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Oral and Maxillofacial Surgery

06-09-2024 | Digital Volume Tomography | Research

Prevalence of accessory mental foramen and lateral lingual foramen using cone beam computed tomography: A single-center cross-sectional study

Authors: Maryam Mostafavi, Seyed Hosein Hoseini Zarch, Majid Eshghpour, Pedram Khodadadzadeh

Published in: Oral and Maxillofacial Surgery

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Abstract

Purpose

This study aimed to assess the prevalence, dimensions, and positions of accessory mental foramen (AMF) and lateral lingual foramen (LLF) in an Iranian population using cone beam computed tomography (CBCT).

Methods and materials

In this cross-sectional study, CBCT images of 2082 patients were retrospectively reviewed based on inclusion criteria, including images from the mandibular region taken in the past five years with accurate demographic data. Exclusion criteria included images with significant pathologies, fractures, or poor quality. CBCT images were captured, and AMF and LLF presence (primary outcome variable), dimensions, and positions (secondary outcome variables) were recorded relative to the mental foramen and adjacent teeth. Data analysis was performed using the Chi-square test with a 5% significance level.

Results

A total of 2082 CBCT samples (46.54% females and 53.46% males) with a mean age of 48.30 ± 12.70 years were examined. Among these, 246 AMFs were observed in 222 individuals with a prevalence at the foramen level of 11.815%, with 24 having two AMFs. AMF was mostly observed unilaterally, with bilateral occurrence noted in 10.81% of patients with AMF. Additionally, 86 patients were found to have LLF with a prevalence at the foramen level of 5.907%. There were no significant differences between genders in AMF and LLF prevalence.

