Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery.
Identifieur interne : 000159 ( PubMed/Curation ); précédent : 000158; suivant : 000160Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery.
Auteurs : Lílian Azevedo De Souza [Brésil] ; Neuza Maria Souza Picorelli Assis [Brésil] ; Rosangela Almeida Ribeiro [Brésil] ; Antônio Carlos Pires Carvalho [Brésil] ; Karina Lopes Devito [Brésil]Source :
- Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft [ 1618-0402 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Essayage de prothèse (), Femelle, Humains, Jeune adulte, Mandibule (), Mandibule (imagerie diagnostique), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâle, Pose d'implant dentaire endo-osseux (), Radiographie dentaire (), Reproductibilité des résultats, Repères anatomiques (imagerie diagnostique), Sensibilité et spécificité, Soins préopératoires (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie hélicoïdale à faisceau conique (), Études rétrospectives.
- MESH :
- imagerie diagnostique : Mandibule, Mâchoire partiellement édentée, Repères anatomiques.
- Adolescent, Adulte, Adulte d'âge moyen, Essayage de prothèse, Femelle, Humains, Jeune adulte, Mandibule, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Radiographie dentaire, Reproductibilité des résultats, Sensibilité et spécificité, Soins préopératoires, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie hélicoïdale à faisceau conique, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Anatomic Landmarks (diagnostic imaging), Dental Implantation, Endosseous (methods), Female, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (surgery), Male, Mandible (diagnostic imaging), Mandible (surgery), Middle Aged, Preoperative Care (methods), Prosthesis Fitting (methods), Radiography, Dental (methods), Reproducibility of Results, Retrospective Studies, Sensitivity and Specificity, Spiral Cone-Beam Computed Tomography (methods), Young Adult.
- MESH :
- diagnostic imaging : Anatomic Landmarks, Jaw, Edentulous, Partially, Mandible.
- methods : Dental Implantation, Endosseous, Preoperative Care, Prosthesis Fitting, Radiography, Dental, Spiral Cone-Beam Computed Tomography.
- surgery : Jaw, Edentulous, Partially, Mandible.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Reproducibility of Results, Retrospective Studies, Sensitivity and Specificity, Young Adult.
Abstract
The aim of this study has been to evaluate and correlate the anatomical features of the posterior mandibular region (submandibular fossa depth, bone height and thickness, and mandibular canal corticalization) to improve accident prevention and allow safe planning in implantology. Four parasagittal sections of cone-beam computed tomography (CBCT) from 100 patients were bilaterally analyzed. Linear measurements of the submandibular fossa depth, bone height and thickness were performed. The submandibular fossa was also classified into non-influential undercuts and influential undercuts for implant placement. Mandibular canal corticalization was also evaluated and classified according to the visualization. Data on patient age and gender were also collected. Forty-one scans (41%) were from male patients, and 59 (59%) were from female patients. Patient age ranged between 18 and 84 years, with an average age of 51.37 years. The submandibular fossa depth and implant bone thickness had a significant effect on the variability of the sample (46.1% and 22.3%, respectively). The submandibular fossa depth was quite variable, and the highest values were observed in the posterior regions. In 18.27% of the cases, the presence of the fossa directly influenced implant placement, considering a bone height of 10mm (standard implant). A significant correlation was observed between fossa depth and bone thickness. Thus, greater attention should be paid to thick ridges; although thick ridges are favorable, they may be associated with deeper submandibular fossae. The mandibular canal was the most influential anatomical structure in the premolar region due to the reduced bone height in this region and the greater difficulty in viewing the canal, and the submandibular fossa was the most influential structure in the molar region due to lower bone height leading up to the fossa and the greater fossa depth in this region. Therefore, CBCT is an important tool for assessing the mandibular region and planning for safe implant installation in the posterior mandible. Furthermore, comprehensive evaluation of the characteristics of this region is necessary, as the variables - submandibular fossa depth, bone height and thickness, and mandibular canal corticalization - are related and must be considered together when planning.
