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Descriptive study of mandibular canal visibility: morphometric and densitometric analysis for digital panoramic radiographs

Identifieur interne : 002318 ( Pmc/Curation ); précédent : 002317; suivant : 002319

Descriptive study of mandibular canal visibility: morphometric and densitometric analysis for digital panoramic radiographs

Auteurs : Marius Kubilius ; Ri Ardas Kubilius ; Vaidas Varinauskas ; Rimantas Žalinkevi Ius ; Tolga F. Tözüm ; Gintaras Juodžbalys

Source :

RBID : PMC:5606256

Abstract

Objectives:

To assess the visibility of the mandibular canal (MC) morphology in different jaw dental segments (JDSs) in relation to morphometric and densitometric parameters on digital panoramic radiographs (DPRs).

Methods:

32 DPRs (155 JDSs) were selected randomly after retrieval. MC visibility in conjunction with superior and inferior border visibility was scored on a 5-point scale in four places on the JDS—that is, for the medial, distal, superior and inferior MC parts. Morphometric and densitometric analyses were made horizontally and vertically in the JDS region. Descriptive statistics, Fisher's exact test, Mann–Whitney U test and additional tests were performed.

Results:

There was no significant difference in MC visibility for the superior, inferior, medial and distal parts of the JDSs. Statistically significant (p < 0.05) differences were identified between particular visibility scores of the superior and inferior MC borders. In 22.0–24.7% of JDSs, the superior MC border was not visible, more than twice as often as the inferior MC border was not visible (9.1–10.2%). The visibility of superior and inferior MC borders in JDSs was not related to the morphometric or densitometric assessment parameters, or to age, gender, JDS location, condition or the visibility of neighbouring MC parts or contralateral JDSs.

Conclusions:

DPRs failed to provide MC visibility based on a single factor. Particular differences were identified between the levels of visibility of the superior and inferior MC borders. More advanced radiological investigation methods could be required for the evaluation of about 25% of JDSs when superior MC border identification is obligatory.


Url:
DOI: 10.1259/dmfr.20160079
PubMed: 27167456
PubMed Central: 5606256

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PMC:5606256

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<title>Objectives:</title>
<p>To assess the visibility of the mandibular canal (MC) morphology in different jaw dental segments (JDSs) in relation to morphometric and densitometric parameters on digital panoramic radiographs (DPRs).</p>
</sec>
<sec>
<title>Methods:</title>
<p>32 DPRs (155 JDSs) were selected randomly after retrieval. MC visibility in conjunction with superior and inferior border visibility was scored on a 5-point scale in four places on the JDS—that is, for the medial, distal, superior and inferior MC parts. Morphometric and densitometric analyses were made horizontally and vertically in the JDS region. Descriptive statistics, Fisher's exact test, Mann–Whitney
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test and additional tests were performed.</p>
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<sec>
<title>Results:</title>
<p>There was no significant difference in MC visibility for the superior, inferior, medial and distal parts of the JDSs. Statistically significant (
<italic>p</italic>
 < 0.05) differences were identified between particular visibility scores of the superior and inferior MC borders. In 22.0–24.7% of JDSs, the superior MC border was not visible, more than twice as often as the inferior MC border was not visible (9.1–10.2%). The visibility of superior and inferior MC borders in JDSs was not related to the morphometric or densitometric assessment parameters, or to age, gender, JDS location, condition or the visibility of neighbouring MC parts or contralateral JDSs.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>DPRs failed to provide MC visibility based on a single factor. Particular differences were identified between the levels of visibility of the superior and inferior MC borders. More advanced radiological investigation methods could be required for the evaluation of about 25% of JDSs when superior MC border identification is obligatory.</p>
</sec>
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<alt-title alt-title-type="left-running-head">Mandibular canal visibility analysis for digital panoramic radiographs</alt-title>
<alt-title alt-title-type="right-running-head">Kubilius
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<sup>1</sup>
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<addr-line>Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania</addr-line>
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<sup>2</sup>
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<addr-line>DeoDental Clinic, Drogheda, Republic of Ireland</addr-line>
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<aff id="aff3">
<label>
<sup>3</sup>
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<addr-line>Institute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania</addr-line>
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<sup>4</sup>
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<addr-line>Department of Periodontics, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA</addr-line>
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<corresp id="cor1">Correspondence to: Mr Marius Kubilius. E-mail:
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<month>9</month>
<year>2016</year>
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<pub-date publication-format="electronic" date-type="pub">
<day>14</day>
<month>9</month>
<year>2016</year>
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<volume>45</volume>
<issue>7</issue>
<elocation-id>20160079</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>2</month>
<year>2016</year>
<string-date>Received on February 20, 2016</string-date>
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<date date-type="rev-recd">
<day>30</day>
<month>4</month>
<year>2016</year>
<string-date>Revised on April 30, 2016</string-date>
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<date date-type="accepted">
<day>9</day>
<month>5</month>
<year>2016</year>
<string-date>Accepted on May 9, 2016</string-date>
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<copyright-statement>© 2016 The Authors. Published by the British Institute of Radiology</copyright-statement>
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<self-uri content-type="pdf" xlink:href="dmfr.20160079.pdf"></self-uri>
<abstract>
<sec>
<title>Objectives:</title>
<p>To assess the visibility of the mandibular canal (MC) morphology in different jaw dental segments (JDSs) in relation to morphometric and densitometric parameters on digital panoramic radiographs (DPRs).</p>
</sec>
<sec>
<title>Methods:</title>
<p>32 DPRs (155 JDSs) were selected randomly after retrieval. MC visibility in conjunction with superior and inferior border visibility was scored on a 5-point scale in four places on the JDS—that is, for the medial, distal, superior and inferior MC parts. Morphometric and densitometric analyses were made horizontally and vertically in the JDS region. Descriptive statistics, Fisher's exact test, Mann–Whitney
<italic>U</italic>
test and additional tests were performed.</p>
</sec>
<sec>
<title>Results:</title>
<p>There was no significant difference in MC visibility for the superior, inferior, medial and distal parts of the JDSs. Statistically significant (
<italic>p</italic>
 < 0.05) differences were identified between particular visibility scores of the superior and inferior MC borders. In 22.0–24.7% of JDSs, the superior MC border was not visible, more than twice as often as the inferior MC border was not visible (9.1–10.2%). The visibility of superior and inferior MC borders in JDSs was not related to the morphometric or densitometric assessment parameters, or to age, gender, JDS location, condition or the visibility of neighbouring MC parts or contralateral JDSs.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>DPRs failed to provide MC visibility based on a single factor. Particular differences were identified between the levels of visibility of the superior and inferior MC borders. More advanced radiological investigation methods could be required for the evaluation of about 25% of JDSs when superior MC border identification is obligatory.</p>
</sec>
</abstract>
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