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Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis.
Clin Oral Investig 2019; 23(9):3637-3644CO

Abstract

OBJECTIVE

The purpose of this study is to evaluate the relationship between anatomic structures and mandibular posterior region using cone-beam computed tomography (CBCT) in terms of endodontic surgery.

METHODS

A total of 150 CBCT images were used to investigate the proximity of the anatomical structures and the mandibular posterior teeth. The buccal and lingual bone thickness overlying each root, buccolingual, and mesiodistal dimension of the roots were measured at the level of 3 mm apical resection, and the mental foramen (MF) distance to the premolar teeth and the distance of the mandibular canal (MC) to all the posterior teeth were measured.

RESULTS

The thinnest part of the buccal cortical bone was measured in the first premolar teeth (1.70 mm) and in the mesial root of the first molar (2.25 mm) while the thickest region was measured in the distal root of the second molar tooth (6.95 mm). The maximum amount of substance to be removed was measured at the distal root of the second molar tooth (11.26 mm), and at least the first premolar tooth (5.52 mm) was measured for buccal resection. The distal root of the second molar tooth was found to be the closest tooth root to the MC with a mean of 2.75 mm, and the closest distance was measured as 0 mm.

CONCLUSIONS

It is important to evaluate the parameters such as mandibular buccal and lingual bone thickness, location of the MC and the MF, and root size for atraumatic endodontic surgical approach. Evaluation of these data before endodontic surgery provides guidance to the clinician in the planning of endodontic surgery.

CLINICAL RELEVANCE

The mandibular posterior region, which is difficult to reach with traditional surgical approach, is now easily reached using an operation microscope. For this reason, endodontic surgical procedures have become popular in mandibular posterior teeth. Therefore, the relationship between the mandibular posterior teeth and anatomical structures that are important in the planning of surgical access line is examined in this study.

Authors+Show Affiliations

Faculty of Dentistry, Department of Endodontics, Bolu Abant Izzet Baysal University, Bolu, Turkey. zlhugur@gmail.com.Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Bolu Abant Izzet Baysal University, Bolu, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30712074

Citation

Uğur Aydın, Zeliha, and Duygu Göller Bulut. "Relationship Between the Anatomic Structures and Mandibular Posterior Teeth for Endodontic Surgery in a Turkish Population: a Cone-beam Computed Tomographic Analysis." Clinical Oral Investigations, vol. 23, no. 9, 2019, pp. 3637-3644.
Uğur Aydın Z, Göller Bulut D. Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis. Clin Oral Investig. 2019;23(9):3637-3644.
Uğur Aydın, Z., & Göller Bulut, D. (2019). Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis. Clinical Oral Investigations, 23(9), pp. 3637-3644. doi:10.1007/s00784-019-02834-y.
Uğur Aydın Z, Göller Bulut D. Relationship Between the Anatomic Structures and Mandibular Posterior Teeth for Endodontic Surgery in a Turkish Population: a Cone-beam Computed Tomographic Analysis. Clin Oral Investig. 2019;23(9):3637-3644. PubMed PMID: 30712074.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis. AU - Uğur Aydın,Zeliha, AU - Göller Bulut,Duygu, Y1 - 2019/02/02/ PY - 2018/09/12/received PY - 2019/01/25/accepted PY - 2019/2/4/pubmed PY - 2020/1/7/medline PY - 2019/2/4/entrez KW - CBCT KW - Endodontic surgery KW - Mandibular canal KW - Mandibular posterior teeth KW - Mental foramen SP - 3637 EP - 3644 JF - Clinical oral investigations JO - Clin Oral Investig VL - 23 IS - 9 N2 - OBJECTIVE: The purpose of this study is to evaluate the relationship between anatomic structures and mandibular posterior region using cone-beam computed tomography (CBCT) in terms of endodontic surgery. METHODS: A total of 150 CBCT images were used to investigate the proximity of the anatomical structures and the mandibular posterior teeth. The buccal and lingual bone thickness overlying each root, buccolingual, and mesiodistal dimension of the roots were measured at the level of 3 mm apical resection, and the mental foramen (MF) distance to the premolar teeth and the distance of the mandibular canal (MC) to all the posterior teeth were measured. RESULTS: The thinnest part of the buccal cortical bone was measured in the first premolar teeth (1.70 mm) and in the mesial root of the first molar (2.25 mm) while the thickest region was measured in the distal root of the second molar tooth (6.95 mm). The maximum amount of substance to be removed was measured at the distal root of the second molar tooth (11.26 mm), and at least the first premolar tooth (5.52 mm) was measured for buccal resection. The distal root of the second molar tooth was found to be the closest tooth root to the MC with a mean of 2.75 mm, and the closest distance was measured as 0 mm. CONCLUSIONS: It is important to evaluate the parameters such as mandibular buccal and lingual bone thickness, location of the MC and the MF, and root size for atraumatic endodontic surgical approach. Evaluation of these data before endodontic surgery provides guidance to the clinician in the planning of endodontic surgery. CLINICAL RELEVANCE: The mandibular posterior region, which is difficult to reach with traditional surgical approach, is now easily reached using an operation microscope. For this reason, endodontic surgical procedures have become popular in mandibular posterior teeth. Therefore, the relationship between the mandibular posterior teeth and anatomical structures that are important in the planning of surgical access line is examined in this study. SN - 1436-3771 UR - https://www.unboundmedicine.com/medline/citation/30712074/Relationship_between_the_anatomic_structures_and_mandibular_posterior_teeth_for_endodontic_surgery_in_a_Turkish_population:_a_cone_beam_computed_tomographic_analysis_ L2 - https://dx.doi.org/10.1007/s00784-019-02834-y DB - PRIME DP - Unbound Medicine ER -