Kuru Erişkin İnsan Çenelerinde Mental Foramenin Konumu ve Anatomik Özellikleri

Yıl 2024, Cilt: 13 Sayı: 1, 51 - 58, 26.01.2024

Ahmet Mert Nalbantoğlu , Deniz Yanık , Soner Albay

https://doi.org/10.54617/adoklinikbilimler.1177886

Öz

Amaç: Bu çalışmada kuru yetişkin insan mandibulası kullanılarak mental foramen (MF) konumu, aksesuar MF varlığı ve dişlenmenin morfometrik parametreler üzerindeki etkisi araştırılmıştır.
Gereç ve Yöntemler: Toplam 249 kuru yetişkin insan mandibulası (116 dişli, 133 dişsiz) kullanıldı. MF'nin yeri ve numarası kaydedildi. MF'nin symphysis'e, ramusun arka sınırına, alveolar krete ve mandibula tabanına olan mesafeleri ölçüldü. MF'nin simetrisi incelendi. İstatistiksel analiz için student t-testi ve Kolmogorov-Smirnov testi yapıldı.
Bulgular: Dişlenmenin varlığı, MF'nin korpus üzerindeki süperoinferior yerleşimini etkiledi. Dişli ve dişsiz mandibulalar arasında MF'nin anteroposterior pozisyonunda istatistiksel bir fark saptanmadı (p>0.05). MF'nin en sık görülen pozisyonu ikinci premoların hizasındaydı. Aksesuar MF prevalansı %4.41 iken bilateral yerleşimi %0.40’tı. MF'nin simetrik yerleşimi %83.62 idi.
Sonuç: Aksesuar MF'nin bilateral yerleşiminin Türk popülasyonunda en düşük prevalansı %0.40 olarak bulundu. Dişlenmenin varlığı, süperoinferior yönde korpusta MF'nin yerleşimini etkiledi. Cerrahi ve endodontik tedavilerde klinisyenin MF’nin yerleşim yerindeki farklılıklar ve aksesuar foramen varlığı göz önünde bulundurulmalıdır.

Anahtar Kelimeler

anatomi, anestezi, endodonti, mandibular premolar, mental foramen

Location and Anatomic Characteristics of Mental Foramen in Dry Adult Human Mandibles

Öz

Aim: This study aims to investigate the mental foramen (MF) location, the presence of accessory MF, and the effect of dentition on morphometric parameters using dry adult human mandibles.
Materials and Methods: A total of 249 dry adult human mandibles (116 dentate,133 edentate) were used. The location and number of the MF were recorded. The distances of the MF to the symphysis, posterior border of ramus, alveolar crest, and mandibular basis were measured. The symmetry of MF was examined. Student’s t-tests and Kolmogorov-Smirnov were used for statistical analysis.
Results: The presence of dentition affected the relative superoinferior location of MF on the corpus. No statistical difference was detected in the anteroposterior position of the MF between dentate and edentate mandibles (p>0.05). The most frequent position of the MF was the alignment of the second premolar. The prevalence of accessory MF was 4.41%, while the bilateral positioning of it was 0.40%. The symmetrical location of the MF was 83.62%.
Conclusion: The prevalence of bilateral positioning of the accessory MF in the Turkish dry mandibles was 0.40%. The presence of dentition affected the relative location of MF on the corpus in the superoinferior aspect. The clinician should be considered different locations, and the presence of accessory foramen in the surgical and endodontic treatments.

