Mandibular Implants Research Articles

Clinical efficiency and stability of surface-modified implants: acid modification versus photoactivation.

. Aim: To study the stability of surface-modified dental implants, with the usage of sandblasting/acid modification vs. photoactivation. Materials and Methods: In the observation were included 164 patients with dental defects. All patients had digital impressions taken by scanning the oral cavity with an intraoral scanner 3Shape TRIOSR. Group A (80 subjects) included implants whose surface was modified with a combination of sandblasting and acid. Group B (84 subjects) - implants after modification with photoactivation. The implant stability quotient was recorded using an Osstell MentorTM device. Results: The reliable effectiveness of the photoactivation method in complex treatment of the surface of dental implants in improving the stability of fixed dentures in the short and long-term periods of observation was proven. When assessing immediate clinical outcomes, there was no significant difference in the frequency of hyperemia, algesia, hyperthermia, soft tissue edema, regional lymphadenitis, depending on the classical method of treating the implant surface and the complex method with photoactivation. Of the long-term clinical outcomes with classical surface treatment, the absolute risk of implant failure was 1.2%, relative risk - 0,99 [CI%0,96-1,0]. The average value of the implant stability coefficient (ISQ) and the data of the Periotest study at the time of surgery probably did not differ in the observation groups, after 3 months, a higher index was proven in the treatment of the surface by the method of photoactivation and greater stability of the mandibular implants. At the time of implantation, there were no statistically significant differences in implant fixation between the groups, however, during prospective observation in group A, secondary stability indicators based on periotestometry results were significantly lower. Conclusions: It was proved the reliable effectiveness of the photoactivation-method for surface modification in the short and long-term periods of observation for improving the results of orthodontically treatment.

Clinical and Radiographic Comparison Between Mandibular Implant Surveyed Crowns Retained Removable Partial Denture Versus Mandibular Implant Retained Overdenture

Clinical and Radiographic Comparison Between Mandibular Implant Surveyed Crowns Retained Removable Partial Denture Versus Mandibular Implant Retained Overdenture

Peri-Implant Marginal Bone Height Change and Patient’s Satisfaction Rehabilitated with Ball and OT Equator with Smart box Attachment for Retaining Mandibular Implant Overdenture

Peri-Implant Marginal Bone Height Change and Patient’s Satisfaction Rehabilitated with Ball and OT Equator with Smart box Attachment for Retaining Mandibular Implant Overdenture

A Case Report of Oral Bisphosphonate Treatment for Osteoporosis Leading to Atypical Femoral Fracture and Pathologic Mandibular Fracture.

BACKGROUND Bisphosphonates inhibit bone resorption in patients with postmenopausal osteoporosis and reduce osteoporotic fracture incidence. Medication-related osteonecrosis of the jaws (MRONJ) and atypical femoral fractures (AFF) are both rare but serious adverse effects of anti-resorptive drugs (ARD) such as bisphosphonates. The most advanced form of MRONJ is termed stage 3 and can lead to severe local sequelae like pathologic mandibular fractures (PMF). This study reports a case of MRONJ-related PMF and AFF with osteomyelitis secondary to bisphosphonate treatment for osteoporosis. CASE REPORT A 63-year-old white woman was diagnosed with PMF related to MRONJ stage 3 during treatment of an AFF with osteomyelitis. She had been treated for postmenopausal osteoporosis with 70 mg of alendronate weekly for 2 years. The PMF was treated by stable internal fixation combined with debridement and sequestrectomy, but further debridement was required and 2 mandibular implants were then removed. Postoperative recovery was uneventful and the mandibular infection was controlled after the second surgery. Three weeks later, she was discharged from the hospital, instructed to discontinue the use of alendronate, and referred for 30 sessions of hyperbaric oxygen therapy. At the 3-year follow-up, the PMF was completely healed without signs of mandibular infection or bone exposure. CONCLUSIONS This report raises awareness of both MRONJ and AFF as possible adverse effects of short-term bisphosphonate therapy for postmenopausal osteoporosis, and highlights the importance of dental and orthopedic follow-ups. It is crucial to emphasize the need for early diagnosis and treatment to prevent MRONJ progression to PMF.

The accuracy of dynamic computer assisted implant surgery in fully edentulous jaws: A retrospective case series.

