The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study

Objectives: The aim of this retrospective study was to investigate anatomical structure of mandibular canal and the factors those increase the possibility of inferior alveolar nerve damage in mandibular third molar region of Turkish population. Material and Methods: Overall 320 participants with...

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Main Authors: Dogukan Yilmaz, Emel Tuğba Ataman-Duruel, Zehra Beycioğlu, Samir Goyushov, Tansu Çimen, Onurcem Duruel, Tolga Fikret Tözüm
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2022-09-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:https://www.ejomr.org/JOMR/archives/2022/3/e2/v13n3e2ht.htm
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author Dogukan Yilmaz
Emel Tuğba Ataman-Duruel
Zehra Beycioğlu
Samir Goyushov
Tansu Çimen
Onurcem Duruel
Tolga Fikret Tözüm
author_facet Dogukan Yilmaz
Emel Tuğba Ataman-Duruel
Zehra Beycioğlu
Samir Goyushov
Tansu Çimen
Onurcem Duruel
Tolga Fikret Tözüm
author_sort Dogukan Yilmaz
collection DOAJ
description Objectives: The aim of this retrospective study was to investigate anatomical structure of mandibular canal and the factors those increase the possibility of inferior alveolar nerve damage in mandibular third molar region of Turkish population. Material and Methods: Overall 320 participants with 436 mandibular third molars were included from four different study centers. Following variables were measured: type and depth of third molar impaction, position of mandibular canal in relation to third molars, morphology of mandibular canal, cortication status of mandibular canal, possible contact between the third molars and mandibular canal, thickness and density of superior, buccal, and lingual mandibular canal wall, bucco-lingual and apico-coronal mandibular canal diameters on cone-beam computed tomography scans. Results: Lingual mandibular canal wall density and thickness were decreased significantly as the impaction depth of mandibular third molar was increased (P = 0.045, P = 0.001 respectively). Highest buccal mandibular canal wall density and thickness were observed in lingual position of mandibular canal in relation to mandibular third molar (P = 0.021, P = 0.034 respectively). Mandibular canal with oval/round morphology had higher apico-coronal diameter in comparison to tear drop and dumbbell morphologies (P = 0.018). Additionally, mandibular canals with observed cortication border and no contact with mandibular third molar had denser and thicker lingual mandibular canal wall (P = 0.003, P = 0.001 respectively). Conclusions: Buccal and lingual mandibular canal wall density, thickness and mandibular canal diameter may be related with high-risk indicators of inferior alveolar nerve injury.
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publisher Lithuanian University of Health Sciences, Faculty of Odontology
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spelling doaj-art-49b64ab81b924cf9bcd0abd778a433b32025-08-20T03:14:43ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2022-09-01133e210.5037/jomr.2022.13302The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter StudyDogukan YilmazEmel Tuğba Ataman-DuruelZehra BeycioğluSamir GoyushovTansu ÇimenOnurcem DuruelTolga Fikret TözümObjectives: The aim of this retrospective study was to investigate anatomical structure of mandibular canal and the factors those increase the possibility of inferior alveolar nerve damage in mandibular third molar region of Turkish population. Material and Methods: Overall 320 participants with 436 mandibular third molars were included from four different study centers. Following variables were measured: type and depth of third molar impaction, position of mandibular canal in relation to third molars, morphology of mandibular canal, cortication status of mandibular canal, possible contact between the third molars and mandibular canal, thickness and density of superior, buccal, and lingual mandibular canal wall, bucco-lingual and apico-coronal mandibular canal diameters on cone-beam computed tomography scans. Results: Lingual mandibular canal wall density and thickness were decreased significantly as the impaction depth of mandibular third molar was increased (P = 0.045, P = 0.001 respectively). Highest buccal mandibular canal wall density and thickness were observed in lingual position of mandibular canal in relation to mandibular third molar (P = 0.021, P = 0.034 respectively). Mandibular canal with oval/round morphology had higher apico-coronal diameter in comparison to tear drop and dumbbell morphologies (P = 0.018). Additionally, mandibular canals with observed cortication border and no contact with mandibular third molar had denser and thicker lingual mandibular canal wall (P = 0.003, P = 0.001 respectively). Conclusions: Buccal and lingual mandibular canal wall density, thickness and mandibular canal diameter may be related with high-risk indicators of inferior alveolar nerve injury.https://www.ejomr.org/JOMR/archives/2022/3/e2/v13n3e2ht.htmmandibleradiologysurgerytomography
spellingShingle Dogukan Yilmaz
Emel Tuğba Ataman-Duruel
Zehra Beycioğlu
Samir Goyushov
Tansu Çimen
Onurcem Duruel
Tolga Fikret Tözüm
The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study
eJournal of Oral Maxillofacial Research
mandible
radiology
surgery
tomography
title The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study
title_full The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study
title_fullStr The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study
title_full_unstemmed The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study
title_short The Radiological Evaluation of Mandibular Canal Related Variables in Mandibular Third Molar Region: a Retrospective Multicenter Study
title_sort radiological evaluation of mandibular canal related variables in mandibular third molar region a retrospective multicenter study
topic mandible
radiology
surgery
tomography
url https://www.ejomr.org/JOMR/archives/2022/3/e2/v13n3e2ht.htm
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