Abstract:Objective To study the location in the mandible of mandibular canal by cone-beam computed tomography (CBCT). Methods Fifty healthy volunteers examined in the Stomatology Department of the Third People' Hospital of Zhenjiang City in Jiangsu Province from January 2014 to January 2015 were selected. The following data were collected: the distance from the inner contour of the canal to alveolar crest, the distance from the inner contour of the canal to the buccal and lingual surface of mandible, the distance from the superior border of the mandibular canal to alveolar crest and the distance from the inferior border of the mandibular canal to the inferior border of mandible. Results The mean distance from the inner contour of the canal to alveolar crest in the third molar section, the second molar section, the first molar section, the second premolar section, the first premolar section was (18.14±1.13) mm, (15.63±1.42) mm, (17.55±1.70) mm, (18.16±1.57) mm and (17.13±1.36) mm respectively. The distance from the inner contour of the canal to the buccal surface of mandible in the third molar section, the second molar section, the first molar section,the second premolar section and the first premolar section was (7.40±1.43) mm, (7.78±1.49) mm, (5.92±1.57) mm, (4.08±1.23) mm and (4.23±1.45) mm respectively. The distance from the inner contour of the canal to the lingual surface of mandible in the third molar section, the second molar section, the first molar section, the second premolar section and the first premolar section was (2.74±1.21) mm, (4.40±1.31) mm, (4.84±1.16) mm, (5.81±1.28) mm and (4.86±1.11) mm. The mandibular canal walking in the mandible went downward for a distance at first, and then went up. The distance from the inner contour of the canal to alveolar crest was shortest in the second molar section and was farthest in the second premolar section (P < 0.01). There were statistical significances in every section between the buccal bone width and the lingual width. The lingual bone width was thinnest in the third molar section, and was thickest in the second premolar section (P < 0.01). The mandibular canal was more close to the edge of mandible than alveolar crest (P < 0.01). Conclusion The mandibular canal starts from the mandible foramen, walks forward and downward first, then turns to move upward and moves toward the buccal side in the second molar section. Finally it moves up to the mental foramen and walks out of the mandible.
[1] Williams P,Warwick R,Dyson M,et al. Gray’s Anatomy [M]. London:36th edn Churchill Livingstone,1980:1318.
[2] de Oliveira Júnior MR,Saud AL,Fonseca DR,et al. Morphometrical analysis of the human mandibular canal:a CT investigation [J]. Surg Radiol Anat,2011,33(4):345-352.
[3] 皮昕.口腔解剖生理学[M].北京:人民卫生出版社,2003.
[4] Pogrel MA. Damage to the inferior alveolar nerve as the result of root canal therapy [J]. J Am Dent Assoc,2007,138(1):65-69.
[5] Jun SH,Kim CH,Ahn JS,et al. Anatomical differences in lower third molars visualized by 2D and 3D X-ray imaging:clinical outcomes after extraction [J]. Int J Oral Maxillofac Surg,2013,42(4):489-496.
[6] Kubilius R,Sabalys G,Juodzbalys G,et al. Traumatic damage to the inferior alveolar nerve sustained in course of dental implantation. Possiblity of prevention [J]. Stomatologia,Baltic Dental and Maxillofacial Journal,2004,6(4):106-110.
[7] 雷双喜,杨敏.种植牙致下牙槽神经损伤1例的临床报告[J].中国口腔种植学杂志,2006,11(3):135-136.
[8] 王丽萍,张树标,欧阳可雄,等.跨下颌神经管种植在萎缩下颌后牙区的应用[J].中国口腔种植学杂志,2010,15(2):63-67.
[9] Katakam SK,Shankar U,Thakur D,et al. Comparison of Orthopantomography and Computed Tomography Image for Assessing the Relationship between Impacted Mandibular Third Molar and Mandibular Canal [J]. J Contemp Dent Pract,2013,13(6):819-823.
[10] 金柱坤,李潇,杨凯.基于螺旋CT对68例中国人下牙槽神经管的位置研究[J].实用口腔医学杂志,2013,29(4):495-499.
[11] 马绪臣,张祖燕.口腔颌面锥形束CT的临床应用[M].北京:人民卫生出版社,2011:223.
[12] Udhaya K,Saraladevi KV,Sridhar J. The morphometric analysis of the mental foramen in adult dry human mandiles:a study on the South Indian population [J]. J Clin Diagn Res,2013,7(8):1547-1551.
[13] Kqiku L,Weiglein A,Kamberi B,et al. Position of the mental foramen in Kosovarian population [J]. Coll Antropol,2013,37(2):545-549.
[14] Ca■layan F,Sümbüllü MA,Akgül HM. Morphometric and morphologicevaluationof the mental foramen in relation to age and sex:an anatomic cone-beam computed tomography study [J]. J Craniofac Surg,2014,25(6):2227-2230.
[15] Fujita A,Suzuki T.Computed tomographic analysis of the mentalforamen and nerve in Japanese patients [J]. Implant Dent,2014,23(4):471-476.
[16] Udhaya K,Saraladevi KV,Sridhar J. The morphometric analysis of the mental foramen in adult dry human mandiles:a study on the South Indian population [J]. J Clin Diagn Res,2013,7(8):1547-1551.
[17] Chkoura A,EI Wady W. Position of the mental foramen in a Moroccan population: a radiographic study [J]. Imaging SciDent,2013,43(2):71-75.
[18] Pria CM,Masood F,Beckerley JM,et al. Study of the inferior alveolar canal and mental foramen on digital panoramic images [J]. J Contemp Dent Pract,2011,12(4):265-271.
[19] Kqiku L,Weiglein A,Kamberi B,et al. Position of the mental foramen in Kosovarian population [J]. Coll Antropol,2013,37(2):545-549.
[20] BhagchandaniS,Endodontics,Karan J,et al. Use of cone beam computed tomography in thedetermination of mental foramen location in relation to mandibular 1st and 2nd premolars [D]. Richmond:Virginia Commonwealth University,2010.
[21] von Arx T,Friedli M,Sendi P,et al. Location and dimensions of the mental foramen:a radiographic analysis by using cone - beam computed tomography [J]. J Endod,2013,39(12):1522-1528.
[22] Fabian FM. Position,shape and direction of opening of the mental foramen in dry mandibles of Tanzanian adult black males [J]. Ital JAnat Embryol,2007,112(3):169-177.
[23] Williams P,Warwick R,Dyson M,et al. Gray’s Anatomy [M]. London:36th edn Churchill Livingstone,1980:1318.
[24] 张军岐,王青,陈凤山.下颌骨颏孔区CBCT分析[J].口腔颌面外科杂志,2014,24(2):123-126.
[25] 冉炜,郭冰,陈松龄,等.下颌神经管全长三维走向的测量及其临床意义[J].解剖学研究,2002,24(2):118.
[26] 王朝,徐淑兰,周磊,等.锥形束CT对83例中国人下牙槽神经管的位置测量研究[J].实用医学杂志,2014,30(5):711-716.