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Anatomic study on mental canal and incisive nerve canal in interforaminal region in Chinese population

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Abstract

Purpose

This study was aimed to detect the positions of mental canal and incisive nerve canal as well as the prolongation of mandibular canal in interforaminal region in Chinese population to supply the reference data of the surgical safe zone in chin for clinicians.

Materials and methods

A total of 80 formalin-fixed semi-mandibles of Chinese adult cadavers were dissected, the positions and courses of mental canal and incisive nerve canal as well as the prolongation of mandibular canal in interforaminal region were measured.

Results

The mental foramina were present in all cases (100 %), and most of them were located below 2nd premolar (58.75 %). Accessory mental foramina were observed in 5 %. The anterior end of mandibular canal, extending along the course of 7.37 ± 1.10 mm above the lower border of mandible to interforaminal region about 3.54 ± 0.70 mm medial to the mental foramen, most often ended below between the two premolars (73.75 %), where it continued as the incisive nerve canal (100 %) and the mental canal (96.25 %). Mental canal, with the wall formed by compact bone, being 2.60 ± 0.60 mm in diameter and 4.01 ± 1.20 mm in length, opened into mental foramen. Incisive nerve canal, with the wall formed by thin compact bone and/or partly or completely by spongy bone, being 1.76 ± 0.27 mm in diameter and 24.87 ± 2.23 mm in length, extended to the incisor region along the course of 9.53 ± 1.43 mm above the lower border of mandible, and most often ended below the lateral incisor (70.00 %).

Conclusion

This research recommended for chin operations in Chinese population: the surgical safe zone could be set in the region about over 4 mm anterior to the mental foramen, and over 12 mm above inferior border of mandible for anterior alveolar surgery, or within 9 mm above inferior border of mandible for genioplasty.

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References

  1. Al-Ani O, Nambiar P, Ha KO, Ngeow WC (2013) Safe zone for bone harvesting from the interforaminal region of the mandible. Clin Oral Implants Res 24(Suppl A):115–121

    Article  PubMed  Google Scholar 

  2. Apostolakis D, Brown JE (2012) The anterior loop of the inferior alveolar nerve: prevalence, measurement of its length and a recommendation for interforaminal implant installation based on cone beam CT imaging. Clin Oral Implants Res 23(9):1022–1030

    Article  PubMed  Google Scholar 

  3. Chen JC, Lin LM, Geist JR, Chen JY, Chen CH, Chen YK (2013) A retrospective comparison of the location and diameter of the inferior alveolar canal at the mental foramen and length of the anterior loop between American and Taiwanese cohorts using CBCT. Surg Radiol Anat 35(1):11–18

    Article  PubMed  Google Scholar 

  4. de Freitas V, Madeira MC, Toledo Filho JL, Chagas CF (1979) Absence of the mental foramen in dry human mandibles. Acta Anat (Basel) 104(3):353–355

    Article  Google Scholar 

  5. Green RM (1987) The position of the mental foramen: a comparison between the southern (Hong Kong) Chinese and other ethnic and racial groups. Oral Surg Oral Med Oral Pathol 63(3):287–290

    Article  CAS  PubMed  Google Scholar 

  6. Guo JL, Su L, Zhao JL, Yang L, Lv DL, Li YQ, Cheng FB (2009) Location of mental foramen based on soft- and hard-tissue landmarks in a Chinese population. J Craniofac Surg 20(6):2235–2237

    Article  PubMed  Google Scholar 

  7. Hasan T (2013) Bilateral caroticoclinoid and absent mental foramen: rare variations of cranial base and lower jaw. Ital J Anat Embryol 118(3):288–297

    PubMed  Google Scholar 

  8. Huang H, Liu P, Li X, Pei Z, Yang X, Bai S, Huang Y (2013) Mandibular incisive canal by cone beam CT. Hua Xi Kou Qiang Yi Xue Za Zh 31(5):479–482

    Google Scholar 

  9. Hunt DR, Jovanovic SA (1999) Autogenous bone harvesting: a chin graft technique for particulate and monocortical bone blocks. Int J Periodontics Restorative Dent 19(2):165–173

    CAS  PubMed  Google Scholar 

  10. Hu KS, Yun HS, Hur MS, Kwon HJ, Abe S, Kim HJ (2007) Branching patterns and intraosseous course of the mental nerve. J Oral Maxillofac Surg 65(11):2228–2294

