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南印度人下牙槽神经管位置:一项锥形束计算机断层扫描初步研究。

Inferior alveolar nerve canal position among South Indians: A cone beam computed tomographic pilot study.

作者信息

Balaji S M, Krishnaswamy N R, Kumar S Manoj, Rooban Thavarajah

机构信息

Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, India.

出版信息

Ann Maxillofac Surg. 2012 Jan;2(1):51-5. doi: 10.4103/2231-0746.95319.

Abstract

PURPOSE

To document a clinically relevant position of the inferior alveolar nerve (IAN) in complete dentate south Indian patients in the age group of 20-29 years using cone beam computerized tomograms.

MATERIALS AND METHODS

The investigators used a cross-sectional study design and a study sample of subjects who had a radiographically identifiable IAN canal with complete set of 28 permanent teeth excluding 3(rd) molars. Predictor variables were age, tooth position, and side. Outcome variables were the linear distances between the buccal and lingual aspect of the IAN canal, buccal and lingual cortical thickness, IAN canal diameter, and the superior aspect of the IAN canal from the periapex of first and second mandibular molar. Descriptive statistics and Mann-Whitney U test were performed. P value of ≤ 0.05 was taken as significant.

RESULTS

The study sample was composed of 10 male and 10 female patients with a mean age of 24.2 ± 3.00 years. On average, the lingual cortical thickness was 1.68 mm at 1(st) molar and 1.44 at 2(nd) molar level. Gender and side influenced the outcome with varying statistical significance.

CONCLUSIONS

The range of linear dimension of mandibular canal, cortical bone thickness, and distance between tooth apex and IAN canal have been presented for the South Indian population in the age group of 20-29 years. The implications of the findings will influence on the course of surgery. Further large-scale studies are needed to validate the findings of this study.

摘要

目的

使用锥形束计算机断层扫描记录20 - 29岁完全牙列的南印度患者下牙槽神经(IAN)的临床相关位置。

材料与方法

研究者采用横断面研究设计,研究样本为具有影像学可识别IAN管且有28颗恒牙(不包括第三磨牙)的受试者。预测变量为年龄、牙位和侧别。结果变量为IAN管颊侧和舌侧之间的线性距离、颊侧和舌侧皮质厚度、IAN管直径以及IAN管上缘距第一和第二下颌磨牙根尖的距离。进行描述性统计和曼 - 惠特尼U检验。P值≤0.05被视为具有统计学意义。

结果

研究样本由10名男性和10名女性患者组成,平均年龄为24.2±3.00岁。平均而言,第一磨牙处舌侧皮质厚度为1.68 mm,第二磨牙处为1.44 mm。性别和侧别对结果有不同程度的统计学影响。

结论

给出了20 - 29岁南印度人群下颌管的线性尺寸范围、皮质骨厚度以及根尖与IAN管之间的距离。这些发现的意义将影响手术过程。需要进一步的大规模研究来验证本研究的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/891c/3591087/d074c2332b1e/AMS-2-51-g001.jpg

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