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使用锥形束计算机断层扫描评估下牙槽神经前袢的发生率和长度以及颏孔的位置和尺寸。

Assessing the Prevalence and Length of the Anterior Loop of Inferior Alveolar Nerve and the Position and Dimension of Mental Foramen Using Cone Beam Computed Tomography.

作者信息

Srivastava Sunita, Sethi Kavleen K, Sinha Abhishek, Srivastava Amitabh, Mishra Anuj, Khan Nazish, Pandey Shivangi, Dixit Adarsh

机构信息

Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, IND.

Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Science, Lucknow, IND.

出版信息

Cureus. 2024 Sep 3;16(9):e68535. doi: 10.7759/cureus.68535. eCollection 2024 Sep.

Abstract

Background To prevent harm to the neurovascular bundle during clinical and surgical operations, it is crucial to understand the position and dimension of the mental foramen, as well as the prevalence and length of the anterior loop (AL). Methods An iCAT Vision (CT Dent, London, UK) was used to take a cone beam computed tomography (CBCT) scan. Measurement of height, length of anterior loop, position and width of mental foramen was examined. Results Assessed prevalence of anterior loop and saw difference among genders, which was found to be more among males than females; anterior loop decreased as age advances. Mean anterior loop length of study subjects in different age group on right side was more than the left side, and the most common location of the mental foramen (61.87% in females and 61.36% in males) is located below the apex of the second premolar. The mean value of the distance from inferior border was 9.72mm in females and 10.78mm in males. Conclusion The current study was done with all of these characteristics in mind to assess the effectiveness of CBCT in determining anterior looping of the inferior alveolar nerve (IAN) and the position and dimension of mental foramen. In more than half of the cases analyzed, an anterior loop was discovered.

摘要

背景

为防止临床及外科手术过程中对神经血管束造成损伤,了解颏孔的位置、尺寸以及前袢(AL)的发生率和长度至关重要。方法:使用iCAT Vision(CT Dent,英国伦敦)进行锥形束计算机断层扫描(CBCT)。对颏孔的高度、前袢长度、位置和宽度进行测量。结果:评估了前袢的发生率,并发现性别之间存在差异,男性的发生率高于女性;前袢随年龄增长而减少。不同年龄组研究对象右侧的平均前袢长度大于左侧,且颏孔最常见的位置(女性为61.87%,男性为61.36%)位于第二前磨牙根尖下方。女性距下颌骨下缘的平均距离为9.72mm,男性为10.78mm。结论:本研究综合考虑了所有这些特征,以评估CBCT在确定下牙槽神经(IAN)前袢以及颏孔位置和尺寸方面的有效性。在超过一半的分析病例中发现了前袢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6105/11373582/fc8d739d990d/cureus-0016-00000068535-i01.jpg

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