Morphometric aspects and proposal of a new classification of genial tubercles in cone-beam computed tomography in a Brazilian population.

Abstract

This study evaluated epidemiological and morphological aspects of genial tubercles (GTs) using cone-beam computed tomography (CBCT). This retrospective, observational and cross-sectional study evaluated 276 tomographs of adult dentate individuals (18-69 years). The presence and absence of GTs were evaluated, and in cases in which this structure was observed, linear measurements (length, height, and width), and anatomical distances. In addition, a GT classification was proposed based on the presence, number, and location of the tubercles. Of the 276 CT scans, 28 (10.14%) had absence of GTs and in 248 CT scans GTs were present, of which 42 (57.5%) were from females and 106 (42.5%) from males. Regarding the number of GTS, the most prevalent variant was the two-tubercle-variant (143, 57.7%), followed by the presence of a single tubercle (n=62, 25.0%), 3 tubercles (n=40, 16.1%) and 4 tubercles (n=3, 1.2%). The most prevalent classification was IIIA (n=96, 38.7%), followed by IIIB (n=60, 36.3%), IIA (n=53, 21.4%) and IIB (n=9, 3.6%). A prevalence of GT of approximately 90% was observed, with two GTs per exam as the most frequent finding. Men had a longer mean GT length compared to women. Female individuals exhibited a shorter distance from the base of the GT to the base of the mandible.