DOI: 10.1016/j.aanat.2016.01.006
PubMed: 26851559
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Electronic address: lilianazevedo@msn.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG</wicri:regionArea></affiliation></author><author><name sortKey="Souza Picorelli Assis, Neuza Maria" sort="Souza Picorelli Assis, Neuza Maria" uniqKey="Souza Picorelli Assis N" first="Neuza Maria" last="Souza Picorelli Assis">Neuza Maria Souza Picorelli Assis</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. Electronic address: neuzapicorelli@terra.com.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG</wicri:regionArea></affiliation></author><author><name sortKey="Ribeiro, Rosangela Almeida" sort="Ribeiro, Rosangela Almeida" uniqKey="Ribeiro R" first="Rosangela Almeida" last="Ribeiro">Rosangela Almeida Ribeiro</name><affiliation wicri:level="1"><nlm:affiliation>Department of Social and Pediatric Dentistry, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. 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Electronic address: karina.devito@ufjf.edu.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG</wicri:regionArea></affiliation></author></analytic><series><title level="j">Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft</title><idno type="eISSN">1618-0402</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anatomic Landmarks (diagnostic imaging)</term><term>Dental Implantation, Endosseous (methods)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (diagnostic imaging)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible (diagnostic imaging)</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Preoperative Care (methods)</term><term>Prosthesis Fitting (methods)</term><term>Radiography, Dental (methods)</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Sensitivity and Specificity</term><term>Spiral Cone-Beam Computed Tomography (methods)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Essayage de prothèse ()</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mandibule ()</term><term>Mandibule (imagerie diagnostique)</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (imagerie diagnostique)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Radiographie dentaire ()</term><term>Reproductibilité des résultats</term><term>Repères anatomiques (imagerie diagnostique)</term><term>Sensibilité et spécificité</term><term>Soins préopératoires ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie hélicoïdale à faisceau conique ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Anatomic Landmarks</term><term>Jaw, Edentulous, Partially</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term><term>Mâchoire partiellement édentée</term><term>Repères anatomiques</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Preoperative Care</term><term>Prosthesis Fitting</term><term>Radiography, Dental</term><term>Spiral Cone-Beam Computed Tomography</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Sensitivity and Specificity</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Essayage de prothèse</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mandibule</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Radiographie dentaire</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Soins préopératoires</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie hélicoïdale à faisceau conique</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study has been to evaluate and correlate the anatomical features of the posterior mandibular region (submandibular fossa depth, bone height and thickness, and mandibular canal corticalization) to improve accident prevention and allow safe planning in implantology. Four parasagittal sections of cone-beam computed tomography (CBCT) from 100 patients were bilaterally analyzed. Linear measurements of the submandibular fossa depth, bone height and thickness were performed. The submandibular fossa was also classified into non-influential undercuts and influential undercuts for implant placement. Mandibular canal corticalization was also evaluated and classified according to the visualization. Data on patient age and gender were also collected. Forty-one scans (41%) were from male patients, and 59 (59%) were from female patients. Patient age ranged between 18 and 84 years, with an average age of 51.37 years. The submandibular fossa depth and implant bone thickness had a significant effect on the variability of the sample (46.1% and 22.3%, respectively). The submandibular fossa depth was quite variable, and the highest values were observed in the posterior regions. In 18.27% of the cases, the presence of the fossa directly influenced implant placement, considering a bone height of 10mm (standard implant). A significant correlation was observed between fossa depth and bone thickness. Thus, greater attention should be paid to thick ridges; although thick ridges are favorable, they may be associated with deeper submandibular fossae. The mandibular canal was the most influential anatomical structure in the premolar region due to the reduced bone height in this region and the greater difficulty in viewing the canal, and the submandibular fossa was the most influential structure in the molar region due to lower bone height leading up to the fossa and the greater fossa depth in this region. Therefore, CBCT is an important tool for assessing the mandibular region and planning for safe implant installation in the posterior mandible. Furthermore, comprehensive evaluation of the characteristics of this region is necessary, as the variables - submandibular fossa depth, bone height and thickness, and mandibular canal corticalization - are related and must be considered together when planning.