CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal

Introduction Mandibular canal with the associated neurovascular bundle may be closely related to the apices of man-dibular teeth. In order to avoid injuries and damages to the inferior alveolar nerve during invasive dental procedures, it is important to know its localization. The aim of this study w...

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Autores principales: Đeri Aleksandra, Brestovac Nataša, Subotić Sanja, Radman-Kuzmanović Irena, Arbutina Adriana, Marin Saša
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Publicado: Serbian Medical Society - Dental Section, Belgrade 2021
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spelling oai:doaj.org-article:2677bae9dfb74db5b4c76ee6298ae82c2021-12-05T21:33:45ZCBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal0039-17431452-370110.2298/SGS2103122Dhttps://doaj.org/article/2677bae9dfb74db5b4c76ee6298ae82c2021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/0039-1743/2021/0039-17432103122Q.pdfhttps://doaj.org/toc/0039-1743https://doaj.org/toc/1452-3701Introduction Mandibular canal with the associated neurovascular bundle may be closely related to the apices of man-dibular teeth. In order to avoid injuries and damages to the inferior alveolar nerve during invasive dental procedures, it is important to know its localization. The aim of this study was to determine the average vertical distances of the root apices of second premolars, first molars and second molars mesially and distally from the upper projection of the mandibular canal on the sagittal section of CBCT images, and determine if there were statistically significant differences between the age and gender groups. Material and methods The research was conducted at the Faculty of Medicine of the University of Banja Luka, and the sample consisted of 146 CBCT images of patients. CBCT images were obtained using Planmeca ProMax 3D Mid instrument (Planmeca, Helsinki, Finland) and analyzed using Planmeca Romexis Viewer software. In the sagittal section , the vertical distance from the root apex to the upper projection of the mandibular canal was measured for each examined tooth. Results The distal root of the first molar (4.88 mm) had the greatest average vertical distance of the root apex from the mandibular canal, and the distal root of the second molar had the smallest average vertical distance (2.76 mm). There was statistically significant difference between certain age groups in the values of individual roots, for the second molar mesially and distally (p < 0.05), while for the first molar mesially the value of p was at the limit of significance (p = 0.05). Conclusion The results of this study showed that distal root of the mandibular second molar had the smallest vertical distance from mandibular canal, therefore an extra caution during a root canal treatment and careful planning of oral surgery in this region is recommended.Đeri AleksandraBrestovac NatašaSubotić SanjaRadman-Kuzmanović IrenaArbutina AdrianaMarin SašaSerbian Medical Society - Dental Section, Belgradearticlecbctmandibular canalvertical distance of tooth apexlower premolarslower molarsDentistryRK1-715ENSRStomatološki glasnik Srbije, Vol 68, Iss 3, Pp 122-130 (2021)
institution DOAJ
collection DOAJ
language EN
SR
topic cbct
mandibular canal
vertical distance of tooth apex
lower premolars
lower molars
Dentistry
RK1-715
spellingShingle cbct
mandibular canal
vertical distance of tooth apex
lower premolars
lower molars
Dentistry
RK1-715
Đeri Aleksandra
Brestovac Nataša
Subotić Sanja
Radman-Kuzmanović Irena
Arbutina Adriana
Marin Saša
CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
description Introduction Mandibular canal with the associated neurovascular bundle may be closely related to the apices of man-dibular teeth. In order to avoid injuries and damages to the inferior alveolar nerve during invasive dental procedures, it is important to know its localization. The aim of this study was to determine the average vertical distances of the root apices of second premolars, first molars and second molars mesially and distally from the upper projection of the mandibular canal on the sagittal section of CBCT images, and determine if there were statistically significant differences between the age and gender groups. Material and methods The research was conducted at the Faculty of Medicine of the University of Banja Luka, and the sample consisted of 146 CBCT images of patients. CBCT images were obtained using Planmeca ProMax 3D Mid instrument (Planmeca, Helsinki, Finland) and analyzed using Planmeca Romexis Viewer software. In the sagittal section , the vertical distance from the root apex to the upper projection of the mandibular canal was measured for each examined tooth. Results The distal root of the first molar (4.88 mm) had the greatest average vertical distance of the root apex from the mandibular canal, and the distal root of the second molar had the smallest average vertical distance (2.76 mm). There was statistically significant difference between certain age groups in the values of individual roots, for the second molar mesially and distally (p < 0.05), while for the first molar mesially the value of p was at the limit of significance (p = 0.05). Conclusion The results of this study showed that distal root of the mandibular second molar had the smallest vertical distance from mandibular canal, therefore an extra caution during a root canal treatment and careful planning of oral surgery in this region is recommended.
format article
author Đeri Aleksandra
Brestovac Nataša
Subotić Sanja
Radman-Kuzmanović Irena
Arbutina Adriana
Marin Saša
author_facet Đeri Aleksandra
Brestovac Nataša
Subotić Sanja
Radman-Kuzmanović Irena
Arbutina Adriana
Marin Saša
author_sort Đeri Aleksandra
title CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
title_short CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
title_full CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
title_fullStr CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
title_full_unstemmed CBCT analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
title_sort cbct analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal
publisher Serbian Medical Society - Dental Section, Belgrade
publishDate 2021
url https://doaj.org/article/2677bae9dfb74db5b4c76ee6298ae82c
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AT brestovacnatasa cbctanalysisofapicaldistancebetweensecondlowerpremolarsfirstandsecondlowermolarsandmandibularcanal
AT suboticsanja cbctanalysisofapicaldistancebetweensecondlowerpremolarsfirstandsecondlowermolarsandmandibularcanal
AT radmankuzmanovicirena cbctanalysisofapicaldistancebetweensecondlowerpremolarsfirstandsecondlowermolarsandmandibularcanal
AT arbutinaadriana cbctanalysisofapicaldistancebetweensecondlowerpremolarsfirstandsecondlowermolarsandmandibularcanal
AT marinsasa cbctanalysisofapicaldistancebetweensecondlowerpremolarsfirstandsecondlowermolarsandmandibularcanal
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