Identification of the mandibular landmarks in a pediatric population

• Autores: Kenan Cantekin, Ahmet Ercan Sekerci, Ozkan Miloglu, Suleyman-Kutalmis Buyuk
• Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 19, Nº. 2, 2014, págs. 136-141
• Idioma: inglés
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• Resumen

  • Objectives: The aim of this study was to determine and compare the reliability to accomplish of common man - dibular landmarks and to determine the incidence of incisive canals, anterior looping, and lingual foramina in children from panoramic and CBCT images.

    Study Design: Panoramic and CBCT images from 100 children and adolescent patients were randomly selected.

    In order to grade the visibility of mandibular anatomical landmarks, a four-point rating scale was used.

    Results: In panoramic images, the mandibular canal could be observed in 92.5% of cases, with good visibility in 12.0%. The mental foramen could be observed in 44.5% of cases, while none had good visibility. Anterior looping of the mental nerve was present in 16.5% of the cases, and none had good visibility. An incisive canal could be identified in 22.5% of cases, with only 1.5% showing good visibility. The lingual foramen could be visualized in 61.0% of cases, with good visibility in 6%. In CBCT images, the mandibular canal, the mental foramen, and the lingual foramen could be observed in 100% of the cases, with good visibility in 51.0%, 98.5%, and 45.0% of cases, respectively. Anterior looping of the mental nerve was present in 26% of cases, with 2% having good visibility. An incisive canal could be identified in 49.5% of cases, with only 75% showing good visibility.

    Conclusions: This study confirms the applicability of CBCT images to visualize critical structures in children.