad Reza" uniqKey="Shamshiri A" first="Ahmad Reza" last="Shamshiri">Ahmad Reza Shamshiri</name><affiliation wicri:level="1"><nlm:aff id="AFF4"> Assistant Professor, Department of Community Oral Health, Dental Research Center, Dentistry Research Institute, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Assistant Professor, Department of Community Oral Health, Dental Research Center, Dentistry Research Institute, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Mofidi, Niloufar" sort="Mofidi, Niloufar" uniqKey="Mofidi N" first="Niloufar" last="Mofidi">Niloufar Mofidi</name><affiliation wicri:level="1"><nlm:aff id="AFF5"> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Kurdistan University of Medical Sciences, Sanandaj, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Kurdistan University of Medical Sciences, Sanandaj</wicri:regionArea><wicri:noRegion>Sanandaj</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Dentistry (Tehran, Iran)</title><idno type="ISSN">1735-2150</idno><idno type="eISSN">2008-2185</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives:</title><p>Precise radiographic assessment of the nasopalatine canal is required to prevent implant failure. The purpose of the current study was to determine the three dimensional (3D) morphology, as well as the dimensions of the nasopalatine canal using cone beam computed tomography (CBCT).</p></sec><sec><title>Materials and Methods:</title><p>In this descriptive cross-sectional study, maxillary CBCT images from 300 patients (150 men, 150 women) were retrospectively evaluated. Sagittal and coronal views were reviewed to determine the nasopalatine canal morphology and dimensions. The difference in canal dimensions between men and women was evaluated using the Student’s t-test while the difference in canal morphology between the two sexes was assessed using Chi-square test.</p></sec><sec><title>Results:</title><p>A total of 199 (66.3%) patients had type A canal (cylindrical without a branch), 69 (23%) had type B canal (a canal with a branch in the upper part), and 32 (10.7 %) had type C canal (a canal with a branch in the middle part). Incisive foramen diameter was 4.7±1.11mm on the sagittal section. Alveolar bone width in the anterior part of the canal was 12.3±1.7mm in the upper one third, 10.7±1.7mm in the middle one third, and 9.8±1.4mm in the lower one third. The angle of canal with palate was 109.5±5.7°. On the coronal sections, canal length was 14.1±3.0mm, incisive foramen diameter was 4.6±1.0mm, and canal diameter in the nasal floor was 5.1±1.0mm.</p></sec><sec><title>Conclusions:</title><p>Significant differences in canal morphology were observed among the patients and CBCT was useful in determining nasopalatine canal morphology and its dimensions before implant placement.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Teughels, W" uniqKey="Teughels W">W Teughels</name></author><author><name sortKey="Merheb, J" uniqKey="Merheb J">J Merheb</name></author><author><name sortKey="Quirynen, M" uniqKey="Quirynen M">M. 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