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Abstract

Objective: This study aimed to assess the anatomical length of the mandibular incisive canal and anterior loop and the distance to surrounding structures. Methods: Our study was conducted on 70 cone beam computed tomography (CBCT) films of 70 Vietnamese adult outpatients (40 females, 30 males) at Hanoi Medical University, Vietnam. T-test was applied to assess the difference between the two sides and genders. Results: The mean length of the mandibular incisive canal (MIC) was 12.83 ± 5.13 mm. The anterior loop (AL) prevalence was 62.86%, with an average length of 2.37 ± 0.90 mm. The difference between the right and left sides was statistically significant (p < 0.05), measuring 2.51 ± 0.87 mm and 2.24 ± 0.92 mm, respectively. Our research findings revealed that the distance from the MIC to the alveolar border was approximately twice as long as the distance to the inferior border, with measurements exceeding 17 mm, and it was closer to the buccal cortical bone than the lingual border. Conclusion: The length of AL on the right side was greater. Due to the high prevalence of the MIC and the AL, clinicians should observe the mandibular incisive canal and anterior loop on CBCT scans before performing clinical procedures to avoid injuries.

References

  1. Yu SK, Kim S, Kang SG, et al. Morphological assessment of the anterior loop of the mandibular canal in Koreans. Anat Cell Biol. 2015; 48(1):75-80.
  2. Nasher A, Juain A, Da’er S, Farhan A, Alareqi N. The prevalence of mandibular incisive canal among a sample of Yemeni adults obtained from cone-beam computed tomography. Saudi J Oral Dent Res. 2023; 8(1):50-8.
  3. Filo K, Schneider T, Locher MC, Kruse AL, Lübbers H-T. The inferior alveolar nerve’s loop at the mental foramen and its implications for surgery. J Am Dent Assoc. 2014; 145(3):260-9.
  4. Hadilou M, Gholami L, Ghojazadeh M, Emadi N. Prevalence and extension of the anterior loop of the mental nerve in different populations and CBCT imaging settings: A systematic review and meta-analysis. Imaging Sci Dent. 2022; 52(2):141-53.
  5. Lee CY, Yanagihara LC, Suzuki JB. Brisk, pulsatile bleeding from the anterior mandibular incisive canal during implant surgery: A case report and use of an active hemostatic matrix to terminate acute bleeding. Implant Dent. 2012; 21(5):368-73.
  6. Padmanabhan H, Kumar AV, Shivashankar K. Incidence of neurosensory disturbance in mandibular implant surgery - A meta-analysis. J Indian Prosthodont Soc. 2020; 20(1):17-26.
  7. Vujanovic-Eskenazi A, Valero-James JM, Sanchez- Garces MA, Gay-Escoda C. A retrospective radiographic evaluation of the anterior loop of the mental nerve: Comparison between panoramic radiography and cone beam computerized tomography. Med Oral Patol Oral Cir Bucal. 2015; 20(2):e239-45.
  8. Venkatesh E, Elluru SV. Cone beam computed tomography: Basics and applications in dentistry. J Istanb Univ Fac Dent. 2017; 51(3 Suppl 1):S102-21.
  9. Panjnoush M, Rabiee ZS, K heirandish Y. Assessment of locat ion and anatomical characteristics of mental foramen, anterior loop and mandibular incisive canal using cone beam computed tomography. J Dent (Tehran). 2016; 13(2):126-32.
  10. Kong N, Hui M, Miao F, Yuan H, Du Y, Chen N. Mandibular incisive canal in Han Chinese using cone beam computed tomography. Int J Oral Maxillofac Surg. 2016; 45(9):1142-6.
  11. Tebo HG, Telford IRJTAR. An analysis of the variations in position of the mental foramen. 1950; 107(1):61-6.
  12. Woelber JP, Fleiner J, Rau J, Ratka-Krüger P, Hannig C. Accuracy and usefulness of CBCT in periodontology: A systematic review of the literature. Int J Periodontics Restorative Dent. 2018; 38(2):289-97.
  13. Ahmed AA, Ahmed RM, Jamleh A, Spagnuolo G. Morphometric analysis of the mandibular canal, anterior loop, and mental foramen: A cone-beam computed tomography evaluation. Int J Environ Res Public Health. 2021; 18(7):3365.
  14. Orhan K, Icen M, Aksoy S, Ozan O, Berberoglu A. Cone-beam CT evaluation of morphology, location, and course of mandibular incisive canal: Considerations for implant treatment. Oral Radiol. 2014; 30:64-75.
  15. Gomes LT, de Almeida Barros Mourao CF, Braga CL, de Almeida LFD, de Mello-Machado RC, Calasans-Maia MD. Anatomic evaluation of the incisive canal with cone beam computed tomography and its relevance to surgical procedures in the mental region: a retrospective study in a Brazilian population. Oral Maxillofac Surg. 2018; 22(4):379-84.
  16. Lim JTS, Kang WJ, Ajit Bapat R, Kanneppady SK, Pandurangappa R. Evaluation of mandibular incisive canal using cone beam computed tomography in Malaysians. J Maxillofac Oral Surg. 2019; 18(4):596-603.
  17. Pereira-Maciel P, Tavares-de-Sousa E, Oliveira- Sales MA. The mandibular incisive canal and its anatomical relationships: A cone beam computed tomography study. Med Oral Patol Oral Cir Bucal. 2015; 20(6):e723-8.
  18. Wong SK, Patil PG. Measuring anterior loop length of the inferior alveolar nerve to estimate safe zone in implant planning: A CBCT study in a Malaysian population. J Prosthet Dent. 2018; 120(2):210-3.
  19. Vieira CL, Veloso S, Lopes FF. Location of the course of the mandibular canal, anterior loop and accessory mental foramen through cone-beam computed tomography. Surg Radiol Anat. 2018; 40(12):1411-7.
  20. Ceballos F, Gonzales J, Hernandez P, Deana N, Alves N. Frequency and position of the mental foramen in panoramic X-rays: Literature review. Int J Morphol. 2017; 35(3):1114-20.
  21. Pele A, Berry PA, Evanno C, Jordana F. Evaluation of mental foramen with cone beam computed tomography: A systematic review of literature. Radiol Res Pract. 2021; 2021:8897275

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