Measurement of mandibular lingula location using cone-beam computed tomography and internal oblique ridge-guided inferior alveolar nerve block
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: Inferior alveolar nerve block (IANB) is the most frequently used treatment for mandibular molars. Successful IANB requires insertion of the dental needle near the mandibular foramen. In this study, we aimed to analyze the anatomic location of the mandibular lingula and evaluate the effects of internal oblique ridge (IOR)-guided IANB. Materials and Methods: The location of the mandibular lingula was measured using cone-beam computed tomography images of the mandibles obtained from 125 patients. We measured the distances from the occlusal plane to the lingula and from the IOR to the lingula in 250 mandibular rami. Based on the mean of these distances, alternative anesthesia was carried out on 300 patients, and the success rate of the technique was evaluated. Results: The mean vertical distance was 8.85±2.59 mm, and the mean horizontal distance was 14.68±1.44 mm. The vertical (P<0.001) and the horizontal (P<0.05) distances showed significant differences between the sex groups. The success rate of the IOR-guided technique was 97.3%. Conclusion: IANB-based location of mandibular lingula showed a high success rate. From this study, we concluded that analysis of the anatomic locations for mandibular lingula and IOR-guided IANB are useful for restorative and surgical dental procedures of the mandibular molars.
Abstract
Objectives: Inferior alveolar nerve block (IANB) is the most frequently used treatment for mandibular molars. Successful IANB requires insertion of the dental needle near the mandibular foramen. In this study, we aimed to analyze the anatomic location of the mandibular lingula and evaluate the effects of internal oblique ridge (IOR)-guided IANB. Materials and Methods: The location of the mandibular lingula was measured using cone-beam computed tomography images of the mandibles obtained from 125 patients. We measured the distances from the occlusal plane to the lingula and from the IOR to the lingula in 250 mandibular rami. Based on the mean of these distances, alternative anesthesia was carried out on 300 patients, and the success rate of the technique was evaluated. Results: The mean vertical distance was 8.85±2.59 mm, and the mean horizontal distance was 14.68±1.44 mm. The vertical (P<0.001) and the horizontal (P<0.05) distances showed significant differences between the sex groups. The success rate of the IOR-guided technique was 97.3%. Conclusion: IANB-based location of mandibular lingula showed a high success rate. From this study, we concluded that analysis of the anatomic locations for mandibular lingula and IOR-guided IANB are useful for restorative and surgical dental procedures of the mandibular molars.
참고문헌 (35)
- Petrikas AZh, "Disputable issues of Malamed's"Handbook of local anesthesia"(2004)", Stomatologiia(Mosk), 92, pp.71~76 (2013)
- Robertson WD, "Clinical evaluation of mandibular conduction anesthesia", Gen Dent, 27, pp.49~51 (1979)
- Levy TP, "An assessment of the Gow-Gates mandibular block for third molar surgery", J Am Dent Assoc, 103, pp.37~41 (1981)
- Cohen HP, "Endodontic anesthesia in mandibular molars : a clinical study", J Endod, 19, pp.370~373 (1993)
- Reisman D, "Anesthetic efficacy of the supplemental intraosseous injection of 3% mepivacaine in irreversible pulpitis", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84, pp.676~682 (1997)
- Potocnik I, "Failure of inferior alveolar nerve block in endodontics", Endod Dent Traumatol, 15, pp.247~251 (1999)
- Nusstein J, "Anesthetic efficacy of the supplemental intraosseous injection of 2% lidocaine with 1 : 100, 000 epinephrine in irreversible pulpitis", J Endod, 24, pp.487~491 (1998)