To evaluate the accuracy of implant placement using a dynamic navigation system in fully edentulous jaws and to analyze the influence of implant distribution on implant position accuracy. Edentulous patients who received implant placement using a dynamic navigation system were included. Four to six mini screws were placed in the edentulous jaw under local anesthesia as fiducial markers. Then patients received CBCT scans. Virtual implant positions were designed in the planning software based on CBCT data. Under local anesthesia, implants were inserted under the guidance of the dynamic navigation system. CBCTs were taken following implant placement. The deviation between the actual and planned implant positions was measured by comparing the pre- and postsurgery CBCT. A total of 13 edentulous patients with 13 edentulous maxillae and 7 edentulous mandibles were included, and 108 implants were placed. The average linear deviations at the implant entry point and apex were 1.08 ± 0.52 mm and 1.15 ± 0.60 mm, respectively. The average angular deviation was 2.85 ± 1.20°. No significant difference was detected in linear and angular deviations between the maxillary and mandibular implants, neither between the anterior and posterior implants. The dynamic navigation system provides high accuracy for implant placement in fully edentulous jaws, while the distribution of the implants showed little impact on implant position accuracy.

Effect of different implant surface treatments on bony ‎changes around mandibular implants for completely ‎edentulous patients ‎ A Split-mouth comparative study

Effect of different implant surface treatments on bony ‎changes around mandibular implants for completely ‎edentulous patients ‎ A Split-mouth comparative study

Factors Affecting Implant Surface Roughness and Platform Alterations After Implantoplasty: An In Vitro Study Simulating Different Clinical Scenarios.

Purpose: To determine which clinical factors might affect the postimplantoplasty presence of residual threads, platform alterations, and level of surface roughness. Materials and Methods: A total of 60 implants were placed in 20 resin models (10 edentulous maxillary models and 10 partially dentate mandibular models), and 5-mm peri-implant bone defects were created. These models were then placed in simulation mannequins. A single researcher performed the implantoplasties, which were divided into the following groups: favorable situation (FS; maxillary incisors without adjacent teeth), unfavorable situation (US; mandibular molars with adjacent teeth), crown (C; mandibular premolars with a prosthetic crown and adjacent teeth), and noncrown (NC; mandibular premolars with adjacent teeth and without a prosthetic crown). The presence of residual threads, gaps in the implant-abutment interface, and silicone debris was assessed using a scanning electron microscope (SEM), and the surface roughness (Sa and Sz) was analyzed with a confocal optical microscope. A descriptive and bivariate analysis was conducted. Results: The postimplantoplasty surfaces were significantly smoother than the original implant surfaces. The surface roughness was significantly higher in the US group than in the FS group. Gaps in the implant-abutment interface were infrequent (6.67%; 95% CI = 2.62 to 15.93) and only appeared in the posterior zone. The odds ratio for the presence of residual threads and silicone debris (US group vs FS group) was 7.1 (95% CI = 4.15 to 12.14; P < .001) and 5.53 (95% CI = 3.21 to 9.53; P < .001), respectively. When a prosthetic crown was present, residual threads were 7 times more likely to be found (OR = 7.0; 95% CI = 3.5 to 13.99; P < .001). Conclusions: Implantoplasty leads to a significant reduction in the surface roughness of implants but is affected by several variables. Performing implantoplasty on posterior mandibular implants with adjacent teeth seems to be more challenging compared to implants placed in the anterior region of a fully edentulous maxilla. The presence of a prosthetic crown should also be considered as a relevant factor. Furthermore, implantoplasty can sometimes cause gaps in the implant-abutment interface and an accumulation of silicone debris, especially in areas with limited access.

Specific use of the implant stability quotient as a guide to improve healing for patients who had undergone rehabilitation with fixed implant-supported dental prostheses

to develop a clinical approach to evaluating osteointegration around bone implants and try to determining which was the correct time of implant loading in different edentulous indications, that is, either properly positioned implants or implants "at risk", generally referred to as implants having increased probability of failure (namely those for which primary stability had been achieved via a time-consuming surgery). Several implant-supported rehabilitation strategies, with or without bone augmentation procedures, were performed in the upper and lower arches: From 2 to 5 months following implant placement, the prosthetic restorations were performed. A resonance frequency analyzer allowed clinicians to measure intraoperative and postoperative implant stability, then the values of the implant stability quotient, ISQ, ranging from 0 to 100, were registered. ISQs were ranked into 3 levels: Green (ISQ ≥ 70), Yellow (60 ≤ ISQ < 70), and Red (ISQ < 60). Groups were subjected to Pearson's χ2 analysis, with YATES correction when necessary, with a significance level of 0.05. A total of 213 implants had been included. When the distribution of normalized values of ISQ registered for implants inserted in native bone and loaded at 2-3 months (5 Red, 19 Yellow, and 51 Green) was compared to that of native implants loaded after 4-5 months (4 Red, 20 Yellow, and 11 Green), a significative difference was found (p-value=0.0037). At the time of loading, significance was lost. Significant clinical improvements on the distribution of normalized values of ISQ were apparent for both the implants placed in pristine and those placed in lifted sinuses; no significant differences were registered between the two groups. At the loading time, implants considered to be at risk behaved similarly to the native sites for which the overall prosthetic workflow took about few; results confirmed that the mandibular implants appeared to have higher stabilities when compared to maxillary implants at both the intraoperative and the postoperative surveys.

