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Momentousness of the Mental Loop: A Comparative Study
Ramya Katyayani Kastala1, Chaya Manoranjini David1, Namitha Jayapal1
1Department of Oral Medicine and Radiology, Dayananda Sagar College of Dental Sciences, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India.
Cone Beam Computed Tomography (CBCT) is superior to Digital Panoramic (DP) imaging for detecting the anterior loop (AL) of the Inferior alveolar nerve (IAN). CBCT offers higher accuracy in assessing AL presence and dimensions across different patient demographics.
Area of Science:
- Oral and Maxillofacial Radiology
- Dental Anatomy
- Imaging Techniques
Background:
- The anterior loop (AL) of the Inferior alveolar nerve (IAN) is an anatomical variation with clinical significance.
- Accurate assessment of the AL is crucial for preventing surgical complications.
Purpose of the Study:
- To compare the efficacy of Digital Panoramic (DP) radiography and Cone Beam Computed Tomography (CBCT) in evaluating the anterior (aAL) and caudal (cAL) extensions of the AL.
- To analyze the prevalence and dimensions of the AL in relation to age, gender, mandibular side, and dentition status.
Main Methods:
- A retrospective comparative study involving 360 mandibular sites examined using both DP and CBCT.
- Analysis of AL presence and dimensions across various demographic and clinical groups.
Main Results:
- CBCT demonstrated a higher frequency of AL detection compared to DP.
- AL frequency decreased with increasing age, with higher prevalence on the left side (aAL) and right side (cAL).
- Dentition status showed a statistically higher frequency of AL in dentate individuals.
Conclusions:
- DP imaging exhibits lower sensitivity and specificity for AL assessment compared to CBCT.
- CBCT provides accurate analysis of AL frequency and extent, making it the preferred imaging modality.
- Referencing the mental foramen without considering the AL may increase the risk of IAN injury.
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