Anahtar Kelimeler

endodontics, anatomy, anesthesia, mandibular premolar, mental foramen

Kaynakça

• Referans1. Barbosa DAF, Mesquita LR, Borges MMC, de Mendonça DS, de Carvalho FSR, Kurita LM, et al. Mental foramen and anterior loop anatomic characteristics: a systematic review and meta-analysis of cross-sectional imaging studies. J Endod 2021;47:1829-43.
• Referans2. Paraskevas G, Mavrodi A, Natsis, K. Accessory mental foramen: an anatomical study on dry mandibles and review of the literature. Oral Maxillofac Surg 2015;19:177-81.
• Referans3. Chrcanovic BR, Abreu MHNG, Custódio ALN. Morphological variation in dentate and edentulous human mandibles. Surg Radiol Anat 2011;33:203-13.
• Referans4. von Arx T, Friedli M, Sendi P, Lozanoff S, Bornstein MM. Location and dimensions of the mental foramen: a radiographic analysis by using cone-beam computed tomography. J Endod 2013;39:1522-8.
• Referans5. Igbigbi PS, Lebona S. The position and dimensions of the mental foramen in adult Malawian mandibles. West Afr J Med 2005;24:184–9.
• Referans6. Velasco-Torres M, Padial-Molina M, Avila-Ortiz G, García- Delgado R, Catena A, Galindo-Moreno P. Inferior alveolar nerve trajectory, mental foramen location and incidence of mental nerve anterior loop. Med Oral Patol Oral Cir Bucal 2017;22:630-5.
• Referans7. Soikkonen K, Wolf J, Ainamo A, Qiufei X. Changes in the position of the mental foramen as a result of alveolar atrophy. JOral Rehabil 1995;22:831-3.
• Referans8. Li Y, Yang X, Zhang B, Wei B, Gong Y. Detection and characterization of the accessory mental foramen using conebeam computed tomography. Acta Odontol Scand 2017;28:1–9.
• Referans9. Aytugar E, Özeren C, Lacin N, Veli I, Çene E. Cone-beam computed tomographic evaluation of accessory mental foramen in a Turkish population. Anat Sci Int 2019;94:257-65.
• Referans10. Direk F, Uysal II, Kivrak AS, Fazliogullari Z, Unver Dogan N, Karabulut AK. Mental foramen and lingual vascular canals of mandible on MDCT images: anatomical study and review of the literature. Anat Sci Int 2017;93:244–53.
• Referans11. Kalender A, Orhan K, Aksoy U. Evaluation of the mental foramen and accessory mental foramen in Turkish patients using cone-beam computed tomography images reconstructed from a volumetric rendering program. Clin Anat 2012;25:584–92.
• Referans12. Sekerci AE, Sahman H, Sisman Y, Aksu Y. Morphometric analysis of the mental foramen in a Turkish population based on multi-slice computed tomography. J Oral Maxillofac Radiol 2013;1:2-7.
• Referans13. Al-Khateeb T, Al-Hadi Hamasha A, Ababneh KT. Position of the mental foramen in a northern regional Jordanian population. Surg Radiol Anat 2007;29:231–7.
• Referans14. Agthong S, Huanmanop T, Chentanez V. Anatomical variations of the supraorbital, infraorbital, and mental foramina related to gender and side. J Oral Maxillofac Surg 2005;63:800–4.
• Referans15. Oguz O, Bozkir MG. Evaluation of location of mandibular and mental foramina in dry, young, adult human male, dentulous mandibles. West Indian Med J 2002;51:14-6.
• Referans16. Moiseiwitsch JR. Position of the mental foramen in a North American, white population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:457-60.
• Referans17. Budhiraja, V, Rastogi R, Lalwani R, Goel P, Bose SC. Study of position, shape, and size of mental foramen utilizing various parameters in dry adult human mandibles from north India. ISRN Anat 2013:961429.
• Referans18. Mbajiorgu EF, Mawera G, Asala SA, Zivanovic S. Position of the mental foramen in adult Black Zimbabwean mandibles: a clinical anatomical study. Cent Afr J Med 1998;44:24–30.
• Referans19. Chong B, Gohil K, Pawar R, Makdissi J. Anatomical relationship between mental foramen, mandibular teeth and risk of nerve injury with endodontic treatment. Clin Oral Investig 2017;21:381-7.
• Referans20. Cabanillas Padilla J, Quea Cahuana E. Morphological and morphometric study of the mental foramen using cone-beam CT in dentate adult patients. Odontoestomatologia 2014;16:4–12.
• Referans21. Goregen M, Miloglu O, Ersoy I, Bayrakdar IS, Akgul HM. The assessment of accessory mental foramina using cone-beam computed tomography. Turk J Med Sci 2013;43:479–83.
• Referans22. Iwanaga J, Watanabe K, Saga T. Accessory mental foramina and nerves: application to periodontal, periapical, and implant surgery. Clin Anat 2015;29:493–501.
• Referans23. Sawyer DR, Kiely ML, PyleMA. The frequency of accessory mental foramina in four ethnic groups. Arch Oral Biol 1998;43:417– 20.
• Referans24. Robinson C, Yoakum CB. Variation in accessory mental foramen frequency and number in extant hominoids. Anat Rec 2020;303:3000-13.
• Referans25. Mraiwa N, Jacobs R, van Steenberghe D. Clinical assessment and surgical implications of anatomic challenges in the anterior mandible. Clin Implant Dent Relat Res 2003; 5:219–25.