Conclusion

AMF and LLF were detectable using CBCT in the selected Iranian population. AMF was commonly situated posterior and superior to the mental foramen, while LLF was often found near the first premolar. This knowledge is crucial for preventing nerve injury during surgery and ensuring effective nerve block procedures.
Literature
1.
Han S-S, Hwang JJ, Jeong H-G (2016) Accessory mental foramina associated with neurovascular bundle in Korean population. Surg Radiol Anat 38(10):1169–1174CrossRefPubMed
2.
Imada TSN et al (2014) Accessory mental foramina: prevalence, position and diameter assessed by cone-beam computed tomography and digital panoramic radiographs. Clin Oral Implants Res 25(2):e94–e99CrossRefPubMed
3.
Iwanaga J et al (2016) Accessory mental foramina and nerves: application to periodontal, periapical, and implant surgery. Clin Anat 29(4):493–501CrossRefPubMed
4.
Fuakami K et al (2011) Detection of buccal perimandibular neurovascularisation associated with accessory foramina using limited cone-beam computed tomography and gross anatomy. Surg Radiol Anat 33(2):141–146CrossRefPubMed
5.
6.
Zmysłowska-Polakowska E et al (2017) The assessment of accessory mental foramen in a selected polish population: a CBCT study. BMC Med imaging 17(1):17CrossRefPubMedPubMedCentral
7.
Bosykh Y et al (2019) Cone beam computed tomography study on the relation between mental foramen and roots of mandibular teeth, presence of anterior loop and satellite foramina. J Morphol 103(341):65–71CrossRef
8.
Vyas R, Gohel A (2023) Trifurcated mental foramina: a cone-beam computed tomography incidental finding during the implant treatment planning. Cureus 15(1):e33828
9.
Tagaya A et al (2009) Assessment of the blood supply to the lingual surface of the mandible for reduction of bleeding during implant surgery. Clin Oral Implants Res 20(4):351–355CrossRefPubMed
10.
Von Arx T et al (2011) Evaluation of location and dimensions of lingual foramina using limited cone-beam computed tomography. J Oral Maxillofac Surg 69(11):2777–2785CrossRef
11.
Nakajima K et al (2014) Composition of the blood supply in the sublingual and submandibular spaces and its relationship to the lateral lingual foramen of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 117(1):e32–e38CrossRefPubMed
12.
Leite GMF et al (2014) Anatomic variations and lesions of the mandibular canal detected by cone beam computed tomography. Surg Radiol Anat 36(8):795–804CrossRefPubMed
13.
14.
Muinelo-Lorenzo J et al (2021) Detection of the accessory mental foramina on human mandibles using cone-beam computed tomography: a systematic review and meta-analysis. J Endod 47(8):1215–1228CrossRefPubMed
15.
Padhye NM et al (2023) Three-dimensional assessment of the mandibular lingual foramina with implications for surgical and implant therapy: A multicentre cross-sectional study. J Oral Biol Craniofac Res 13(2):186–190CrossRefPubMedPubMedCentral
16.
Agthong S, Huanmanop T, Chentanez V (2005) Anatomical variations of the supraorbital, infraorbital, and mental foramina related to gender and side. J Oral Maxillofac Surg 63(6):800–804CrossRefPubMed
17.
Sawyer DR, Kiely ML, Pyle MA (1998) The frequency of accessory mental foramina in four ethnic groups. Arch Oral Biol 43(5):417–420CrossRefPubMed
18.
Toh H et al (1992) Anatomical study of the accessory mental foramen and the distribution of its nerve. Okajimas Folia Anat Jpn 69(2):85–88CrossRefPubMed
19.
Shankland W 2nd (1994) The position of the mental foramen in Asian Indians. Oral Implantol 20(2):118
20.
Pelé A et al (2021) (2021) Evaluation of mental foramen with cone beam computed tomography: a systematic review of literature. Radiol Res Pract 1:10
21.
Naitoh M et al (2009) Accessory mental foramen assessment using cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):289–294CrossRefPubMed
22.
Kilic C et al (2010) The position of the mandibular canal and histologic feature of the inferior alveolar nerve. Clin Anat 23(1):34–42CrossRefPubMed
23.
Khojastepour L et al (2015) Location of mental foramen in a selected Iranian population: a CBCT assessment. Iran Endod J 10(2):117PubMedPubMedCentral
24.
Katakami K et al (2008) Characteristics of accessory mental foramina observed on limited cone-beam computed tomography images. J Endod 34(12):1441–1445CrossRefPubMed
25.
Carruth P et al (2015) Analysis of the size and position of the mental foramen using the CS 9000 cone-beam computed tomographic unit. J Endod 41(7):1032–1036CrossRefPubMed
26.
Krishnan U et al (2018) A Limited Field Cone-beam Computed Tomography–based Evaluation of the Mental Foramen, Accessory Mental Foramina, Anterior Loop, Lateral Lingual Foramen, and Lateral Lingual Canal. J endod 44(6):946–951CrossRefPubMed
27.
Lam M et al (2019) Prevalence of accessory mental foramina: a study of 4,000 CBCT scans. Clin Anat 32(8):1048–1052CrossRefPubMed
28.
Wei X et al (2020) Detection and characterization of anterior loop, accessory mental foramen, and lateral lingual foramen by using cone beam computed tomography. J Prosthet Dent 124(3):365–371CrossRefPubMed
29.
Çelebi A, Gülsün B (2023) Evaluation of accessory mental foramen and accessory infraorbital foramen with cone-beam computed tomography in Turkish population. Aust Endod J 49(1):13–19CrossRefPubMed
30.
Naitoh M et al (2011) Demonstration of the accessory mental foramen using rotational panoramic radiography compared with cone-beam computed tomography. Clin Oral Implants Res 22(12):1415–1419CrossRefPubMed
31.
32.
Iwanaga J et al (2015) The clinical anatomy of accessory mental nerves and foramina. Clin Anat 28(7):848–856CrossRefPubMed
33.
Kalender A, Orhan K, Aksoy U (2012) Evaluation of the mental foramen and accessory mental foramen in Turkish patients using cone-beam computed tomography images reconstructed from a volumetric rendering program. Clin Anat 25(5):584–592CrossRefPubMed
34.
Oliveira-Santos C et al (2011) Characterisation of additional mental foramina through cone beam computed tomography. J Oral Rehabil 38(8):595–600CrossRefPubMed
35.
Sekerci AE, Sisman Y (2014) Bilateral accessory mental foramina and canals: Report of an extremely rare anatomical variation. J Dent Implant 4(1):101CrossRef
36.
Moshfeghi M et al (2021) Lingual foramen of the mandible on cone-beam computed tomography scans: a study of anatomical variations in an Iranian population. Front Dent 18:20
37.
He P et al (2017) Clinical anatomy and surgical significance of the lingual foramina and their canals. Clin Anat 30(2):194–204CrossRefPubMed
Metadata
Title
Prevalence of accessory mental foramen and lateral lingual foramen using cone beam computed tomography: A single-center cross-sectional study
Authors
Maryam Mostafavi
Seyed Hosein Hoseini Zarch
Majid Eshghpour
Pedram Khodadadzadeh
Publication date
06-09-2024
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-024-01289-0
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