Deviation of Dental Implants Placed by Guided Implant Surgery in Bone Structures with Different Densities.

Purpose: This study aimed to evaluate the deviations of implants with two different geometries placed with a bone-supported stereolithographic surgical template into the bone of Misch classification densities of D2, D3, and D4. Materials and Methods: Eight maxilla and eight mandible models were macrodesigned according to the jaw geometries. Bone densities of these models were created in parallel with the most frequently observed densities in the locations: D3 bone density in the anterior maxilla, D4 bone density in the posterior maxilla, D2 bone density in the anterior mandible, and D3 bone density in the posterior mandible. A bone-supported stereolithographic surgical template was prepared in accordance with the jaw models and planning and used to place 64 NobelParallel Conical Connection RP 4.3 × 13 mm and 64 NobelActive 4.3 × 13 mm implants on the models. Global deviation, lateral deviation, angular deviation, and depth deviation between planned and placed implants were calculated with Hypermesh. The Kruskal-Wallis test was used to analyze the differences between deviation data of the study groups, and the Mann-Whitney U test was used for pairwise comparisons of groups with significant differences. Significance was evaluated as P < .05. Results: The study groups showed statistical differences in terms of global, lateral, and depth deviation (P = .017, P = .044, and P = .012, respectively); no statistical difference was detected in terms of angular deviation (P > .05). When the data of all studies were evaluated, the deviation values for all maxillary and mandibular implants were examined regardless of bone and implant type; no statistical difference was found between the arches in terms of deviation type (P > .05). Conclusion: Regardless of the macrogeometry of the dental implants placed with the guide, no significant difference was observed between the deviation values of the different bone densities they were applied to.

Effect of T-scan Occlusal Analysis and Adjustment Versus Articulating Paper on Stresses Transmitted to Single Mandibular Implant Supported Prosthesis

AIM: The study aimed to compare two different methods for occlusal analysis and adjustment of implant-supported prostheses (computerized T-scan and articulating papers) regarding the stresses transmitted to the implants. MATERIALS AND METHODS: Seven patients with completely edentulous mandible opposing dentate maxilla have been selected and four implants have been inserted. Two identical mandibular zirconia implant supported prostheses have been constructed for each patient. Occlusal analysis and adjustments have been done using T-scan for one prosthesis and using articulating papers for the other prosthesis. Two identical acrylic casts for the mandibular arch (with four implant analogs on each cast) have been constructed for each patient. The prostheses on their acrylic casts were applied to cyclic loading using chewing simulator of 250,000 cycle (1 year loading). Strain gauges have been installed mesial and distal to each implant (28 implants of T-scan group and 28 implants of articulating paper group) and strain gauge analysis was conducted using the universal testing machine upon the application of bilateral and unilateral load after cyclic loading. Data were collected, tabulated, and statistically analyzed. RESULTS: Higher micro strain values were found around implants among articulating paper group than T-scan group and that difference was statistically insignificant under bilateral loading and statistically significant under unilateral loading. CONCLUSION: T-scan allows better occlusal stresses distribution as it brings additional information regarding force intensity and occlusal timing resulting in less stresses transmitted around implants.

The Effect of Zirconia and Titanium as Abutment Materials on Peri-Implant Soft and Hard Tissues in Mandibular Implant Supported Over-denture

Purpose: To evaluate the effect of zirconia and titanium as abutment materials onperi-implant bone height changes and pocket depth in mandibular implant supportedover-denture. Subjects and methods: Ten completely edentulous patients wereselected from the Outpatient Clinic of the Faculty of Dental Medicine for Girls,Al-Azhar University. Two implants were implanted in the inter-foraminal area ofmandibular ridge. Two different abutments were screwed over implants. Right abutmentwas constructed of zirconia and left one was constructed of titanium. Construction ofmaxillary complete denture and mandibular implant supported over-denture for allpatients was performed. Radiographic and clinical evaluation of implants has beenperformed at denture insertion, 6 months, 9 months and 12 months. Results: Theprevious study illustrated that titanium abutments had significantly higher values ofbone height changes and pocket depth measurements than zirconia abutments duringfollow up period. Conclusion: Zirconia abutments had great superiority over titaniumabutments in preservation of peri-implant hard and soft tissues in mandibularimplant-supported over-denture within the follow up period of this study.

