Skip to main content
Top
Published in: Surgical and Radiologic Anatomy 10/2016

01-12-2016 | Original Article

Accessory mental foramina associated with neurovascular bundle in Korean population

Authors: Sang-Sun Han, Jae Joon Hwang, Ho-Gul Jeong

Published in: Surgical and Radiologic Anatomy | Issue 10/2016

Login to get access

Abstract

Purpose

To determine the prevalence and anatomical features of accessory mental foramina (AMFs) associated with neurovascular bundle using reformatted CBCT images in Korean population.

Materials and methods

Three-dimensional, cross-sectional, and axial images of CBCT from total 446 patients were evaluated. To include only AMF associated with neurovascular bundle, the course of accessory nerve through AMF was evaluated on three-dimensional images. The prevalence, locations to mental foramen (MF), and distribution to the adjacent tooth of AMF were analyzed. Additionally, the distance from MF and dimension of AMF were measured.

Results

AMFs were found in 36 (8.1 %) patients in the 446 Koreans. The prevalence rate of AMFs in male was significant higher than that in female (p < 0.05). Most AMFs were located anterior–superior to MF. The shortest distance between the center of AMF and that of MF was 5.80 mm (SD ± 2.90, 1.40–13.0). Variance of location of AMF in relation to MF was greater in the horizontal direction than in the vertical direction. In related to adjacent tooth, AMF was mainly distributed between the first and second premolars. The horizontal dimension and vertical dimension of AMF were 1.54 mm (SD ± 1.41, 0.70–9.80) and 1.44 mm (SD ± 0.41, 0.70–2.30), respectively.

