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无牙颌的下颌管。

The mandibular canal of the edentulous jaw.

作者信息

Polland K E, Munro S, Reford G, Lockhart A, Logan G, Brocklebank L, McDonald S W

机构信息

Laboratory of Human Anatomy, University of Glasgow, Glasgow, Scotland, United Kingdom.

出版信息

Clin Anat. 2001 Nov;14(6):445-52. doi: 10.1002/ca.1080.

Abstract

The morphology of the mandibular canal after loss of teeth has received little detailed attention. Improved documentation of this topic would allow better interpretation of dental radiographs and would enable those engaged in tooth implantation to better understand the nature of the tissue into which the prostheses are placed. In this study on mandibles from seven dissecting room cadavers panoramic radiographs usually showed the mandibular canal clearly, an incisive canal less so. The wall of the mandibular canal was similar in dentate and edentulous mandibles, and was highly perforated, as suggested by Cryer (Anderson et al., 1991). In edentulous specimens, it was composed mainly of cancellous bone with only occasional single osteons. The inferior alveolar nerve near the mandibular foramen was a large trunk, consisting of three to four nerve bundles with connective tissue sheaths. It became more loosely arranged toward the mental foramen. Medial to the mental foramen, the nerves were frequently in the form of small bundles in the marrow. Any incisive canal was ill-defined and neurovascular bundles, when present, ran through a labyrinth of intertrabecular spaces.

摘要

牙齿缺失后下颌管的形态学研究较少受到详细关注。对该主题进行更完善的记录将有助于更好地解读牙科X光片,并使从事牙齿植入的人员能够更好地了解假体植入组织的性质。在这项对七具解剖室尸体下颌骨的研究中,全景X光片通常能清晰显示下颌管,而切牙管则显示得不太清晰。下颌管壁在有牙和无牙下颌骨中相似,且如Cryer(Anderson等人,1991年)所指出的那样有很多穿孔。在无牙标本中,它主要由松质骨组成,仅有偶尔的单个骨单位。下颌孔附近的下牙槽神经是一个大的主干,由三到四个带有结缔组织鞘的神经束组成。它向颏孔方向排列得越来越松散。在颏孔内侧,神经常在骨髓中呈小束状。任何切牙管都界限不清,神经血管束(若存在)穿行于小梁间隙的迷宫中。

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