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Published in: Surgical and Radiologic Anatomy 6/2015

01-08-2015 | Original Article

Anatomic study on mental canal and incisive nerve canal in interforaminal region in Chinese population

Authors: Yun Xu, Ning Suo, Xiufen Tian, Fei Li, Guangxin Zhong, Xiaoran Liu, Yongxing Bao, Tao Song, Hua Tian

Published in: Surgical and Radiologic Anatomy | Issue 6/2015

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Abstract

Purpose

This study was aimed to detect the positions of mental canal and incisive nerve canal as well as the prolongation of mandibular canal in interforaminal region in Chinese population to supply the reference data of the surgical safe zone in chin for clinicians.

Materials and methods

A total of 80 formalin-fixed semi-mandibles of Chinese adult cadavers were dissected, the positions and courses of mental canal and incisive nerve canal as well as the prolongation of mandibular canal in interforaminal region were measured.

Results

The mental foramina were present in all cases (100 %), and most of them were located below 2nd premolar (58.75 %). Accessory mental foramina were observed in 5 %. The anterior end of mandibular canal, extending along the course of 7.37 ± 1.10 mm above the lower border of mandible to interforaminal region about 3.54 ± 0.70 mm medial to the mental foramen, most often ended below between the two premolars (73.75 %), where it continued as the incisive nerve canal (100 %) and the mental canal (96.25 %). Mental canal, with the wall formed by compact bone, being 2.60 ± 0.60 mm in diameter and 4.01 ± 1.20 mm in length, opened into mental foramen. Incisive nerve canal, with the wall formed by thin compact bone and/or partly or completely by spongy bone, being 1.76 ± 0.27 mm in diameter and 24.87 ± 2.23 mm in length, extended to the incisor region along the course of 9.53 ± 1.43 mm above the lower border of mandible, and most often ended below the lateral incisor (70.00 %).