- Jansisyanont P, "Shape, height, and location of the lingula for sagittal ramus osteotomy in Thais", Clin Anat, 22, pp.787~793 (2009)
- Monnazzi MS, "Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula", Int J Oral Maxillofac Surg, 41, pp.74~78 (2012)
- Oguz O, "Evaluation of location of mandibular and mental foramina in dry, young, adult human male, dentulous mandibles", West Indian Med J, 51, pp.14~16 (2002)
- Ennes JP, "Localization of mandibular foramen and clinical implications", Int J Morphol, 27, pp.1305~1311 (2009)
- Viravudth Y, "The mandibular foramen in Thais", Siriraj Med J, 41, pp.551~554 (1989)
- Bremer G, "Measurements of special significance in connection with anesthesia of the inferior alveolar nerve", Oral Surg Oral Med Oral Pathol, 5, pp.966~988 (1952)
- Nicholson ML, "A study of the position of the mandibular foramen in the adult human mandible", Anat Rec, 212, pp.110~112 (1985)
- Thangavelu K, "Significance of localization of mandibular foramen in an inferior alveolar nerve block", J Nat Sci Biol Med, 3, pp.156~160 (2012)
- Yu IH, "Evaluation of mandibular anatomy related to sagittal split ramus osteotomy using 3-dimensional computed tomography scan images", Int J Oral Maxillofac Surg, 37, pp.521~528 (2008)
- Hwang TJ, "Age changes in location of mandibular foramen", Zhonghua Ya Yi Xue Hui Za Zhi, 9, pp.98~103 (1990)
- Kang SH, "Three-dimensional anatomic analysis of mandibular foramen with mandibular anatomic landmarks for inferior alveolar nerve block anesthesia", Oral Surg Oral Med Oral Pathol Oral Radiol, 115, pp.e17~e23 (2013)
- Müller HP, "Thickness of masticatory mucosa", J Clin Periodontol, 27, pp.431~436 (2000)
- Matas R, "The story of the discovery of dental anesthesia by nerve blocking; achievements of William Stewart Halsted", Surgery, 32, pp.530~537 (1952)
- Wong MK, "Reasons for local anesthesia failures", J Am Dent Assoc, 123, pp.69~73 (1992)
- Grover PS, "Bifid mandibular nerve as a possible cause of inadequate anesthesia in the mandible", J Oral Maxillofac Surg, 41, pp.177~179 (1983)
- Roda RS, "The anatomy of local anesthesia", Quintessence Int, 25, pp.27~38 (1994)
- Sillanpää M, "The mylohyoid nerve and mandibular anesthesia", Int J Oral Maxillofac Surg, 17, pp.206~207 (1988)
- Thangavelu K, "Inferior alveolar nerve block : alternative technique", Anesth Essays Res, 6, pp.53~57 (2012)
- Chakranarayan A, "Arched needle technique for inferior alveolar mandibular nerve block", J Maxillofac Oral Surg, 12, pp.113~116 (2013)
- Boonsiriseth K, "Comparative study of the novel and conventional injection approach for inferior alveolar nerve block", Int J Oral Maxillofac Surg, 42, pp.852~856 (2013)
- Suazo Galdames IC, "Inferior alveolar nerve block anesthesia via the retromolar triangle, an alternative for patients with blood dyscrasias", Med Oral Patol Oral Cir Bucal, 13, pp.E43~E47 (2008)
- Takasugi Y, "Clinical evaluation of inferior alveolar nerve block by injection into the pterygomandibular space anterior to the mandibular foramen", Anesth Prog, 47, pp.125~129 (2000)
- Gow-Gates GA, "Mandibular conduction anesthesia : a new technique using extraoral landmarks", Oral Surg Oral Med Oral Pathol, 36, pp.321~328 (1973)
- Akinosi JO, "A new approach to the mandibular nerve block", Br J Oral Surg, 15, pp.83~87 (1977)
- Smyth J, "An unusual delayed complication of inferior alveolar nerve block", Br J Oral Maxillofac Surg, 48, pp.51~52 (2010)
- Wright EF, "Medial pterygoid trismus(myospasm)following inferior alveolar nerve block : case report and literature review", Gen Dent, 59, pp.64~67 (2011)
- Ethunandan M, "Needle breakage following inferior alveolar nerve block : implications and management", Br Dent J, 202, pp.395~397 (2007)
- Chevalier V, "Facial palsy after inferior alveolar nerve block : case report and review of the literature", Int J Oral Maxillofac Surg, 39, pp.1139~1142 (2010)