    Article  Google Scholar 

  11. Kamburoğlu K, Kiliç C, Ozen T, Yüksel SP (2009) Measurements of mandibular canal region obtained by cone-beam computed tomography: a cadaveric study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):e34–e42

    Article  PubMed  Google Scholar 

  12. Kim TS, Caruso JM, Christensen H, Torabinejad M (2010) A comparison of cone-beam computed tomography and direct measurement in the examination of the mandibular canal and adjacent structures. J Endod 36(7):1191–1194

    Article  PubMed  Google Scholar 

  13. Krasny A, Krasny N, Prescher A (2012) Anatomic variations of neural canal structures of the mandible observed by 3-tesla magnetic resonance imaging. J Comput Assist Tomogr 36(1):150–153

    Article  PubMed  Google Scholar 

  14. Kuzmanovic DV, Payne AG, Kieser JA, Dias GJ (2003) Anterior loop of the mental nerve: a morphological and radiographic study. Clin Oral Implants Res 14(4):464–471

    Article  PubMed  Google Scholar 

  15. Mardinger O, Chaushu G, Arensburg B, Taicher S, Kaffe I (2000) Anatomic and radiologic course of the mandibular incisive canal. Surg Radiol Anat 22(3–4):157–161

    Article  CAS  PubMed  Google Scholar 

  16. Mraiwa N, Jacobs R, Moerman P, Lambrichts I, van Steenberghe D, Quirynen M (2003) Presence and course of the incisive canal in the human mandibular interforaminal region: two-dimensional imaging versus anatomical observations. Surg Radiol Anat 25(5–6):416–423

    Article  CAS  PubMed  Google Scholar 

  17. Ousterhout DK (1996) Sliding genioplasty, avoiding mental nerve injuries. J Craniofac Surg 7(4):297–298

    Article  CAS  PubMed  Google Scholar 

  18. Pommer B, Tepper G, Gahleitner A, Zechner W, Watzek G (2008) New safety margins for chin bone harvesting based on the course of the mandibular incisive canal in CT. Clin Oral Implants Res 19(12):1312–1316

    Article  PubMed  Google Scholar 

  19. Rosa MB, Sotto-Maior BS, Machado Vde C, Francischone CE (2013) Retrospective study of the anterior loop of the inferior alveolar nerve and the incisive canal using cone beam computed tomography. Int J Oral Maxillofac Implants 28(2):388–392

    Article  PubMed  Google Scholar 

  20. Santini A, Alayan I (2012) A comparative anthropometric study of the position of the mental foramen in three populations. Br Dent J 212(4):E7

    Article  CAS  PubMed  Google Scholar 

  21. Santini A, Land M (1990) A comparison of the position of the mental foramen in Chinese and British mandibles. Acta Anat (Basel) 137(3):208–212

    Article  CAS  Google Scholar 

  22. Sawyer DR, Kiely ML, Pyle MA (1998) The frequency of accessory mental foramina in four ethnic groups. Arch Oral Biol 43(5):417–420

    Article  CAS  PubMed  Google Scholar 

  23. Uchida Y, Yamashita Y, Goto M, Hanihara T (2007) Measurement of anterior loop length for the mandibular canal and diameter of the mandibular incisive canal to avoid nerve damage when installing endosseous implants in the interforaminal region. J Oral Maxillofac Surg 65(9):1772–1779

    Article  PubMed  Google Scholar 

  24. Wang TM, Shih C, Liu JC, Kuo KJ (1986) A clinical and anatomical study of the location of the mental foramen in adult Chinese mandibles. Acta Anat (Basel) 126(1):29–33

    Article  CAS  Google Scholar 

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Acknowledgments

The project was supported by the Scientific Research Foundation (Number: JY2013KJ014) of Jining Medical University.

Conflict of interest

The authors declare that they have no conflict of interest.

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Correspondence to Hua Tian.

Additional information

Y. Xu and N. Suo contributed equally to this work.

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Xu, Y., Suo, N., Tian, X. et al. Anatomic study on mental canal and incisive nerve canal in interforaminal region in Chinese population. Surg Radiol Anat 37, 585–589 (2015). https://doi.org/10.1007/s00276-014-1402-7

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  • DOI: https://doi.org/10.1007/s00276-014-1402-7

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