Conclusion

This research recommended for chin operations in Chinese population: the surgical safe zone could be set in the region about over 4 mm anterior to the mental foramen, and over 12 mm above inferior border of mandible for anterior alveolar surgery, or within 9 mm above inferior border of mandible for genioplasty.
Literature
1.
go back to reference Al-Ani O, Nambiar P, Ha KO, Ngeow WC (2013) Safe zone for bone harvesting from the interforaminal region of the mandible. Clin Oral Implants Res 24(Suppl A):115–121PubMedCrossRef Al-Ani O, Nambiar P, Ha KO, Ngeow WC (2013) Safe zone for bone harvesting from the interforaminal region of the mandible. Clin Oral Implants Res 24(Suppl A):115–121PubMedCrossRef
2.
go back to reference Apostolakis D, Brown JE (2012) The anterior loop of the inferior alveolar nerve: prevalence, measurement of its length and a recommendation for interforaminal implant installation based on cone beam CT imaging. Clin Oral Implants Res 23(9):1022–1030PubMedCrossRef Apostolakis D, Brown JE (2012) The anterior loop of the inferior alveolar nerve: prevalence, measurement of its length and a recommendation for interforaminal implant installation based on cone beam CT imaging. Clin Oral Implants Res 23(9):1022–1030PubMedCrossRef
3.
go back to reference Chen JC, Lin LM, Geist JR, Chen JY, Chen CH, Chen YK (2013) A retrospective comparison of the location and diameter of the inferior alveolar canal at the mental foramen and length of the anterior loop between American and Taiwanese cohorts using CBCT. Surg Radiol Anat 35(1):11–18PubMedCrossRef Chen JC, Lin LM, Geist JR, Chen JY, Chen CH, Chen YK (2013) A retrospective comparison of the location and diameter of the inferior alveolar canal at the mental foramen and length of the anterior loop between American and Taiwanese cohorts using CBCT. Surg Radiol Anat 35(1):11–18PubMedCrossRef
4.
go back to reference de Freitas V, Madeira MC, Toledo Filho JL, Chagas CF (1979) Absence of the mental foramen in dry human mandibles. Acta Anat (Basel) 104(3):353–355CrossRef de Freitas V, Madeira MC, Toledo Filho JL, Chagas CF (1979) Absence of the mental foramen in dry human mandibles. Acta Anat (Basel) 104(3):353–355CrossRef
5.
go back to reference Green RM (1987) The position of the mental foramen: a comparison between the southern (Hong Kong) Chinese and other ethnic and racial groups. Oral Surg Oral Med Oral Pathol 63(3):287–290PubMedCrossRef Green RM (1987) The position of the mental foramen: a comparison between the southern (Hong Kong) Chinese and other ethnic and racial groups. Oral Surg Oral Med Oral Pathol 63(3):287–290PubMedCrossRef
6.
go back to reference Guo JL, Su L, Zhao JL, Yang L, Lv DL, Li YQ, Cheng FB (2009) Location of mental foramen based on soft- and hard-tissue landmarks in a Chinese population. J Craniofac Surg 20(6):2235–2237PubMedCrossRef Guo JL, Su L, Zhao JL, Yang L, Lv DL, Li YQ, Cheng FB (2009) Location of mental foramen based on soft- and hard-tissue landmarks in a Chinese population. J Craniofac Surg 20(6):2235–2237PubMedCrossRef
7.
go back to reference Hasan T (2013) Bilateral caroticoclinoid and absent mental foramen: rare variations of cranial base and lower jaw. Ital J Anat Embryol 118(3):288–297PubMed Hasan T (2013) Bilateral caroticoclinoid and absent mental foramen: rare variations of cranial base and lower jaw. Ital J Anat Embryol 118(3):288–297PubMed
8.
go back to reference Huang H, Liu P, Li X, Pei Z, Yang X, Bai S, Huang Y (2013) Mandibular incisive canal by cone beam CT. Hua Xi Kou Qiang Yi Xue Za Zh 31(5):479–482 Huang H, Liu P, Li X, Pei Z, Yang X, Bai S, Huang Y (2013) Mandibular incisive canal by cone beam CT. Hua Xi Kou Qiang Yi Xue Za Zh 31(5):479–482
9.
go back to reference Hunt DR, Jovanovic SA (1999) Autogenous bone harvesting: a chin graft technique for particulate and monocortical bone blocks. Int J Periodontics Restorative Dent 19(2):165–173PubMed Hunt DR, Jovanovic SA (1999) Autogenous bone harvesting: a chin graft technique for particulate and monocortical bone blocks. Int J Periodontics Restorative Dent 19(2):165–173PubMed
10.
go back to reference Hu KS, Yun HS, Hur MS, Kwon HJ, Abe S, Kim HJ (2007) Branching patterns and intraosseous course of the mental nerve. J Oral Maxillofac Surg 65(11):2228–2294CrossRef Hu KS, Yun HS, Hur MS, Kwon HJ, Abe S, Kim HJ (2007) Branching patterns and intraosseous course of the mental nerve. J Oral Maxillofac Surg 65(11):2228–2294CrossRef
11.
go back to reference Kamburoğlu K, Kiliç C, Ozen T, Yüksel SP (2009) Measurements of mandibular canal region obtained by cone-beam computed tomography: a cadaveric study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):e34–e42PubMedCrossRef Kamburoğlu K, Kiliç C, Ozen T, Yüksel SP (2009) Measurements of mandibular canal region obtained by cone-beam computed tomography: a cadaveric study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):e34–e42PubMedCrossRef
12.
go back to reference Kim TS, Caruso JM, Christensen H, Torabinejad M (2010) A comparison of cone-beam computed tomography and direct measurement in the examination of the mandibular canal and adjacent structures. J Endod 36(7):1191–1194PubMedCrossRef Kim TS, Caruso JM, Christensen H, Torabinejad M (2010) A comparison of cone-beam computed tomography and direct measurement in the examination of the mandibular canal and adjacent structures. J Endod 36(7):1191–1194PubMedCrossRef