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26851559</PMID><DateCompleted><Year>2017</Year><Month>01</Month><Day>23</Day></DateCompleted><DateRevised><Year>2017</Year><Month>01</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1618-0402</ISSN><JournalIssue CitedMedium="Internet"><Volume>205</Volume><PubDate><Year>2016</Year><Month>May</Month></PubDate></JournalIssue><Title>Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft</Title><ISOAbbreviation>Ann. Anat.</ISOAbbreviation></Journal><ArticleTitle>Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery.</ArticleTitle><Pagination><MedlinePgn>53-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.aanat.2016.01.006</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0940-9602(16)30007-3</ELocationID><Abstract><AbstractText>The aim of this study has been to evaluate and correlate the anatomical features of the posterior mandibular region (submandibular fossa depth, bone height and thickness, and mandibular canal corticalization) to improve accident prevention and allow safe planning in implantology. Four parasagittal sections of cone-beam computed tomography (CBCT) from 100 patients were bilaterally analyzed. Linear measurements of the submandibular fossa depth, bone height and thickness were performed. The submandibular fossa was also classified into non-influential undercuts and influential undercuts for implant placement. Mandibular canal corticalization was also evaluated and classified according to the visualization. Data on patient age and gender were also collected. Forty-one scans (41%) were from male patients, and 59 (59%) were from female patients. Patient age ranged between 18 and 84 years, with an average age of 51.37 years. The submandibular fossa depth and implant bone thickness had a significant effect on the variability of the sample (46.1% and 22.3%, respectively). The submandibular fossa depth was quite variable, and the highest values were observed in the posterior regions. In 18.27% of the cases, the presence of the fossa directly influenced implant placement, considering a bone height of 10mm (standard implant). A significant correlation was observed between fossa depth and bone thickness. Thus, greater attention should be paid to thick ridges; although thick ridges are favorable, they may be associated with deeper submandibular fossae. The mandibular canal was the most influential anatomical structure in the premolar region due to the reduced bone height in this region and the greater difficulty in viewing the canal, and the submandibular fossa was the most influential structure in the molar region due to lower bone height leading up to the fossa and the greater fossa depth in this region. Therefore, CBCT is an important tool for assessing the mandibular region and planning for safe implant installation in the posterior mandible. Furthermore, comprehensive evaluation of the characteristics of this region is necessary, as the variables - submandibular fossa depth, bone height and thickness, and mandibular canal corticalization - are related and must be considered together when planning.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier GmbH. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>de Souza</LastName><ForeName>Lílian Azevedo</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. Electronic address: lilianazevedo@msn.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Souza Picorelli Assis</LastName><ForeName>Neuza Maria</ForeName><Initials>NM</Initials><AffiliationInfo><Affiliation>Department of Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. Electronic address: neuzapicorelli@terra.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ribeiro</LastName><ForeName>Rosangela Almeida</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Department of Social and Pediatric Dentistry, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. Electronic address: ralmeida@powerline.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pires Carvalho</LastName><ForeName>Antônio Carlos</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Department of Radiology, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address: acpcrj@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Devito</LastName><ForeName>Karina Lopes</ForeName><Initials>KL</Initials><AffiliationInfo><Affiliation>Department of Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. Electronic address: karina.devito@ufjf.edu.br.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>02</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Ann Anat</MedlineTA><NlmUniqueID>100963897</NlmUniqueID><ISSNLinking>0940-9602</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059925" MajorTopicYN="N">Anatomic Landmarks</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017755" MajorTopicYN="N">Prosthesis Fitting</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011861" MajorTopicYN="N">Radiography, Dental</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054894" MajorTopicYN="N">Spiral Cone-Beam Computed Tomography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anatomy</Keyword><Keyword MajorTopicYN="N">Cone-beam computed tomography</Keyword><Keyword MajorTopicYN="N">Dental implants</Keyword><Keyword MajorTopicYN="N">Mandible</Keyword><Keyword MajorTopicYN="N">Radiology</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>03</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>10</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>01</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>1</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26851559</ArticleId><ArticleId IdType="pii">S0940-9602(16)30007-3</ArticleId><ArticleId IdType="doi">10.1016/j.aanat.2016.01.006</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery.
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