Distribution of the lingual foramina in mandibular cortical bone in Koreans
Identifieur interne : 002555 ( Main/Merge ); précédent : 002554; suivant : 002556Distribution of the lingual foramina in mandibular cortical bone in Koreans
Auteurs : Dae Hyun Kim [Corée du Sud] ; Moon Yong Kim [Corée du Sud] ; Chul-Hwan Kim [Corée du Sud]Source :
- Journal of the Korean Association of Oral and Maxillofacial Surgeons [ 2234-7550 ] ; 2013.
Abstract
The interforminal region, between the mandibular foramen, is known as a relatively safe area that is free of anatomic structures, such as inferior alveolar nerve, submandibular fossa, and lingual side of the mandible is occasionally neglected for its low clinical importance. Even in the case of a severely constricted alveolus, perforation of the lingual cortical bone had been intended. However, anterior extension of the inferior alveolar canal, important anatomic structure, such as concavity of lingual bone, lingual foramina, and lingual canal, has recently been reported through various studies, and untypical bleeding by perforation of the lingual plate on implantation has also been reported. Therefore, in this study, we performed radiographic and statistical analysis on distribution and appearance frequencies of the lingual foramina that causes perforation of the mandibular lingual cortical bone to prevent complications, such as untypical bleeding, during surgical procedure.
We measured the horizontal length from a midline of the mandible to the lingual foramina, as well as the horizontal length from the alveolar crest to the lingual foramina and from the lingual foramina to the mandibular border by multi-detector computed tomography of 187 patients, who visited Dankook University Dental Hospital for various reasons from January 1, 2008 to August 31, 2012.
From a total of 187 human mandibles, 110 (58.8%) mandibles had lingual foramina; 39 (20.9%) had bilateral lingual foramen; 34 (18.2%) had the only left lingual foramen; and 37 (19.8%) had the only right lingual foramen.
When there is consistent bleeding during a surgical procedure, clinicians must consider damages on the branches of the sublingual artery, which penetrate the lingual foramina. Also, when there is a lingual foramina larger than 1 mm in diameter on a pre-implantation computed tomography, clinicians must beware of vessel damage. In order to prevent these complications and progress with a safe surgical procedure, a thorough radiographic examination before the surgery is indispensable. Further, clinicians should retract lingual flap definitely to confirm the shape of the lingual bone and existence of the lingual foramina.
Url:
DOI: 10.5125/jkaoms.2013.39.6.263
PubMed: 24516815
PubMed Central: 3912783
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PMC:3912783Le document en format XML
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<affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, Cheonan, Korea.</nlm:aff>
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<author><name sortKey="Kim, Moon Yong" sort="Kim, Moon Yong" uniqKey="Kim M" first="Moon Yong" last="Kim">Moon Yong Kim</name>
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<author><name sortKey="Kim, Moon Yong" sort="Kim, Moon Yong" uniqKey="Kim M" first="Moon Yong" last="Kim">Moon Yong Kim</name>
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<author><name sortKey="Kim, Chul Hwan" sort="Kim, Chul Hwan" uniqKey="Kim C" first="Chul-Hwan" last="Kim">Chul-Hwan Kim</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>The interforminal region, between the mandibular foramen, is known as a relatively safe area that is free of anatomic structures, such as inferior alveolar nerve, submandibular fossa, and lingual side of the mandible is occasionally neglected for its low clinical importance. Even in the case of a severely constricted alveolus, perforation of the lingual cortical bone had been intended. However, anterior extension of the inferior alveolar canal, important anatomic structure, such as concavity of lingual bone, lingual foramina, and lingual canal, has recently been reported through various studies, and untypical bleeding by perforation of the lingual plate on implantation has also been reported. Therefore, in this study, we performed radiographic and statistical analysis on distribution and appearance frequencies of the lingual foramina that causes perforation of the mandibular lingual cortical bone to prevent complications, such as untypical bleeding, during surgical procedure.</p>
</sec>
<sec><title>Materials and Methods</title>
<p>We measured the horizontal length from a midline of the mandible to the lingual foramina, as well as the horizontal length from the alveolar crest to the lingual foramina and from the lingual foramina to the mandibular border by multi-detector computed tomography of 187 patients, who visited Dankook University Dental Hospital for various reasons from January 1, 2008 to August 31, 2012.</p>
</sec>
<sec><title>Results</title>
<p>From a total of 187 human mandibles, 110 (58.8%) mandibles had lingual foramina; 39 (20.9%) had bilateral lingual foramen; 34 (18.2%) had the only left lingual foramen; and 37 (19.8%) had the only right lingual foramen.</p>
</sec>
<sec><title>Conclusion</title>
<p>When there is consistent bleeding during a surgical procedure, clinicians must consider damages on the branches of the sublingual artery, which penetrate the lingual foramina. Also, when there is a lingual foramina larger than 1 mm in diameter on a pre-implantation computed tomography, clinicians must beware of vessel damage. In order to prevent these complications and progress with a safe surgical procedure, a thorough radiographic examination before the surgery is indispensable. Further, clinicians should retract lingual flap definitely to confirm the shape of the lingual bone and existence of the lingual foramina.</p>
</sec>
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