Mizbah K, Gerlach N, Maal T J, Bergé S J, Meijer G J
Afdeling Mondziekten-, Kaak en Aangezichtschirurgie, Universitair Medisch Centrum St Radboud te Nijmegen.
Ned Tijdschr Tandheelkd. 2010 Dec;117(12):616-8. doi: 10.5177/ntvt.2010.12.10155.
A 26-year-old man was suffering from pericoronitis of his mandibular third molars. To determine the position of the mandibular canal in relation to the roots of the third molars, a panoramic radiograph was made. The radiograph revealed at the right side a bifid mandibular canal and the upper part of the canal seemed to be related to the third molar. Additionally, a cone beam CT was made, which revealed a bifid mandibular canal at the left side and a trifid mandibular canal at the right side. Anatomical anomalies of the mandibular canal may have clinical implications, such as an increased risk of injury to the inferior alveolar nerve in case of removing a mandibular third molar and inadequate local anesthetics.
一名26岁男性患有下颌第三磨牙冠周炎。为确定下颌管相对于第三磨牙牙根的位置,拍摄了一张全景X线片。X线片显示右侧下颌管为双管型,且该管的上部似乎与第三磨牙有关。此外,还进行了锥形束CT检查,结果显示左侧下颌管为双管型,右侧下颌管为三管型。下颌管的解剖异常可能具有临床意义,例如在拔除下颌第三磨牙时,下牙槽神经损伤风险增加以及局部麻醉效果不佳。