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      The location of mandibular foramen relative to the occlusal plane: a study on anatolian dry mandible

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          Abstract

          Purpose:

          The study aims to evaluate the location of mandibular foramen (MF) with respect to the occlusal plane (OP) and its location on the ramus using Anatolian dry mandibles.

          Materials and methods:

          A total of 115 dry mandibles with mandibular molars were analyzed. The distance between the MF and the OP was examined with a flat metal plate. Group A was above the OP; group L was at level, and group B was below the OP. The distances between the MF and anterior border (A-MF), sigmoid notch (U-MF), posterior border (P-MF), and lower border (L-MF) were measured. The symmetry between the two sides was examined. Pearson chi-square and Student's t-test were performed for statistical analysis.

          Results:

          According to the analysis, 50.23% of MF was located below the OP (p<0.05). The mean distances of Groups A and B were 3.45 and 4.78 mm, respectively. There was no difference between the left and right in groups (p>0.05). The distance A-MF was 14.71 mm. There was no statistical difference between the distances A-MF and P-MF or U-MF and L-MF.

          Conclusion:

          Half of the MF (50.23%) was located below the occlusal plane with a mean distance of 4.78 mm. It may be helpful to place the needle 3-4 mm above the OP and 1.5-2 mm back of the anterior border to obtain a successful inferior alveolar nerve block. The MF was located at the center of the medial surface of the ramus.

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          Most cited references27

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          Significance of localization of mandibular foramen in an inferior alveolar nerve block

          Background: The mandibular foramen (MF) is an opening on the internal surface of the ramus for divisions of the mandibular vessels and nerve to pass. The aim of this study is to determine the position of the MF from various anatomical landmarks in several dry adult mandibles. Materials and Methods: A total of 102 human dry mandibles were examined, of which 93 were of dentulous and 9 were of edentulous. The measurements were taken from the anterior border of the ramus (coronoid notch) to the midportion of the MF and then from the midportion of the MF to the other landmarks such as internal oblique ridge, inferior border, sigmoid notch, and condyle were measured and recorded. Results: The data were compared using Student's t-test. The MF is positioned at a mean distance of 19 mm (with SD 2.34) from coronoid notch of the anterior border of the ramus. Superio-inferiorly from the condyle to the inferior border MF is situated 5 mm inferior to the midpoint of condyle to the inferior border distance (ramus height). Conclusion: We conclude that failures in the anesthesia of the inferior alveolar nerve are due to the operator error and not due to the anatomical variation.
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            A study of the position of the mandibular foramen in the adult human mandible.

            Eighty dry, adult human mandibles of East Indian ethnic origin and bilateral eruption of third molar teeth were examined to measure the location of the mandibular foramen. The position of the foramen was found to be variable. However, the foramen was predominantly located at the anteroposterior midpoint of the ramus halfway between the mandibular notch and the lower surface of the mandible and two thirds of the way down a line joining the coronoid process to the angle of the mandible. In the majority of the mandibles studied the foramen was located below the occlusal surfaces of the molar teeth. It is concluded that the marked variability in the position of the mandibular foramen may be responsible for an occasional failure to block the inferior alveolar nerve.
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              Evaluation of location of mandibular and mental foramina in dry, young, adult human male, dentulous mandibles.

              The present study was undertaken to determine the precise location of the mental and mandibular foramina and the surrounding anatomic landmarks. Measurements were made on both right and left sides of each of 34 dried young Turkish adult (30-40 years old) human male mandibles. The mandibles were moderately robust and were from dentulous subjects. The results obtained in the study showed that the distance of the mandibular foramen to the angle of the anterior ramus were 16.9 mm on the right and 16.78 mm on the left. The distance to the posterior side of the ramus was 14.09 mm on the right, and 14.37 mm on the left. The narrowest anteroposterior diameters were 32.8 mm on the right and 32.05 mm on the left. The mandibular foramen is 0.5 mm posterior to the centre of the ramus on the right and 0.75 mm on the left. The distance of the lowest point of mandibular notch to the foramen was 22.37 mm on the right and 22.17 mm on the left. The distance from the mandibular foramen to the inferior border of the ramus in the mid position of the ramus was 30.97 mm on the right and 29.75 mm on the left. The average angle of the mandible (gonial angle) was 120.17 degrees on both sides. The distance of the mental foramen to the inferior border of the mandible was 14.61 mm and 14.29 mm on the right and left, respectively. Its distance to the superior border was 13.62 mm on the right and 14.62 mm on the left. The horizontal dimensions of the mental foramen was 2.93 mm on the right, 3.14 mm on the left and its vertical dimension was 2.38 mm on the right and 2.64 mm on the left. The mental foramen was located below the root of the second premolar in 21 bones (61.76%) on the right and 17 bones (50%) on the left while in the remaining mandibles, the foramen was present between the roots of the first and second premolars in 13 bones (38.2%) on the right and in 17 (50%) on the left. The average angle of the mental foramen was 96.82 degrees.
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                Author and article information

                Journal
                Eur Oral Res
                Eur Oral Res
                eor
                IUFD
                European Oral Research
                Istanbul University Faculty of Dentistry (Istanbul, Turkey )
                2630-6158
                2651-2823
                05 January 2024
                05 January 2024
                : 58
                : 1
                : 51-57
                Affiliations
                [1 ]Antalya Bilim University, School of Dentistry, Department of Periodontology, AntalyaTurkiye
                [2 ]Antalya Bilim University, School of Dentistry, Department of Endodontics, AntalyaTurkiye
                [3 ]Suleyman Demirel University, School of Medicine, Department of Anatomy, IspartaTurkiye
                Author notes
                [* ]To whom correspondence should be addressed: Dr. Deniz Yanıkedu Antalya Bilim University, School of Dentistry, Department of Endodontics, Antalya Turkiye deniz.yanik@ 123456yahoo.com
                Article
                eor-58-1-20241261599
                10.26650/eor.20241261599
                10927707
                1fd23628-b572-4dbc-9391-7b49c73025f0
                Copyright © 2024 European Oral Research

                This article is licensed under Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license ( https://creativecommons.org/licenses/by-nc-nd/4.0/). Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the journal endorses its use. The material cannot be used for commercial purposes. If the user remixes, transforms, or builds upon the material, he/she may not distribute the modified material. No warranties are given. The license may not give the user all of the permissions necessary for his/her intended use. For example, other rights such as publicity, privacy, or moral rights may limit how the material can be used.

                History
                : 07 March 2023
                : 19 April 2023
                : 25 May 2023
                Categories
                Articles
                Biological Sciences
                Dentistry

                anatomy,mandible,mandibular foramen,mandibular nerve,occlusal plane

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