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http://dx.doi.org/10.5051/jpis.2020.50.1.48

Three-dimensional observations of the incisive foramen on cone-beam computed tomography image analysis  

Kim, Yeon-Tae (Department of Periodontology, Daejeon Dental Hospital, Wonkwang University College of Dentistry)
Lee, Jae-Hong (Department of Periodontology, Daejeon Dental Hospital, Wonkwang University College of Dentistry)
Jeong, Seong-Nyum (Department of Periodontology, Daejeon Dental Hospital, Wonkwang University College of Dentistry)
Publication Information
Journal of Periodontal and Implant Science / v.50, no.1, 2020 , pp. 48-55 More about this Journal
Abstract
Purpose: The purpose of this study was to utilize cone-beam computed tomography (CBCT) image analysis to obtain anatomical information related to the morphology of the incisive foramen to provide useful data regarding implant placement and clinical procedures such as anesthesia. Methods: The study included 167 patients who underwent CBCT scans over 20 years. Three components were measured: 1) the anteroposterior and mediolateral diameter of the incisive foramen, 2) the horizontal bone thickness anterior to the incisive foramen, and 3) the vertical bone height coronal to the incisive foramen. All measurements were expressed as mean±standard deviation and were analyzed by a single examiner. Results: The anteroposterior diameter of the incisive foramen was wider than the mediolateral diameter (P<0.001). The diameter of the incisive foramen in patients in whom the central incisors were present was smaller than that in those in whom at least one central incisor was absent, but no statistically significant difference between the groups was observed. The horizontal bone thickness in the patients with central incisors was statistically significantly larger than that in the patients without at least one central incisor (P<0.001). The same pattern was observed with regard to vertical height, but that difference was not statistically significant. Conclusions: The buccal bone thickness anterior to the incisive foramen was significantly decreased after central incisor loss. It is necessary to identify the morphology of the bone and the location of the incisive foramen via CBCT to avoid invasion of the incisive foramen and nasopalatine canal.
Keywords
Bone resorption; Cone-beam computed tomography; Dental implants; Maxilla;
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1 Mecall RA, Rosenfeld AL. Influence of residual ridge resorption patterns on implant fixture placement and tooth position. 1. Int J Periodontics Restorative Dent 1991;11:8-23.
2 Drake RL, Vogl W, Mitchell AWM. Gray's anatomy for students. 2nd ed. Philadelphia (PA): Elsevier Health Sciences; 2009.
3 Sarandha DL. Textbook of complete denture prosthodontics. 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 2008.
4 Glickman GN. Preparation for treatment. In: Cohen S, Burns RC, editors. Pathways of the pulp. St. Louis (MO): Mosby; 2002. p.77-109.
5 Mraiwa N, Jacobs R, Van Cleynenbreugel J, Sanderink G, Schutyser F, Suetens P, et al. The nasopalatine canal revisited using 2D and 3D CT imaging. Dentomaxillofac Radiol 2004;33:396-402.   DOI
6 Song WC, Jo DI, Lee JY, Kim JN, Hur MS, Hu KS, et al. Microanatomy of the incisive canal using three-dimensional reconstruction of microCT images: an ex vivo study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:583-90.   DOI
7 Keith DA. Phenomenon of mucous retention in the incisive canal. J Oral Surg 1979;37:832-4.
8 Liang X, Jacobs R, Martens W, Hu Y, Adriaensens P, Quirynen M, et al. Macro- and micro-anatomical, histological and computed tomography scan characterization of the nasopalatine canal. J Clin Periodontol 2009;36:598-603.   DOI
9 Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, et al. Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:683-93.   DOI
10 Carlsson GE, Bergman B, Hedegard B. Changes in contour of the maxillary alveolar process under immediate dentures. A longitudinal clinical and X-ray cephalometric study covering 5 years. Acta Odontol Scand 1967;25:45-75.   DOI
11 Pietrokovski J. The bony residual ridge in man. J Prosthet Dent 1975;34:456-62.   DOI
12 Jahangiri L, Devlin H, Ting K, Nishimura I. Current perspectives in residual ridge remodeling and its clinical implications: a review. J Prosthet Dent 1998;80:224-37.   DOI
13 Asumi M, Yamaguchi T, Saito K, Kodama S, Miyazawa H, Matsui H, et al. Are serum cholesterol levels associated with silent brain infarcts? The Seiryo Clinic Study. Atherosclerosis 2010;210:674-7.   DOI
14 Filippi A, Pohl Y, Tekin U. Sensory disorders after separation of the nasopalatine nerve during removal of palatal displaced canines: prospective investigation. Br J Oral Maxillofac Surg 1999;37:134-6.   DOI
15 Edwards CB, Marshall SD, Qian F, Southard KA, Franciscus RG, Southard TE. Longitudinal study of facial skeletal growth completion in 3 dimensions. Am J Orthod Dentofacial Orthop 2007;132:762-8.   DOI
16 Fuentes R, Flores T, Navarro P, Salamanca C, Beltran V, Borie E. Assessment of buccal bone thickness of aesthetic maxillary region: a cone-beam computed tomography study. J Periodontal Implant Sci 2015;45:162-8.   DOI
17 Hammerle CH, Tarnow D. The etiology of hard- and soft-tissue deficiencies at dental implants: a narrative review. J Periodontol 2018;89 Suppl 1:S291-303.   DOI
18 Kraut RA, Boyden DK. Location of incisive canal in relation to central incisor implants. Implant Dent 1998;7:221-5.   DOI
19 Mardinger O, Namani-Sadan N, Chaushu G, Schwartz-Arad D. Morphologic changes of the nasopalatine canal related to dental implantation: a radiologic study in different degrees of absorbed maxillae. J Periodontol 2008;79:1659-62.   DOI
20 Salemi F, Moghadam FA, Shakibai Z, Farhadian M. Three-dimensional assessment of the nasopalatine canal and the surrounding bone using cone-beam computed tomography. J Periodontol Implant Dent 2015;8:1-7.   DOI
21 Jia X, Hu W, Meng H. Relationship of central incisor implant placement to the ridge configuration anterior to the nasopalatine canal in dentate and partially edentulous individuals: a comparative study. PeerJ 2015;3:e1315.   DOI
22 Bornstein MM, Balsiger R, Sendi P, von Arx T. Morphology of the nasopalatine canal and dental implant surgery: a radiographic analysis of 100 consecutive patients using limited cone-beam computed tomography. Clin Oral Implants Res 2011;22:295-301.   DOI
23 Fernandez-Alonso A, Suarez-Quintanilla JA, Rapado-Gonzalez O, Suarez-Cunqueiro MM. Morphometric differences of nasopalatine canal based on 3D classifications: descriptive analysis on CBCT. Surg Radiol Anat 2015;37:825-33.   DOI
24 Tozum TF, Guncu GN, Yildirim YD, Yilmaz HG, Galindo-Moreno P, Velasco-Torres M, et al. Evaluation of maxillary incisive canal characteristics related to dental implant treatment with computerized tomography: a clinical multicenter study. J Periodontol 2012;83:337-43.   DOI