Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 4 , Pages 744-750 , April 2009

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: A Second Attempt Introducing Cone Beam Computed Tomography

  • Yuki Uchida, DDS, PhD

      Affiliations

    • Research Fellow, Department of Oral and Maxillofacial Surgery, Saga Medical School, Nabeshima, Saga, Japan; Private Practice, Uchida Dental Clinic, Chihaya, Higashi-ku, Fukuoka, Japan
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Uchida: Uchida Dental Clinic, 2-27-5, Chihaya, Higashi-ku, Fukuoka 813-0044, Japan
    • ,
  • Nobuhiro Noguchi, DDS, PhD

      Affiliations

    • Research Fellow, Department of Oral and Maxillofacial Surgery, Saga Medical School, Nabeshima, Saga, Japan
    • ,
  • Masaaki Goto, DDS, PhD

      Affiliations

    • Professor and Chairman, Department of Oral and Maxillofacial Surgery, Saga Medical School, Nabeshima, Saga, Japan
    • ,
  • Yoshio Yamashita, DDS, PhD

      Affiliations

    • Associate Professor, Department of Oral and Maxillofacial Surgery, Saga Medical School, Nabeshima, Saga, Japan
    • ,
  • Tsunehiko Hanihara, MD, PhD

      Affiliations

    • Professor and Chairman, Department of Anatomy, Saga Medical School, Nabeshima, Saga, Japan
    • ,
  • Hitoshi Takamori, DDS, PhD

      Affiliations

    • Professor and Chairman, Oral Implant Clinic, The Nippon Dental University Hospital, Nippon, Japan
    • ,
  • Iwao Sato, PhD

      Affiliations

    • Professor and Chairman, Department of Anatomy, School of Life Dentistry at Tokyo, Nippon Dental University, Nippon, Japan
    • ,
  • Taisuke Kawai, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Life Dentistry at Tokyo, Nippon Dental University, Nippon, Japan
    • ,
  • Takashi Yosue, DDS, PhD

      Affiliations

    • Professor and Chairman, Department of Oral and Maxillofacial Radiology, School of Life Dentistry at Tokyo, Nippon Dental University, Nippon, Japan

References 

  1. Wismeijer D, van Waas MA, Vermeeren JI, et al. Patients' perception of sensory disturbances of the mental nerve before and after implant surgery: A prospective study of 110 patients. Br J Oral Maxillofac Surg. 1997;35:254
  2. Misch CE, Crawford EA. Predictable mandibular nerve location: A clinical zone of safety. Int J Oral Implantol. 1990;7:37
  3. Arzouman MJ, Otis L, Kipnis V, et al. Observations of the anterior loop of the inferior alveolar canal. Int J Oral Maxillofac Implants. 1993;8:295
  4. Hirsch JM, Branemark PI. Fixture stability and nerve function after transposition and lateralization of the inferior alveolar nerve and fixture installation. Br J Oral Maxillofac Surg. 1995;33:276
  5. 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
  6. Mischkowski RA, Zinser MJ, Neugebauer J, et al. Comparison of static and dynamic computer-assisted guidance methods in implantology. Int J Comput Dent. 2006;9:23
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  8. Chiu WK, Luk WK, Cheung LK. Three-dimensional accuracy of implant placement in a computer-assisted navigation system. Int J Oral Maxillofac Implants. 2006;21:465
  9. Gaggl A, Schultes G, Karcher H. Navigational precision of drilling tools preventing damage to the mandibular canal. J Craniomaxillofac Surg. 2001;29:271
  10. Bavitz JB, Harn SD, Hansen CA, et al. An anatomic study of mental neurovascular bundle-implant relationships. Int J Oral Maxillofac Implants. 1993;8:563
  11. Solar P, Ulm C, Frey G, et al. A classification of the intraosseous paths of the mental nerve. Int J Oral Maxillofac Implants. 1994;9:339
  12. Mardinger O, Chaushu G, Arensburg B, et al. Anterior loop of the mental canal: An anatomic-radiologic study. Implant Dent. 2000;9:120
  13. 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
  14. Kieser J, Kuzmanovic D, Payne A, et al. Patterns of emergence of the human mental nerve. Arch Oral Biol. 2002;47:743
  15. Rosenquist B. Is there an anterior loop of the inferior alveolar nerve?. Int J Periodontics Restorative Dent. 1996;16:40
  16. Hwang K, Lee WJ, Song YB, et al. Vulnerability of the inferior alveolar nerve and mental nerve during genioplasty: An anatomic study. J Craniofac Surg. 2005;16:10
  17. Mardinger O, Chaushu G, Arensburg B, et al. Anatomic and radiologic course of the mandibular incisive canal. Surg Radiol Anat. 2000;22:157
  18. Magnusson S. Surgical Procedure Manual. (ed 1). Goteborg, Sweden: Nobelpharma AB; 1992;D-4
  19. Jacobs R, Mraiwa N, van Steenberghe D, et al. Appearance, location, course, and morphology of the mandibular incisive canal: An assessment on spiral CT scan. Dentomaxillofac Radiol. 2002;31:322
  20. Loubele M, Maes F, Schutyser F, et al. Assessment of bone segmentation quality of cone-beam CT versus multislice spiral CT: A pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:225

PII: S0278-2391(08)00872-0

doi: 10.1016/j.joms.2008.05.352

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 4 , Pages 744-750 , April 2009

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