Department of Anatomy and Cell Biology, University Medicine Greifswald, Germany.
Br Dent J. 2012 Feb 24;212(4):188-9. doi: 10.1038/sj.bdj.2012.160.
The position of the mental foramen was recorded in relation to the mandibular teeth and anatomical landmarks on the mandible in 76 Chinese, 46 European and 33 Indian skulls of known or calculated age at death. One way analysis of variance (ANOVA) with Tukey's test was used to compare the means of the three groups.
The length of Indian mandibles was significantly smaller than that of Chinese (p <0.001) and European (p <0.05), but there was no significant difference between European and Chinese mandibles (p >0.05). The distance from the symphysis menti to the mental foramen was not significant in European and Indian mandibles (p >0.05), though the latter were significantly smaller than the Chinese (p <0.001). The distance from the mental foramen to the posterior border of the ramus of the mandible was significantly larger in Chinese and European skulls compared to that of Indian (p <0.01), there being no significant difference between European and Chinese (p >0.05). There was no significant difference in the relative position of the mental foramen (distance from symphysis menti to the mental foramen divided by the length of the mandible) between the Chinese and Indian mandibles (p >0.05) but there was a significant smaller difference between the European and both Chinese and Indian (p <0.001). The modal position of the foramen in the Chinese was in line with the long axis of the second premolar, while the European and Indian between the first and second premolar.
The notion that the mental foramen lies between the first and second premolars can no longer be accepted. Population differences occur and preoperative radiographs are mandatory.
在 76 个中国人、46 个欧洲人和 33 个印度人头颅中,记录了下颌牙齿和下颌解剖标志与颏孔位置的关系,这些头颅的死亡年龄已知或经计算得出。采用单因素方差分析(ANOVA)和 Tukey 检验比较了三组的平均值。
印度人的下颌骨长度明显小于中国人(p<0.001)和欧洲人(p<0.05),但欧洲人和中国人的下颌骨长度无显著差异(p>0.05)。颏孔到颏结节的距离在欧洲人和印度人下颌骨中无显著差异(p>0.05),但后者明显小于中国人(p<0.001)。中国人和欧洲人头颅的下颌骨后缘到颏孔的距离明显大于印度人(p<0.01),欧洲人和中国人之间无显著差异(p>0.05)。中国人和印度人颏孔的相对位置(颏结节到颏孔的距离除以下颌骨长度)无显著差异(p>0.05),但欧洲人明显小于中国人和印度人(p<0.001)。中国人的颏孔模式位置与第二前磨牙的长轴一致,而欧洲人和印度人的颏孔位置在第一前磨牙和第二前磨牙之间。
不能再接受颏孔位于第一前磨牙和第二前磨牙之间的观点。存在人群差异,术前必须拍摄 X 光片。