Abstract

In this study we investigate the association between facial type and mandibular canal course morphology analysing this in digital panoramic radiographs images. We used 603 digital images from panoramic radiographs. We selected only panoramic radiographs of fully dentate individuals, who had all lower molars bilaterally and with complete root formation. The sample distribution was determined by facial type and sex. The course of the mandibular canal, as seen in the panoramic radiographs, was classified into 3 types, bilaterally. The classification used was: type 1 if the mandibular canal is in contact or is positioned at most 2 mm from the root apex of the three permanent molars; type 2 if the mandibular canal is located halfway between the root apex of the three permanent molars and a half away from the mandibular basis; and type 3 if the mandibular canal is in contact with or approaches, a maximum of 2 mm from the cortical bone of the mandibular basis. For results, the data were analyzed by Chi-square test (p<0.05). Data analysis (Chi-square) showed there were more canals type 2 (p=0.0012) and fewer canals type 1 (p=0.0336) in females than in males, without association with the facial types. In conclusion, the facial type does not associated with the mandibular canal course analyzed.

Highlights

  • The mandibular canal is an important anatomical structure that should be considered before any surgery in the posterior mandible as third molar extraction or implant installation [1,2,3]

  • Determining possible changes in the anatomical course of the mandibular canal in relation to age and sex, using panoramic radiographs is important for clinical planning in implant surgical procedure in adulthood patients [6]

  • Our aim was to investigate the association between facial type and mandibular canal course morphology analyzing this in digital panoramic radiographs images

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Summary

Introduction

The mandibular canal is an important anatomical structure that should be considered before any surgery in the posterior mandible as third molar extraction or implant installation [1,2,3]. Frequent variations in the course of the mandibular canal have been found in studies [2,4]. Determining possible changes in the anatomical course of the mandibular canal in relation to age and sex, using panoramic radiographs is important for clinical planning in implant surgical procedure in adulthood patients [6]. It is extremely important that the dentist knows the location of the mandibular canal, performing radiographic examinations that allow their study, prior to any procedure such as anesthesia for inferior alveolar nerve block, preoperative planning for placement implants, third molars extractions, osteotomies and other maxillofacial surgery [8]

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