Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis
- 33 Downloads
The purpose of this study is to evaluate the relationship between anatomic structures and mandibular posterior region using cone-beam computed tomography (CBCT) in terms of endodontic surgery.
A total of 150 CBCT images were used to investigate the proximity of the anatomical structures and the mandibular posterior teeth. The buccal and lingual bone thickness overlying each root, buccolingual, and mesiodistal dimension of the roots were measured at the level of 3 mm apical resection, and the mental foramen (MF) distance to the premolar teeth and the distance of the mandibular canal (MC) to all the posterior teeth were measured.
The thinnest part of the buccal cortical bone was measured in the first premolar teeth (1.70 mm) and in the mesial root of the first molar (2.25 mm) while the thickest region was measured in the distal root of the second molar tooth (6.95 mm). The maximum amount of substance to be removed was measured at the distal root of the second molar tooth (11.26 mm), and at least the first premolar tooth (5.52 mm) was measured for buccal resection. The distal root of the second molar tooth was found to be the closest tooth root to the MC with a mean of 2.75 mm, and the closest distance was measured as 0 mm.
It is important to evaluate the parameters such as mandibular buccal and lingual bone thickness, location of the MC and the MF, and root size for atraumatic endodontic surgical approach. Evaluation of these data before endodontic surgery provides guidance to the clinician in the planning of endodontic surgery.
The mandibular posterior region, which is difficult to reach with traditional surgical approach, is now easily reached using an operation microscope. For this reason, endodontic surgical procedures have become popular in mandibular posterior teeth. Therefore, the relationship between the mandibular posterior teeth and anatomical structures that are important in the planning of surgical access line is examined in this study.
KeywordsCBCT Endodontic surgery Mandibular canal Mandibular posterior teeth Mental foramen
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors. The study was approved by the Ethics Committee of Bolu Abant İzzet Baysal University (Decision No: 2018/132). The study was performed in accordance with the ethical standards aid down in the 1964 Declaration of Helsinki and its later amendments.
The Ethics Committee approved Informed Consent dismissal.
- 3.Ahn SY, Kim NH, Kim S, Karabucak B, Kim E (2018) Computer-aided design/computer-aided manufacturing-guided endodontic surgery: guided osteotomy and apex localization in a mandibular molar with a thick buccal bone plate. J Endod 44:665–670. https://doi.org/10.1016/j.joen.2017.12.009 CrossRefGoogle Scholar
- 6.Wang X, Chen K, Wang S, Tiwari SK, Ye L, Peng L (2017) Relationship between the mental foramen, mandibular canal, and the surgical access line of the mandibular posterior teeth: a cone-beam computed tomographic analysis. J Endod 43:1262–1266. https://doi.org/10.1016/j.joen.2017.03.043 CrossRefGoogle Scholar
- 9.Guerrero ME, Botetano R, Beltran J, Horner K, Jacobs R (2014) Can preoperative imaging help to predict postoperative outcome after wisdom tooth removal? A randomized controlled trial using panoramic radiography versus cone-beam CT. Clin Oral Investig 18:335–342. https://doi.org/10.1007/s00784-013-0971-x CrossRefGoogle Scholar
- 12.Zhang X, Xu N, Wang H, Yu Q (2017) A cone-beam computed tomographic study of apical surgery-related morphological characteristics of the distolingual root in 3-rooted mandibular first molars in a Chinese population. J Endod 43:2020–2024. https://doi.org/10.1016/j.joen.2017.07.022 CrossRefGoogle Scholar
- 13.Lauber R, Bornstein MM, von Arx T (2012) Cone beam computed tomography in mandibular molars referred for apical surgery. Schweiz Monatsschr Zahnmed 122:12–24Google Scholar
- 22.Khojastepour L, Mirbeigi S, Mirhadi S, Safaee A (2015) Location of mental foramen in a selected Iranian population: a CBCT assessment. Iran Endod J 10:117–121Google Scholar
- 30.Kosumarl W, Patanaporn V, Jotikasthira D, Janhom A (2017) Distances from the root apices of posterior teeth to the maxillary sinus and mandibular canal in patients with skeletal open bite: a cone-beam computed tomography study. Imaging Sci Dent 47:157–164. https://doi.org/10.5624/isd.2017.47.3.157 CrossRefGoogle Scholar