The Effect of Zirconia and Titanium as Abutment Materials on Peri-Implant Soft and Hard Tissues in Mandibular Implant Supported Over-denture

Purpose: To evaluate the effect of zirconia and titanium as abutment materials onperi-implant bone height changes and pocket depth in mandibular implant supportedover-denture. Subjects and methods: Ten completely edentulous patients wereselected from the Outpatient Clinic of the Faculty of Dental Medicine for Girls,Al-Azhar University. Two implants were implanted in the inter-foraminal area ofmandibular ridge. Two different abutments were screwed over implants. Right abutmentwas constructed of zirconia and left one was constructed of titanium. Construction ofmaxillary complete denture and mandibular implant supported over-denture for allpatients was performed. Radiographic and clinical evaluation of implants has beenperformed at denture insertion, 6 months, 9 months and 12 months. Results: Theprevious study illustrated that titanium abutments had significantly higher values ofbone height changes and pocket depth measurements than zirconia abutments duringfollow up period. Conclusion: Zirconia abutments had great superiority over titaniumabutments in preservation of peri-implant hard and soft tissues in mandibularimplant-supported over-denture within the follow up period of this study.

Impact of TITACH Attachment on the Retention for Mandibular Implant Overdentures

Impact of TITACH Attachment on the Retention for Mandibular Implant Overdentures

Clinical outcomes of full-arch immediate fixed prostheses supported by two axial and two tilted implants: A retrospective cohort study with 12-15 years of follow-up.

To retrospectively assess clinical and radiographic outcomes of immediately loaded full-arch fixed prostheses supported by axial and tilted implants up to 15 years of function. Patients with one completely edentulous arch received an immediate full-arch fixed prosthesis supported by two anterior axial and two posterior tilted implants. Definitive prosthesis consisting of a CAD-CAM titanium framework and acrylic teeth was delivered 6months later. Patients were regularly followed to assess clinical parameters and marginal bone level (MBL) change. Multilevel regression analysis was performed to investigate factors affecting implant failure and MBL. Six hundred ninety-two implants were placed in 72 maxillae and 101 mandibles. Seven maxillary implants (5 axial and 2 tilted) in 6 patients and 12 mandibular implants (6 axial and 6 tilted) in 5 patients failed. 15-year cumulative implant survival was 97.51% and 96.91% in maxilla and mandible, respectively (p=.64). After 10 years, the difference in MBL between axial and tilted implants was not significant in the maxilla (p=.47, 65 patients), while it was in the mandible (p < .001, 80 patients). Significant higher bone loss was reported in the mandible at both 5- and 10-year follow-up (p < .001 and p=.004, respectively). Mixed-effect multilevel linear regression evidenced a correlation between arch and bone loss at 5- and 10-year follow-up, while no correlation was found with age, gender, smoking, diabetes, and history of periodontal disease. This long-term study suggests that the present technique can be considered a viable treatment modality for the immediate rehabilitation of both maxilla and mandible.

A scoping review of the additive manufacturing of mandibular implants

Bone disease and fractures are among the health issues that are becoming more prevalent year after year. A mandibular disorder is caused by an accident or disease to the largest and strongest bone in the human face. Because the natural healing process of mandibular bones takes a long time, a bone grafting procedure is used to speed up the patient’s recovery. Due to the limitations of bone grafting processes such as autographs, allographs, and xenografts, bone replacement is being developed using biomaterials via 3D printing. The purpose of the review was to evaluate research on the use of 3D printing in the replacement of mandible bones. The search algorithm found as many as 2,941 articles at the start of the search and 123 articles after initial selection. Up to February 2022, the Scopus electronic database was used to conduct the literature search. This research includes publications that employ 3D printers, additive manufacturing, or finite element analysis to build or analyze mandibular implants. Paper topics in engineering, materials science, biochemistry, genetics, molecular biology, medicine, dentistry, chemical engineering, and computer science are included in this study. Papers in physics, astronomy, and energy, book chapter document types, papers reviews, and documents in languages other than English were excluded from this study. After an initial screening that included the year, publication stage, source type, and language, as many as 70 articles were obtained, and after filtering titles and abstracts obtained 55 articles. After the full-text selection was obtained, 32 articles were included in this review. Some articles were unacceptable because the topics discussed were unrelated to mandibular bone scaffolds. As a result, the field of additive manufacturing for the repair and reconstruction of mandibular defects necessitates the development of novel tools and methodologies. A customized biological scaffold can be created using an appropriate 3D printing process based on the characteristics of various mandibular defects, allowing it to be perfectly matched to the defect region and reducing stress, thereby improving the scaffold’s healing function.

Xenogeneic collagen matrix versus free gingival graft for augmenting keratinized mucosa around posterior mandibular implants: a randomized clinical trial.

To assess the clinical efficacy of xenogeneic collagen matrix (XCM) plus apically positioned flap (APF) in augmenting the keratinized mucosa (KM) width (KMW) and thickness (KMT) around posterior mandibular implants and compare it with free gingival graft (FGG) plus APF. Thirty patients with KMW ≤ 2mm in the posterior mandibular implant site were randomly allocated to the FGG group (FGG plus APF) or the XCM group (XCM plus APF). Clinical assessments, including KMW and KMT, shrinkage rate of established KM, and peri-implant soft tissue health, were evaluated during a 6-month follow-up. Additionally, the esthetic outcomes and patient-reported postoperative morbidity were investigated. At 6months, the KMW measured 3.60 ± 0.79mm in the FGG group and 3.28 ± 0.96mm in the XCM group (p = 0.186). Both groups showed a tendency for graft contraction (FGG, 42.11%; XCM, 53.22%). The KMT measured 1.24 ± 0.34mm in the FGG group and 0.95 ± 0.29mm in the XCM group, with statistical difference (p = 0.002). No difference in the peri-implant soft tissue health was observed between the two groups (p > 0.05), but the esthetic outcomes were better in the XCM group (p < 0.05). XCM plus APF rendered a similar clinical efficacy in augmenting KMW as that with FGG plus APF, but with higher shrinkage. XCM plus APF was inferior with respect to FGG plus APF in augmenting KMT. The esthetic outcomes were better with XCM plus APF than FGG plus APF. Clinical relevance XCM plus APF graft was inferior with respect to FGG plus APF in augmenting KMT. Trial registration number: ChiCTR2200058027 and date: 03/27/2022.

Immediate vs. Delayed Placement of Immediately Provisionalized Self-Tapping Implants: A Non-Randomized Controlled Clinical Trial with 1 Year of Follow-Up.

This study aimed to examine the clinical and esthetic outcomes of immediately provisionalized self-tapping implants placed in extraction sockets or healed edentulous ridges one year after treatment. Sixty patients in need of a single implant-supported restoration were treated with self-tapping implants (Straumann BLX) and immediate provisionalization. The implant stability quotient (ISQ) and insertion torque were recorded intraoperatively. After one year in function, the implant and prosthesis survival rate, pink esthetic score (PES), white esthetic score (WES), and marginal bone levels (MBL) were assessed. Sixty patients received 60 self-tapping implants. A total of 37 implants were placed in extraction sockets and 23 in edentulous ridges, and then all implants were immediately provisionalized. All implants achieved a high implant stability with a mean insertion torque and ISQ value of 58.1 ± 14.1 Ncm and 73.6 ± 8.1 Ncm, respectively. No significant differences were found between healed vs. post-extractive sockets (p = 0.716 and p = 0.875), or between flap vs. flapless approaches (p = 0.862 and p = 0.228) with regards to the insertion torque and ISQ value. Nonetheless, higher insertion torque values and ISQs were recorded for mandibular implants (maxilla vs. mandible, insertion torque: 55.30 + 11.25 Ncm vs. 62.41 + 17.01 Ncm, p = 0.057; ISQ: 72.05 + 8.27 vs. 76.08 + 7.37, p = 0.058). One implant did not osseointegrate, resulting in an implant survival rate of 98.3%. All implants achieved PES and WES scores higher than 12 at the 1-year follow-up. The clinical use of newly designed self-tapping implants with immediate temporization was safe and predictable. The implants achieved a good primary stability, high implant survival rate, and favorable radiographic and esthetic outcomes, regardless of the immediate or delayed placement protocols.

Evaluation of bite force, quality of life, and patients' satisfaction in elderly edentulous patients using implant overdentures.

This study aimed to compare the bite force (BF) between complete dentures and implant overdentures (IODs) retained by two mandibular implants. Additionally, we evaluated the quality of life (QoL) and patient satisfaction among individuals using IODs. In addition, the effects of demographic parameters such as age and sex, and clinical parameters such as implant length, implant diameter, attachment height, attachment color, and interimplant distance on BF, QoL, and patient satisfaction were evaluated. A total of 51 edentulous patients rehabilitated with the maxillary complete dentures and mandibular IODs retained by two implants were included in this study. BF was measured using a force meter pre- and post-implant in the same patients. Oral health-related quality of life (OHRQoL) was assessed with the Oral Health Impact Profile (OHIP-14) and patient satisfaction was assessed with the Visual Analog Scale (VAS) questionnaires. It was found that BF values were statistically higher for IODs than complete dentures (P < .001). In terms of attachment height of the OHIP scores, there was a significant difference in the psychological disability and social disability domains (P < .05). When examining the change in patient satisfaction as a function of sex, it was found that mandibular retention satisfaction differed significantly by sex (P < .05), but there was no significant difference in the other domains. Within the limitations of this study, it was observed that the BF increased after the use of IODs. Several factors, including age, interimplant distance, attachment height, and attachment color, were found to impact OHRQoL. Sex and implant diameter were identified as factors affecting patient satisfaction.

Gender-based Morphometric Analysis of Mandibular Foramen in Dry Adult Human Mandibles in the Tertiary Care Centre, Dehradun: A Cross-sectional Cadaveric Study

Introduction: The knowledge of the location of the Mandibular Foramen (MF) is important for effective local anaesthesia in dental surgeries and mandibular implants. The location of the foramen can vary in different populations, but very few studies have explored the differences between males and females. Aim: To estimate the morphometric parameters of the MF in male and female dry adult mandibles. Materials and Methods: A cross-sectional cadaveric study was conducted in the Department of Anatomy at Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun (Uttarakhand) India, from October 2019 to December 2022. The location of MF in 75 dry adult male mandibles and 50 dry adult female mandibles was measured. All the anatomical parameters (MF to Anterior Border of mandibular ramus (MF-AB), MF to Posterior Border of mandibular ramus (MF-PB), MF to Mandibular Notch (MF-MN), MF to Angle of Mandible (MF-AG), MF to Inferior Border of mandibular ramus (MF-IB), MF to Mandibular Condyle (MF-MC), MF to apex of Retromolar Trigone (MF-RT), and AB of mandibular ramus to PB of mandibular ramus (AB-PB)) were measured using a sliding digital vernier caliper in both genders, based on the right and left mandibular foramina from different bony landmarks. Continuous data obtained was expressed as mean±Standard Deviation (SD). Analysis was done by applying an independent t-test via Statistical Package for Social Sciences (SPSS) version 23.0. Results: MF-IB was 26.09 mm±3.52 mm (RT) and 25.31 mm±3.24 mm (LT) in males, while it was 24.29 mm±3.27 mm (RT) and 24.12 mm±3.21 mm (LT) in females. The difference was found to be statistically significant (p&lt;0.05), implying that the distance is larger in males as compared to females. MF-MC was 35.59 mm±4.44 mm (RT) and 34.89 mm±4.91 mm (LT) in males and 32.39 mm±4.11 mm (RT) and 32.52 mm±4 mm (LT) in females. The difference between the two was found to be statistically significant (p&lt;0.05). MF-RT in males was 11.41 mm±2.19 mm (RT) and 11.87 mm±2.57 mm (LT), while in females, it was 11.40 mm±2.05 mm (RT) and 11.30 mm±2.09 mm (LT). The difference between these two was statistically significant (p&lt;0.001) on the left-side. AB-PB was longer on the right-side in males (32.31 mm±3.05 mm) than in females (21.66 mm±3.0 mm), and the difference was statistically significant (p&lt;0.001). Therefore, the results imply that the MF is located lower and slightly more anteriorly in males as compared to females. Conclusion: The results indicate significant differences in the location of the male and female MF. The present study provides useful information for successful inferior alveolar nerve blocks during dental surgeries and maxillofacial surgeries.

Radiographic Assessment of the Effect of Different Denture Base Materials on Peri-Implant Bone Changes in Mandibular Implant Supported Over-Denture

Radiographic Assessment of the Effect of Different Denture Base Materials on Peri-Implant Bone Changes in Mandibular Implant Supported Over-Denture