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Localization of mandibular foramen - a comparison between dry bones and orthopantomogram
Ravdeep Kaur1, Rajan Kumar Singla2, Ravikant Sharma1
1Department of Anatomy, Government Medical College, Amritsar, Punjab, India.
Journal of Medicine and Life
|July 11, 2022
Summary
This study compared mandibular foramen (MF) location on dry bones versus panoramic X-rays. While OPGs are often unreliable, the mandibular notch offers a consistent landmark for surgeons.
Area of Science:
- Anatomy
- Radiology
- Dentistry
Background:
- Inferior alveolar nerve blocks are common dental procedures.
- Accurate localization of the mandibular foramen (MF) is crucial for dental anesthesia and surgery.
- Panoramic radiography (orthopantomogram, OPG) is a standard imaging technique in dentistry.
Purpose of the Study:
- To compare the morphometric localization of the mandibular foramen (MF) on dry human mandibles and their corresponding orthopantomograms (OPGs).
- To assess the reliability of OPGs in identifying MF relative to anatomical landmarks.
- To provide guidance for surgeons regarding MF localization during clinical procedures.
Main Methods:
- A two-phase study involving 200 dry North Indian human mandibles.
- Phase I: Morphometric analysis of MF on dry bone specimens.
- Phase II: Morphometric analysis of MF on OPGs of the same mandibles, using statistical tests (paired t-test, Pearson's correlation).
Main Results:
- Significant differences were found in MF distances from mandibular borders between dry bones and OPGs.
- The MF-to-mandibular notch distance showed no significant difference between dry bone and OPG on either side.
- The MF-to-anterior border distance was not significantly different on the right side between dry bone and OPG.
Conclusions:
- The mandibular notch is a reliable landmark for locating the MF on OPGs during dental procedures.
- OPGs have limitations in precise MF localization due to inherent magnification.
- Advanced 3D imaging techniques are recommended for precise MF localization to protect anatomical structures.
Keywords:
dry mandibleinferior alveolar nerve blockmagnificationmandibular foramenpanoramic radiographMore Related Videos
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