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Updated: Jun 8, 2026

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
Maxillofacial anatomy: the mandibular symphysis
Robert J Miller1, Warren C Edwards, Carlos Boudet
1Department of Oral Implantology, Atlantic Coast Dental Research Clinic, Palm Beach, FL, USA. drrjmiller1@aol.com
Hemorrhagic complications during anterior mandibular implant placement can be serious. Understanding the arterial supply and using navigated implant placement can help avoid these emergencies.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Anatomy
Background:
- Dental implant placement in the anterior mandible is often perceived as low-risk.
- Hemorrhagic episodes in the mandibular symphysis following implant placement are frequently reported and can lead to severe outcomes.
Purpose of the Study:
- To highlight the potential risks associated with implant placement in the mandibular symphysis.
- To emphasize the importance of understanding the neurovascular anatomy for safe implant procedures.
Main Methods:
- Utilizing high-resolution focused cone beam computed tomography (CBCT) scans.
- Detailed visualization of the intraforaminal neurovascular network without distortion.
Main Results:
- CBCT provides enhanced detail of the intricate arterial supply in the mandibular symphysis.
- This detailed anatomical knowledge is crucial for surgical planning.
Conclusions:
- Awareness of the arterial supply in the mandibular symphysis is vital for preventing surgical complications.
- Navigated implant placement, informed by detailed anatomical imaging, can mitigate the risk of life-threatening hemorrhagic events.
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