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Anatomic evaluation of the incisive canal with cone beam computed tomography and its relevance to surgical procedures in the mental region: a retrospective study in a Brazilian population.
Gomes, Luciano Teles; de Almeida Barros Mourão, Carlos Fernando; Braga, Cícero Luiz; de Almeida, Luiz Fernando Duarte; de Mello-Machado, Rafael Coutinho; Calasans-Maia, Mônica Diuana.
Afiliação
  • Gomes LT; Staff of Hospital Federal de Ipanema, Rio de Janeiro, Brazil. teles.luciano@gmail.com.
  • de Almeida Barros Mourão CF; Department of Oral Surgery, Federal Fluminense University, Rio de Janeiro, Niterói, Brazil.
  • Braga CL; Department of Surgical Sciences, University of Genova, Genova, Italy.
  • de Almeida LFD; Staff of Hospital Federal de Ipanema, Rio de Janeiro, Brazil.
  • de Mello-Machado RC; Private practice, Ipanema, Rio de Janeiro, Brazil.
  • Calasans-Maia MD; Department of Oral Surgery, Federal Fluminense University, Rio de Janeiro, Niterói, Brazil.
Oral Maxillofac Surg ; 22(4): 379-384, 2018 Dec.
Article em En | MEDLINE | ID: mdl-30178154
BACKGROUND AND OBJECTIVE: To evaluate the prevalence, location, length, diameter, and distances related to the incisive canal (IC) and the need for cone beam computed tomography (CBCT) as a complementary exam prior to surgery in the mental region. MATERIALS AND METHODS: One hundred CBCT images from patients of both genders aged 27 to 73 years were evaluated. At every 3 mm, the diameter (DIAM) of the right and left ICs and their location, their distance to base of the jaw (BIC), the buccal (BAIC) and lingual (LAIC) aspects, and their length were measured. RESULTS: The 100 patients comprised 50 men (50%) and 50 women (50%). The IC was detected in 78 patients, more frequently in women (80%) than in men (76%). Measurements were taken in millimeters. The mean measurements for the two sides and for men and women combined were as follows: BIC = 10.0, BAIC = 4.0, LAIC = 6.2, ICL = 19.9, and DIAM = 1.4. CONCLUSIONS: The measurements show the need for care from professionals when performing intraosseous surgical procedures in the mental region. The distances between the IC and the references studied must be observed. Thus, CBCT becomes essential for surgical planning in the mental region. CLINICAL RELEVANCE: The mental region of the mandible is considered a safe area to perform surgical procedures such as the placement of osseointegrated implants, orthognathic surgery, and the removal of bone grafts. However, this region includes important neurovascular structures that must be considered or else hemorrhage and neurologic disorders can be experienced.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tomografia Computadorizada de Feixe Cônico / Mandíbula Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Oral Maxillofac Surg Assunto da revista: ODONTOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tomografia Computadorizada de Feixe Cônico / Mandíbula Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Oral Maxillofac Surg Assunto da revista: ODONTOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha