Article 8321

Title of the article

The morphological features of the mandibular canal position in relation to the third molars’ roots (a review of literature) 

Authors

Elena V. Goryacheva, Assistant of the sub-department of dentistry, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: Alen85ka@yandex.ru
Larisa A. Zyul'kina, Doctor of medical sciences, associate professor, head of the sub-department of dentistry, dean of the faculty of dentistry, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: larisastom@ya.ru
Ekaterina A. Koretskaya, Senior lecturer of the sub-department of dentistry, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: Kat3974@yandex.ru
Ekaterina A. Chesnykh, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: Ekaterina.chesnyh@mail.ru
Tat'yana E. Kofova, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: sto-kafedra@yandex.ru 

Index UDK

611.716.4:617.5 

DOI

10.21685/2072-3032-2021-3-8 

Abstract

A review of foreign and domestic literature is presented on the reliability of radiological signs of corticalization between the roots of the third molars and the mandibular canal on orthoradial panoramic zonography (Rogatskin D. V.) (orthopantomography, panoramic tomography of the dentition), and the presence or absence of “tight” contact of the same anatomical structures on cone – beam computed tomography. The study of the variation in the structure of the mandibular canal and its interaction with the third molars’ roots for a long time met with a serious obstacle due to the complexity of conducting a reliable diagnosis. In practical dentistry, knowing the location of the mandibular canal in relation to the roots of the third molars is very important, since the anatomy can be different: the canal can be located vestibularly, it can be lingual, and it can be covered by the roots of the third molars. In dentistry and maxillofacial surgery, the problems of diagnosing the anatomical and topographic location of the dystopian, retinated, semi-retinated third molars of the lower jaw are very relevant. Today, radiation diagnostics is an important method of examination. This examination can be considered one of the main methods today, since in most cases the final diagnosis is made on the basis of data from X-ray and computer studies. The correct determination of the topographic location of the mandibular canal at the planning stage of dental manipulations allows you to avoid complications both during and after the operation in the area of the third molars on the lower jaw. 

