Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus

SUMMARY: The aim of this study was to ascertain the distance from the mandibular canal to the lateral, medial and upper zones of the mandibular ramus in order to identify safety margins that reduce the risk of nerve injuries in the process of removing a bone graft. A descriptive study was conducted,...

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Autores principales: Parra,Marcelo, Jara,Jaime, Navarro,Pablo, Vásquez,Bélgica, Olate,Sergio
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000100362
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spelling oai:scielo:S0717-950220180001003622019-09-16Computed Tomography-Guided Bone Block Harvesting From the Mandibular RamusParra,MarceloJara,JaimeNavarro,PabloVásquez,BélgicaOlate,Sergio Mandibular ramus Bone graft Donor site. SUMMARY: The aim of this study was to ascertain the distance from the mandibular canal to the lateral, medial and upper zones of the mandibular ramus in order to identify safety margins that reduce the risk of nerve injuries in the process of removing a bone graft. A descriptive study was conducted, analyzing bilaterally 20 CBCT exams from different patients, taking measurements at 4 points in the central, lateral and medial areas of the corresponding mandibular ramus, which was located at a distance of 5 mm between each line, starting at the distal point of the second molar. Forty hemimandibles were included in this study, estimating a vertical distance for the 4 points of analysis, from between 16 and 17 mm, a distance laterally of 5 mm approximately and medially approximately from 3 to 3.9 mm; the lateral zone was significantly larger than the medial zone. It is estimated that the maximum achievement of a bone block from the area posterior to the second molar must be 13 mm deep and 3 mm laterally to minimize the risks of injuries to the inferior alveolar neurovascular bundle.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.36 n.1 20182018-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000100362en10.4067/S0717-95022018000100362
institution Scielo Chile
collection Scielo Chile
language English
topic Mandibular ramus
Bone graft
Donor site.
spellingShingle Mandibular ramus
Bone graft
Donor site.
Parra,Marcelo
Jara,Jaime
Navarro,Pablo
Vásquez,Bélgica
Olate,Sergio
Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus
description SUMMARY: The aim of this study was to ascertain the distance from the mandibular canal to the lateral, medial and upper zones of the mandibular ramus in order to identify safety margins that reduce the risk of nerve injuries in the process of removing a bone graft. A descriptive study was conducted, analyzing bilaterally 20 CBCT exams from different patients, taking measurements at 4 points in the central, lateral and medial areas of the corresponding mandibular ramus, which was located at a distance of 5 mm between each line, starting at the distal point of the second molar. Forty hemimandibles were included in this study, estimating a vertical distance for the 4 points of analysis, from between 16 and 17 mm, a distance laterally of 5 mm approximately and medially approximately from 3 to 3.9 mm; the lateral zone was significantly larger than the medial zone. It is estimated that the maximum achievement of a bone block from the area posterior to the second molar must be 13 mm deep and 3 mm laterally to minimize the risks of injuries to the inferior alveolar neurovascular bundle.
author Parra,Marcelo
Jara,Jaime
Navarro,Pablo
Vásquez,Bélgica
Olate,Sergio
author_facet Parra,Marcelo
Jara,Jaime
Navarro,Pablo
Vásquez,Bélgica
Olate,Sergio
author_sort Parra,Marcelo
title Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus
title_short Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus
title_full Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus
title_fullStr Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus
title_full_unstemmed Computed Tomography-Guided Bone Block Harvesting From the Mandibular Ramus
title_sort computed tomography-guided bone block harvesting from the mandibular ramus
publisher Sociedad Chilena de Anatomía
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000100362
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AT navarropablo computedtomographyguidedboneblockharvestingfromthemandibularramus
AT vasquezbelgica computedtomographyguidedboneblockharvestingfromthemandibularramus
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