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Accessory mental foramina, incisive nerve plexus and lingual canals with unusual emergence paths: Report of two rare cases

Identifieur interne : 005944 ( Ncbi/Merge ); précédent : 005943; suivant : 005945

Accessory mental foramina, incisive nerve plexus and lingual canals with unusual emergence paths: Report of two rare cases

Auteurs : Sina Haghanifar ; Arash Poorsattar Bejeh Mir

Source :

RBID : PMC:4357078

Abstract

Being knowledgeable of neurovascularization of anterior mandible is crucial for successful local anesthesia and for safe minor and major oral surgeries of this part. The first case was 62 years old and was found to have two accessory mental foramina with buccal emergence on the left side and two accessory mental foramina with buccal and lingual emergence paths on the right side (overall five mental foramina). Incisive nerve plexus with multiple cephalic branching was obvious on both sides. The second case was 60 years of age and had two lingual foramina on the lingual side with two accessory foramina on the buccal side of the symphysis. Considering our findings, a pre-operation limited cone beam computed tomography is suggested to avoid inadvertent damage, especially when planning a surgery in the mandibular inter-mental region.


Url:
DOI: 10.4103/0975-962X.151710
PubMed: 25767360
PubMed Central: 4357078

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<p>Being knowledgeable of neurovascularization of anterior mandible is crucial for successful local anesthesia and for safe minor and major oral surgeries of this part. The first case was 62 years old and was found to have two accessory mental foramina with buccal emergence on the left side and two accessory mental foramina with buccal and lingual emergence paths on the right side (overall five mental foramina). Incisive nerve plexus with multiple cephalic branching was obvious on both sides. The second case was 60 years of age and had two lingual foramina on the lingual side with two accessory foramina on the buccal side of the symphysis. Considering our findings, a pre-operation limited cone beam computed tomography is suggested to avoid inadvertent damage, especially when planning a surgery in the mandibular inter-mental region.</p>
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<journal-id journal-id-type="nlm-ta">Indian J Dent</journal-id>
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<surname>Haghanifar</surname>
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<surname>Poorsattar Bejeh Mir</surname>
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<italic>Department of Maxillofacial Radiology, Dental School, Babol University of Medical Sciences, Ganj Afrooz Ave, Babol, Iran</italic>
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<corresp id="cor1">
<bold>Address for correspondence:</bold>
Dr. Arash Poorsattar Bejeh Mir, Dental Materials Research Center, Dental School, Babol University of Medical Sciences, Ganj Afrooz Ave, Babol, Iran. E-mail:
<email xlink:href="arashpoorsattar@gmail.com">arashpoorsattar@gmail.com</email>
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<season>Jan-Mar</season>
<year>2015</year>
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<volume>6</volume>
<issue>1</issue>
<fpage>44</fpage>
<lpage>48</lpage>
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<copyright-statement>Copyright: © Indian Journal of Dentistry</copyright-statement>
<copyright-year>2015</copyright-year>
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<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Being knowledgeable of neurovascularization of anterior mandible is crucial for successful local anesthesia and for safe minor and major oral surgeries of this part. The first case was 62 years old and was found to have two accessory mental foramina with buccal emergence on the left side and two accessory mental foramina with buccal and lingual emergence paths on the right side (overall five mental foramina). Incisive nerve plexus with multiple cephalic branching was obvious on both sides. The second case was 60 years of age and had two lingual foramina on the lingual side with two accessory foramina on the buccal side of the symphysis. Considering our findings, a pre-operation limited cone beam computed tomography is suggested to avoid inadvertent damage, especially when planning a surgery in the mandibular inter-mental region.</p>
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