Abstract

AimUnderstanding the mental foramen (MF) position and prevalence and location of the anterior loop (AL) is important during clinical and surgical procedures close to the mental foramen to avoid damage to the neurovascular bundle. The current study was done to determine the location of the MF, its distance from the inferior border of the mandible, and prevalence of AL in Egyptian population using cone beam computed tomography (CBCT).MethodsA retrospective analysis of CBCT images was done in this study. Images of Egyptian patients who have already been subjected to CBCT examination as part of their dental diagnosis and/or treatment planning were included according to the proposed eligibility criteria.ResultsThis study showed that the most common location of the MF (43.8% on the left side and 67.9% on the right side) is located below the apex of the second premolar. The mean size of mental foramen showed a height of 3.32 mm in females, 3.60 mm in males, and a width of 3.41 mm in females and 3.59 mm in males. The mean value of distance from inferior border was 10.08 mm in females and 10.55 mm in males. Fifty-five percent of the cases showed presence of anterior loop.ConclusionThese results are consistent with similar radiographic studies regarding size and location of MF and distances between MF and adjacent anatomic structures. The most common position of the MF is below the 2nd premolar. AL was found in more than half of the cases examined.

Highlights

  • The mental foramen (MF) is a channel-like opening that is narrow at the base and wide at the top through which the mental nerve exits the mental canal (Phillips et al 1990)

  • Four cases (6.3%) of the MF were found below the apex of 1st premolar; whereas in 20 cases (31.3%), the MF was located between the 1st and 2nd premolars (male = 8 (40%), female = 12 (60%)

  • Size of mental foramen and distance from the inferior border The mean size of mental foramen showed a height of 3.32 mm in females, 3.60 mm in males, and a width of 3.41 mm in females and 3.59 mm in males

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Summary

Introduction

The MF is a channel-like opening that is narrow at the base and wide at the top through which the mental nerve exits the mental canal (Phillips et al 1990). It is important to be aware of the position of the MF during clinical procedures such as elevation of mucoperiosteal flaps, local anesthesia injection, and any bone surgery being performed in the vicinity of the MF. The part of inferior alveolar nerve (IAN) presents anterior to the MF, before leaving the canal is known as Shalash et al Bulletin of the National Research Centre (2020) 44:110 the anterior loop (AL) of the IAN (Apostolakis and Brown 2012). Prevalence and location of the AL is important during different surgical procedures, especially during placing dental implants in fully edentulous patients. The exact location of MF is important for both diagnostic and clinical purposes A study comparing the dissection of the AL anatomically and CBCT scans of cadaver specimens showed almost near equal measurements, from which the authors concluded that CBCT is considered reliable in determining the extent of the AL (Uchida et al 2009).

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