Conclusions

Knowledge of AMF is important for performing effective nerve block and avoiding injuries to neurovascular bundles passing through AMF. Evaluation of the course of AMF in three-dimensional image of CBCT is effective for confirming AMF associated with inferior alveolar nerve.
Literature
1.
2.
go back to reference Di Lenarda R, Cadenaro M, Stacchi C (2000) Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90(6):746–749CrossRefPubMed Di Lenarda R, Cadenaro M, Stacchi C (2000) Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90(6):746–749CrossRefPubMed
3.
go back to reference Fuakami K, Shiozaki K, Mishima A, Shimoda S, Hamada Y, Kobayashi K (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 Fuakami K, Shiozaki K, Mishima A, Shimoda S, Hamada Y, Kobayashi K (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
4.
go back to reference Greenstein G, Tarnow D (2006) The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. J Periodontol 77(12):1933–1943CrossRefPubMed Greenstein G, Tarnow D (2006) The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. J Periodontol 77(12):1933–1943CrossRefPubMed
5.
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):2288–2294CrossRefPubMed 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):2288–2294CrossRefPubMed
6.
go back to reference Imada TS, Fernandes LM, Centurion BS, de Oliveira-Santos C, Honorio HM, Rubira-Bullen IR (2012) Accessory mental foramina: prevalence, position and diameter assessed by cone-beam computed tomography and digital panoramic radiographs. Clin Oral Implants Res. doi:10.1111/clr.12066 PubMed Imada TS, Fernandes LM, Centurion BS, de Oliveira-Santos C, Honorio HM, Rubira-Bullen IR (2012) Accessory mental foramina: prevalence, position and diameter assessed by cone-beam computed tomography and digital panoramic radiographs. Clin Oral Implants Res. doi:10.​1111/​clr.​12066 PubMed
7.
go back to reference Imada TS, Fernandes LM, Centurion BS, de Oliveira-Santos C, Honorio HM, Rubira-Bullen IR (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 Imada TS, Fernandes LM, Centurion BS, de Oliveira-Santos C, Honorio HM, Rubira-Bullen IR (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
8.
go back to reference Iwanaga J, Watanabe K, Saga T, Tabira Y, Kitashima S, Kusukawa J, Yamaki KI (2015) Accessory mental foramina and nerves: application to periodontal, periapical, and implant surgery. Clin Anat. doi:10.1002/ca.22635 Iwanaga J, Watanabe K, Saga T, Tabira Y, Kitashima S, Kusukawa J, Yamaki KI (2015) Accessory mental foramina and nerves: application to periodontal, periapical, and implant surgery. Clin Anat. doi:10.​1002/​ca.​22635
9.
go back to reference Joyce AP, Donnelly JC (1993) Evaluation of the effectiveness and comfort of incisive nerve anesthesia given inside or outside the mental foramen. J Endod 19(8):409–411CrossRefPubMed Joyce AP, Donnelly JC (1993) Evaluation of the effectiveness and comfort of incisive nerve anesthesia given inside or outside the mental foramen. J Endod 19(8):409–411CrossRefPubMed
10.
go back to reference 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 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
11.
go back to reference Katakami K, Mishima A, Shiozaki K, Shimoda S, Hamada Y, Kobayashi K (2008) Characteristics of accessory mental foramina observed on limited cone-beam computed tomography images. J Endod 34(12):1441–1445CrossRefPubMed Katakami K, Mishima A, Shiozaki K, Shimoda S, Hamada Y, Kobayashi K (2008) Characteristics of accessory mental foramina observed on limited cone-beam computed tomography images. J Endod 34(12):1441–1445CrossRefPubMed
12.
go back to reference Liang X, Jacobs R, Corpas LS, Semal P, Lambrichts I (2009) Chronologic and geographic variability of neurovascular structures in the human mandible. Forensic Sci Int 190(1–3):24–32CrossRefPubMed Liang X, Jacobs R, Corpas LS, Semal P, Lambrichts I (2009) Chronologic and geographic variability of neurovascular structures in the human mandible. Forensic Sci Int 190(1–3):24–32CrossRefPubMed
13.
go back to reference Naitoh M, Hiraiwa Y, Aimiya H, Gotoh K, Ariji E (2009) Accessory mental foramen assessment using cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):289–294CrossRefPubMed Naitoh M, Hiraiwa Y, Aimiya H, Gotoh K, Ariji E (2009) Accessory mental foramen assessment using cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):289–294CrossRefPubMed
14.
go back to reference Naitoh M, Yoshida K, Nakahara K, Gotoh K, Ariji E (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 Naitoh M, Yoshida K, Nakahara K, Gotoh K, Ariji E (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
15.
go back to reference Oliveira-Santos C, Souza PH, De Azambuja Berti-Couto S, Stinkens L, Moyaert K, Van Assche N, Jacobs R (2011) Characterisation of additional mental foramina through cone beam computed tomography. J Oral Rehabil 38(8):595–600CrossRefPubMed Oliveira-Santos C, Souza PH, De Azambuja Berti-Couto S, Stinkens L, Moyaert K, Van Assche N, Jacobs R (2011) Characterisation of additional mental foramina through cone beam computed tomography. J Oral Rehabil 38(8):595–600CrossRefPubMed
16.
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):417–420CrossRefPubMed Sawyer DR, Kiely ML, Pyle MA (1998) The frequency of accessory mental foramina in four ethnic groups. Arch Oral Biol 43(5):417–420CrossRefPubMed
17.
go back to reference Shen EC, Fu E, Fu MM, Peng M (2014) Configuration and corticalization of the mandibular bifid canal in a Taiwanese adult population: a computed tomography study. Int J Oral Maxillofac Implants 29(4):893–897CrossRefPubMed Shen EC, Fu E, Fu MM, Peng M (2014) Configuration and corticalization of the mandibular bifid canal in a Taiwanese adult population: a computed tomography study. Int J Oral Maxillofac Implants 29(4):893–897CrossRefPubMed
18.
go back to reference Sisman Y, Sahman H, Sekerci A, Tokmak TT, Aksu Y, Mavili E (2012) Detection and characterization of the mandibular accessory buccal foramen using CT. Dentomaxillofac Radiol 41(7):558–563CrossRefPubMedPubMedCentral Sisman Y, Sahman H, Sekerci A, Tokmak TT, Aksu Y, Mavili E (2012) Detection and characterization of the mandibular accessory buccal foramen using CT. Dentomaxillofac Radiol 41(7):558–563CrossRefPubMedPubMedCentral
19.
go back to reference Toh H, Kodama J, Yanagisako M, Ohmori T (1992) Anatomical study of the accessory mental foramen and the distribution of its nerve. Okajimas Folia Anat Jpn 69(2–3):85–88CrossRefPubMed Toh H, Kodama J, Yanagisako M, Ohmori T (1992) Anatomical study of the accessory mental foramen and the distribution of its nerve. Okajimas Folia Anat Jpn 69(2–3):85–88CrossRefPubMed
20.
go back to reference von Arx T, Friedli M, Sendi P, Lozanoff S, Bornstein MM (2013) Location and dimensions of the mental foramen: a radiographic analysis by using cone-beam computed tomography. J Endod 39(12):1522–1528CrossRef von Arx T, Friedli M, Sendi P, Lozanoff S, Bornstein MM (2013) Location and dimensions of the mental foramen: a radiographic analysis by using cone-beam computed tomography. J Endod 39(12):1522–1528CrossRef
Metadata
Title
Accessory mental foramina associated with neurovascular bundle in Korean population
Authors
Sang-Sun Han
Jae Joon Hwang
Ho-Gul Jeong
Publication date
01-12-2016
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 10/2016
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-016-1680-3

Other articles of this Issue 10/2016

Surgical and Radiologic Anatomy 10/2016 Go to the issue