Key words

mandibular nerve, third mandibular molar, cone-beam computed tomography 

Download PDF
References

1. Kalmin O.V., Ilyunina O.O., Ziulkina L.A., Kapralova G.A., Koretskaya E.A. Morphological Features of the Incisive Canal in Patients of the First Adult Age. La Prensa Medica Argentina. 2019;105(9):538–545.
2. Egorov K.A., Grishin S.V., Korotkov K.A. The anatomical and topographic features of the mandibular canal. Elektronnyy nauchno-obrazovatel'nyy vestnik «Zdorov'e i obrazovanie v XXI veke» = Electronic scientific and educational bulletin “Health and education in the 21st century”. 2007;(7):257. (In Russ.)
3. Khobkek D.A., Uotson R.M., Sizn L.Dzh.Dzh. Rukovodstvo po dental'noy implantologii: per s angl. = Dental implantology guide: translated from English. 2nd ed. Moscow: MEDpress-inform, 2010:224. (In Russ.)
4. Juodzbalys G.I., Wang H.L., Sabalys G., Sidlauskas A., Galindo- Moreno P. Inferior alveolar nerve injury associated with implant surgery. Clin. Oral Implants Res. 2013;24(2):183–190.
5. Tay A. B., Zuniga J. R. Clinical characteristics of trigeminal nerve injury referrals to a university centre. Int J Oral Maxillofac Surg. 2007;36:922–927.
6. Dempf R., Hausamen J.E. Lesions of the inferior alveolar nerve arising from endodontic treatment. Aust Endod J. 2000;26(2):67–71.
7. Tilotta-Yasukava F., Milot S.E.L., Haddioui A., Bravetti P., Gaudy J.F., Labiomandibular paresthesia caused by endodontic treatment: an anatomic and clinical study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(4):47–59.
8. Mohhammadi Z. Endodontics-related paresthesia of the mental and inferior alveolar nerves: an updated review. J Can Dent Assoc. 2010;76:117.
9. Tufekcioglu S., Delilbasi C., Gurler G., Dilaver E., Ozer N. Is 2mm a safe distance from the inferior alveolar canal to avoid neurosensory complications in implant surgery. Nigerian J. of Clinical Practice. 2017;20(3):274–277.
10. Libersa P., Savignat M., Tonnel A. Neurosensory disturbances of the inferior alveolar nerve: a retrospective study of complaints in a 10-year period. J Oral Maxillofac Surg. 2007;65:1486–1489.
11. Better H., Abromowitz I., Shlomi B., Kahn A., Levy Y., Shaham A., Chashu G. The presurgical workup before third molar surgery: how much is enough. Sensory nerve impairment following mandibular third molar surgery. Oral Maxillofac Surg. 2004;62:689–692.
12. Blondeau F., Daniel N.G. Extraction of IMTM: postoperative complications and their risk factors. J Can Den Assoc. 2007;73:325.
13. Rood J.P. Permanent damage to inferior alveolar and lingual nerves during the removal of IMTM. Comparison of two methods of bone removal. Br Dent J. 1992;172:108–110.
14. Gülicher D., Gerlach K.L. Sensory impairment of the lingual and inferior alveolar nerves following removal of IMTM. Int J Oral Maxillofac Surg. 2001;30:306–312.
15. Eyrich G., Seifert B., Matthews F., Matthiessen U., Heusser C.K., Kruse A.L., Obwegeser J.A., Lübbers H.T. 3-Dimensional imaging for lower third molars: is there an implication for surgical removal. J Oral Maxillofac Surg. 2011;69:1867–1872.
16. Valmaseda-Castellón E., Berini-Aytés L., Gay-Escoda C. Inferior alveolar nerve damage after lower third molar surgical extraction: a prospective study of 1117 surgical extractions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92:377–383.
17. Xu G.Z., Yang C., Fan X.D., Yu C.Q., Cai X.Y., Wang Y. Anatomic relationship between impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve injury. Br J Oral Maxillofac Surg. 2013;51:215–219.
18. Kipp D.P., Goldstein B.H., Weiss W.W. Dysesthesia after mandibular third molar surgery: a retrospective study and analysis of 1,377 surgical procedures. JADA. 1980;100:185–192.
19. Monaco G., Montevecchi M., Bonetti G.A., Gatto M.R., Checchi L. Reliability of panoramic radiography in evaluating the topographic relation nship between the mandibular canal and impacted third molars. JADA. 2004;135(3):312–318.
20. Nakayama K., Nonoyama M., Takaki Y., Kagawa T., Yuasa K., Izumi K., Ozeki S., Ikebe T. Assessment of the relationship between IMTM and inferior alveolar nerve with dental 3-dimensional computed tomography. J Oral Maxillofac Surg. 2009;67:2587–2591.
21. Sedaghatfar M., August M.A., Dodson T.B. Panoramic radiographic findings as predictors of inferior alveolar nerve exposure following third molar extraction. J Oral Maxillofac Surg. 2005;63:3–7.
22. Lübbers H.T., Matthews F., Damerau G., Kruse A.L., Obwegeser J.A., Grätz K.W., Eyrich G.K. No plane is the best one-the volume is! Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:421.
23. Blaeser B.F., August M.A., Donoff R.B., Kaban L.B., Dodson T.B. Panoramic radiography risk factors for inferior alveolar nerve injury after third molar extraction. J Oral Maxillofac Surg. 2003;61:417–421.
24. Neves F.S., Souza T.C., Almeida S.M., Haiter-Neto F., Freitas D.Q., Bo´scolo F.N. [et al.]. Correlation of panoramic radiography and cone beam CT findings in the assessment of the relationship between impacted mandibular third molars and the mandibular canal. Article in Dentomaxillofacial Radiology. 2012;41:553–557.
25. Rood J.P., Shehab B.A. The radiological prediction of inferior alveolar nerve injury during third molar surgery. Br J Oral Maxillofac Surg. 1990;28:20–25.
26. Vinay Kumar K., Ashwini P., Moni T., Rushira N., Kesidi S. Objectivity and reliability of panoramic radiographic signs and cone-beam computed tomography in the assessment of a superimposed relationship between the impacted mandibular third molars and mandibular nerve: A comparative study. J Indian Acad Oral Maxillofac Radiol. 2017;29:100–105.