13.
go back to reference Krasny A, Krasny N, Prescher A (2012) Anatomic variations of neural canal structures of the mandible observed by 3-tesla magnetic resonance imaging. J Comput Assist Tomogr 36(1):150–153PubMedCrossRef Krasny A, Krasny N, Prescher A (2012) Anatomic variations of neural canal structures of the mandible observed by 3-tesla magnetic resonance imaging. J Comput Assist Tomogr 36(1):150–153PubMedCrossRef
14.
go back to reference Kuzmanovic DV, Payne AG, Kieser JA, Dias GJ (2003) Anterior loop of the mental nerve: a morphological and radiographic study. Clin Oral Implants Res 14(4):464–471PubMedCrossRef Kuzmanovic DV, Payne AG, Kieser JA, Dias GJ (2003) Anterior loop of the mental nerve: a morphological and radiographic study. Clin Oral Implants Res 14(4):464–471PubMedCrossRef
15.
go back to reference Mardinger O, Chaushu G, Arensburg B, Taicher S, Kaffe I (2000) Anatomic and radiologic course of the mandibular incisive canal. Surg Radiol Anat 22(3–4):157–161PubMedCrossRef Mardinger O, Chaushu G, Arensburg B, Taicher S, Kaffe I (2000) Anatomic and radiologic course of the mandibular incisive canal. Surg Radiol Anat 22(3–4):157–161PubMedCrossRef
16.
go back to reference Mraiwa N, Jacobs R, Moerman P, Lambrichts I, van Steenberghe D, Quirynen M (2003) Presence and course of the incisive canal in the human mandibular interforaminal region: two-dimensional imaging versus anatomical observations. Surg Radiol Anat 25(5–6):416–423PubMedCrossRef Mraiwa N, Jacobs R, Moerman P, Lambrichts I, van Steenberghe D, Quirynen M (2003) Presence and course of the incisive canal in the human mandibular interforaminal region: two-dimensional imaging versus anatomical observations. Surg Radiol Anat 25(5–6):416–423PubMedCrossRef
17.
go back to reference Ousterhout DK (1996) Sliding genioplasty, avoiding mental nerve injuries. J Craniofac Surg 7(4):297–298PubMedCrossRef Ousterhout DK (1996) Sliding genioplasty, avoiding mental nerve injuries. J Craniofac Surg 7(4):297–298PubMedCrossRef
18.
go back to reference Pommer B, Tepper G, Gahleitner A, Zechner W, Watzek G (2008) New safety margins for chin bone harvesting based on the course of the mandibular incisive canal in CT. Clin Oral Implants Res 19(12):1312–1316PubMedCrossRef Pommer B, Tepper G, Gahleitner A, Zechner W, Watzek G (2008) New safety margins for chin bone harvesting based on the course of the mandibular incisive canal in CT. Clin Oral Implants Res 19(12):1312–1316PubMedCrossRef
19.
go back to reference Rosa MB, Sotto-Maior BS, Machado Vde C, Francischone CE (2013) Retrospective study of the anterior loop of the inferior alveolar nerve and the incisive canal using cone beam computed tomography. Int J Oral Maxillofac Implants 28(2):388–392PubMedCrossRef Rosa MB, Sotto-Maior BS, Machado Vde C, Francischone CE (2013) Retrospective study of the anterior loop of the inferior alveolar nerve and the incisive canal using cone beam computed tomography. Int J Oral Maxillofac Implants 28(2):388–392PubMedCrossRef
20.
go back to reference Santini A, Alayan I (2012) A comparative anthropometric study of the position of the mental foramen in three populations. Br Dent J 212(4):E7PubMedCrossRef Santini A, Alayan I (2012) A comparative anthropometric study of the position of the mental foramen in three populations. Br Dent J 212(4):E7PubMedCrossRef
21.
go back to reference Santini A, Land M (1990) A comparison of the position of the mental foramen in Chinese and British mandibles. Acta Anat (Basel) 137(3):208–212CrossRef Santini A, Land M (1990) A comparison of the position of the mental foramen in Chinese and British mandibles. Acta Anat (Basel) 137(3):208–212CrossRef
22.
go back to reference Sawyer DR, Kiely ML, Pyle MA (1998) The frequency of accessory mental foramina in four ethnic groups. Arch Oral Biol 43(5):417–420PubMedCrossRef Sawyer DR, Kiely ML, Pyle MA (1998) The frequency of accessory mental foramina in four ethnic groups. Arch Oral Biol 43(5):417–420PubMedCrossRef
23.
go back to reference Uchida Y, Yamashita Y, Goto M, Hanihara T (2007) Measurement of anterior loop length for the mandibular canal and diameter of the mandibular incisive canal to avoid nerve damage when installing endosseous implants in the interforaminal region. J Oral Maxillofac Surg 65(9):1772–1779PubMedCrossRef Uchida Y, Yamashita Y, Goto M, Hanihara T (2007) Measurement of anterior loop length for the mandibular canal and diameter of the mandibular incisive canal to avoid nerve damage when installing endosseous implants in the interforaminal region. J Oral Maxillofac Surg 65(9):1772–1779PubMedCrossRef
24.
go back to reference Wang TM, Shih C, Liu JC, Kuo KJ (1986) A clinical and anatomical study of the location of the mental foramen in adult Chinese mandibles. Acta Anat (Basel) 126(1):29–33CrossRef Wang TM, Shih C, Liu JC, Kuo KJ (1986) A clinical and anatomical study of the location of the mental foramen in adult Chinese mandibles. Acta Anat (Basel) 126(1):29–33CrossRef
Metadata
Title
Anatomic study on mental canal and incisive nerve canal in interforaminal region in Chinese population
Authors
Yun Xu
Ning Suo
Xiufen Tian
Fei Li
Guangxin Zhong
Xiaoran Liu
Yongxing Bao
Tao Song
Hua Tian
Publication date
01-08-2015
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 6/2015
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-014-1402-7

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