CBCT evaluation of anterior loop length and mental foramen position in Vietnamese Population (CBCT Evaluation of Anterior Loop Length)
Abstract
Objective: The purpose of this study was to evaluate the prevalence and length of anterior loop, and determine the accurate position of the mental foramen in Vietnamese population.Material and Methods: One hundred and twelve CBCT scans taken within July 2017 until February 2020 were used in this study. All images were evaluated using OsiriX DICOM Viewer. The loop length on both side of the mandible was assessed using oblique transverse method by one examiner based on a standardized procedure. The data collected were analyzed using SPSS ver.26.0..Results: The prevalence of the loop was 92.9% of the sample. The mean of anterior loop length was 1.72 ± 1.00mm. There was no significant difference between genders or sides of the mandible. The most common position of the mental foramen was in line with the axis of the second premolar and below the apices of the premolars.Conclusion: Cautions should be taken when placing implant in proximity to the mental foramen as anterior loop is present in most of the case. Based on this study, it is considered safer to place implant 5mm anterior to the mental foramen for Vietnamese population
Section
References
- Tolstunov L. Implant zones of the jaws: implant location
- and related success rate. J Oral Implantol 2007;33: 211-220.
- Phillips JL, Weller RN, Kulild JC. The mental foramen: 1.
- Size, orientation, and positional relationship to the mandibular second premolar. J Endod 1990;16: 221-223.
- Apostolakis D, Brown JE. 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: 1022-1030.
- Kieser J, Kuzmanovic D, Payne A, et al. Patterns of emergence of the human mental nerve. Arch Oral Biol 2002;47:
- -747.
- Shaban B, Khajavi A, Khaki N, et al. Assessment of the
- anterior loop of the inferior alveolar nerve via cone-beam
- computed tomography. J Korean Assoc Oral Maxillofac
- Surg 2017;43: 395-400.
- Velasco-Torres M, Padial-Molina M, Avila-Ortiz G, et al.
- Inferior alveolar nerve trajectory, mental foramen location
- and incidence of mental nerve anterior loop. Med Oral
- Patol Oral Cir Bucal 2017;22: e630-e635.
- Al-Mahalawy H, Al-Aithan H, Al-Kari B, et al.
- Determination of the position of mental foramen and frequency of anterior loop in Saudi population. A retrospective CBCT study. Saudi Dent J 2017;29: 29-35.
- Kutuk N, Demirbas AE, Gonen ZB, et al. Anterior mandibular zone safe for implants. J Craniofac Surg 2013;24:
- e405-e408.
- Mardinger O, Chaushu G, Arensburg B, et al. Anterior
- loop of the mental canal: an anatomical-radiologic study.
- Implant Dent 2000;9: 120-125.
- de-Brito AC, Nejaim Y, de Freitas DQ, et al. Panoramic
- radiographs underestimate extensions of the anterior loop
- and mandibular incisive canal. Imaging Sci Dent 2016;46:
- -165.
- Bou-Serhal C, Jacobs R, Flygare L, et al. Perioperative
- validation of localisation of the mental foramen.
- Dentomaxillofac Radiol 2002;31: 39-43.
- Lu CI, Won J, Al-Ardah A, et al. Assessment of the anterior
- loop of the mental nerve using cone beam computerized
- tomography scan. J Oral Implantol 2015;41: 632-639.
- Neiva RF, Gapski R, Wang HL. Morphometric analysis of
- implant-related anatomy in Caucasian skulls. J Periodontol
- ;75: 1061-1067.
- Wong SK, Patil PG. Measuring anterior loop length of the
- inferior alveolar nerve to estimate safe zone in implant
- planning: A CBCT study in a Malaysian population. J
- Prosthet Dent 2018;120: 210-213.
- Jacobs R, Mraiwa N, vanSteenberghe D, et al. Appearance,
- location, course, and morphology of the mandibular incisive canal: an assessment on spiral CT scan.
- Dentomaxillofac Radiol 2002;31: 322-327.
- Prados-Frutos JC, Salinas-Goodier C, Manchon A, et al.
- Anterior loop of the mental nerve, mental foramen and
- incisive nerve emergency: tridimensional assessment and
- surgical applications. Surg Radiol Anat 2017;39: 169-175.
- Uchida Y, Yamashita Y, Goto M, et al. 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 2007;65: 1772-1779.
- Misch CE, Crawford EA. Predictable mandibular nerve
- location-a clinical zone of safety. Int J Oral Implantol
- ;7: 37-40.
- Kaya Y, Sencimen M, Sahin S, et al. Retrospective radiographic evaluation of the anterior loop of the mental nerve:
- comparison between panoramic radiography and spiral
- computerized tomography. Int J Oral Maxillofac Implants
- ;23: 919-925.
- Bavitz JB, Harn SD, Hansen CA, et al. An anatomical study
- of mental neurovascular bundle-implant relationships. Int
- J Oral Maxillofac Implants 1993;8: 563-567.
- Kuzmanovic DV, Payne AG, Kieser JA, et al. Anterior loop
- of the mental nerve: a morphological and radiographic
- study. Clin Oral Implants Res 2003;14: 464-471.
- Parnami P, Gupta D, Arora V, et al. Assessment of the horizontal and vertical position of mental foramen in indian
- population in terms of age and sex in dentate subjects
- by pano-ramic radiographs: A retrospective study with
- review of literature. Open Dent J 2015;9: 297-302.
- Alam MK, Alhabib S, Alzarea BK, et al. 3D CBCT morphometric assessment of mental foramen in Arabic population and global comparison: imperative for invasive and
- non-invasive procedures in mandible. Acta Odontol Scand
- ;76: 98-104.
How to Cite
Nguyen, Q. H., Putra, P. J., Nguyen, H., Giap, H.-V., & Florenly, F. (2021). CBCT evaluation of anterior loop length and mental foramen position in Vietnamese Population (CBCT Evaluation of Anterior Loop Length). Journal of Dentomaxillofacial Science, 6(2), 75–79. https://doi.org/10.15562/jdmfs.v6i2.1173