27. Rogatskin D.V. Panoramnaya tomografiya zubnykh ryadov: metod. rekomend = Panoramic tomography of the dentition: methodological recommendations. Saint Petersburg: Chelovek, 2010:3–4. (In Russ.)
28. Suomalainen A., Vent¨a I., Mattila M., Turtola L., Vehmas T., Peltola J.S. Reliability of CBCT and other radiographic methods in preoperative evaluation of lower third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:276–284.
29. Maegawa H., Sano K., Kitagawa Y., Ogasawara T., Miyauchi K., Sekine J. [et al.]. Preoperative assessment of the relationship between the mandibular third molar and the mandibular canal by axial computed tomography with coronal and sagittal reconstruction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96:639–646.
30. Gomes A.C, Vasconcelos B.G.E., Silva E.D.O., Caldas A.F., Neto I.V.P. Sensitivity and specificity of pantomography to predict inferior alveolar nerve damage during extraction of impacted lower third molars. J Oral Maxillofac Surg. 2008;66:256–259.
31. Maglione M., Costantinides F., Bazzocchi G. Classification of impacted mandibular third molars on cone-beam CT images. J Clin Exp Dent. 2015;7: 224–231.
32. Latt M., Chewpreecha P., Wongsirichat N. Prediction of difficulty in impacted lower third molars extraction: Review of literature. M Dent J. 2015;35:281–290.
33. Dalili Z., Mahjoub P., Sigaroudi A.K. Comparison between cone beam computed tomography and panoramic radiography in the assessment of the relationship between the mandibular canal and impacted class C mandibular third molars. Dent Res J (Isfahan). 2011;8:203–210.
34. Kositbowornchai S., Densiri-Aksorn W., Piumthanaroj P. Apility of two radiographic methods to identify the closeness between the mandibular third molar root and the inferior alveolar canal: A pilot study. Dentomaxillofac Radiol. 2010;39:79–84.
35. Ghaeminia H., Meijer G.J., Soehardi A., Borstlap W.A., Mulder J., Berge´ S.J. Position of the impacted third molar in relation to the mandibular canal. Diagnostic accuracy of cone beam computed tomography compared with panoramic radiography. Int J Oral Maxillofac Surg. 2009;38:964–971.
36. De Melo Albert D.G., Gomes A.C., do Egito Vasconcelos B.C., de Oliveira e Silva E.D., Holanda G.Z. Comparison of orthopantomographs and conventional tomography images for assessing the relationship between impacted lower third molars and the mandibular canal. J Oral Maxillofac Surg. 2006;64:1030–1037.
37. Jhamb A., Dolas R., Pandilwar P., Mohanty S. Comparative efficacy of spiral computed tomography and orthopantomography in preoperative detection of relation of inferior alveolar neurovascular bundle to the impacted mandibular third molar. J Oral Maxillofac Surg. 2009;67:58–66.
38. Szalma J., Lempel E., Jeges S., Szabo´ G., Olasz L. The prognostic value of panoramic radiography of inferior alveolar nerve damage after mandibular third molar removal: retrospective study of 400 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;109:294–302.
39. Monaco G., Montevecchi M., Bonetti G.A., Gatto M.R., Checchi L. Reliability of panoramic radiography in evaluating the topographic relationship between the mandibular canal and impacted third molars. J Am Dent Assoc. 2004;135:312–318.
40. Mahasantipiya P.M., Savage N.W., Monsour P.A.J, Wilson R.J. Narrowing of the dental canal in relation to the lower third molars. Dentomaxillofac Radiol. 2005;34:154–163.
41. Ohman A., Kivijarvi K., Blomback U., Flygare L. Pre-operative radiographic evaluation of lower third molars with computed tomography. Dentomaxillofac Radiol. 2006;35:30–35.
42. Nakagawa Y., Ishii H., Nomura Y., Watanabe N.Y., Hoshiba D., Kobayashi K. [et al.]. Third molar position: reliability of panoramic radiography. J Oral Maxillofac Surg. 2007;65:1303–1308.
43. Nakamori K., Fujiwara K., Miyazaki A., Tomihara K., Tsuji M., Nakai M. [et al.]. Clinical assessment of the relationship between the third molar and the inferior alveolar canal using panoramic images and computed tomography. J Oral Maxillofac Surg. 2008;66:2308–2313.
44. Barmutskaya A.Z, Kasnerik I.K., Rubakha A.I. Analysis of the information content of cone-beam computed tomography and orthopantomography in the study of the third molars of the mandible. Elektronnyy nauchno-obrazovatel'nyy vestnik «Zdorov'e i obrazovanie v XXI veke» = Electronic scientific and educational bulletin “Health and Education in the 21st century”. Moscow, 2015:135–139. (In Russ.)
45. Matzen L.H., Christensen J., Hintze H., Schou S., Wenzel A. Diagnostic accuracy of panoramic radiography, stereo-scanography and cone beam CT for assessment of mandibular third molars before surgery. Acta Odontol Scand. 2013;71:1391–1398.
46. Guerrero M.E., Shahbazian M., Elsiena Bekkering G., Nackaerts O., Jacobs R., Horner K. The diagnostic efficacy of cone beam CT for impacted teeth and associated features: a systematic review. J Oral Rehabil. 2011;38:208–216.
47. Tantanapornkul W., Okouchi K., Fujiwara Y., Yamashiro M., Maruoka Y., Ohbayashi N. [et al.] A comparative study of conebeam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:253–259.
48. Matzen L.H., Christensen J., Hintze H., Schou S., Wenzel A. Influence of cone beam CT on treatment plan before surgical intervention of mandibular third molars and impact of radiographic factors on deciding on coronectomy vs surgical removal. Dentomaxillofac Radiol. 2013;42:688–703.
49. Ghaeminia H., Meijer G.J., Soehardi A., Borstlap W.A., Mulder J., Vlijmen O. [et al.]. The use of cone beam CT for the removal of wisdom teeth changes the surgical approach compared with panoramic radiography: a pilot study. Int J Oral Maxillofac Surg. 2011;40:834–839.

 

Дата создания: 23.11.2021 14:16
Дата обновления: 25.11.2021 13:34