Sholapurkar Amar, Davies Cailin
BDS, MDS, FAGE, (PhD). Department Head - Oral Radiology section. Lecturer in Clinical Dentistry and Oral Radiology. Radiation Safety officer and Possession Licensee. College of Medicine and Dentistry. James Cook University. PO Box 6811. Cairns. Queensland - 4870.
BDS. College of Medicine and Dentistry, James Cook University. Smithfield, Queensland - 4878. Australia.
J Clin Exp Dent. 2019 Mar 1;11(3):e287-e289. doi: 10.4317/jced.55575. eCollection 2019 Mar.
Dental practitioners may encounter bifid mandibular canals upon radiographic assessment, and may not understand the true extent of this presentation. The presentation of a bifid mandibular canal poses difficulties when carrying out dental procedures, including administration of mandibular block anaesthesia, oral surgical procedures of the lower third molars, orthognathic surgery and implant placement. Therefore it is of paramount importance that general dental practitioners be aware of the radiographic appearance, as incorrect diagnosis of this rare presentation can lead to detrimental consequences. The purpose of the communication is to draw dental practitioner's attention to the variations of bifid mandibular canals and ensure practitioners interpret radiograph correctly to make an informed diagnosis and eliminate the risk of damage and discomfort in the event of surgical treatment being carried out. It is advised that dental practitioners refer for further imaging such as a cone beam scan for greater understanding of the anatomical variation. Bifid mandibular canal, inferior alveolar nerve, bilateral bifid mandibular canal.
牙科医生在进行影像学评估时可能会遇到下颌管双叉的情况,并且可能不了解这种表现的真实程度。下颌管双叉的情况在进行牙科手术时会带来困难,包括下颌阻滞麻醉、下颌第三磨牙的口腔外科手术、正颌手术和种植体植入。因此,全科牙科医生了解其影像学表现至关重要,因为对这种罕见表现的错误诊断可能会导致有害后果。本文的目的是提请牙科医生注意下颌管双叉的变异情况,并确保医生正确解读X光片,以便做出明智的诊断,并在进行手术治疗时消除损伤和不适的风险。建议牙科医生进行进一步的影像学检查,如锥形束扫描,以更好地了解解剖变异情况。下颌管双叉、下牙槽神经、双侧下颌管双叉