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Context: The mandibular canal (MC) is an essential landmark that should be considered before any surgeries. Therefore, accurately assessing the location and characteristics of the MC in cone beam computed tomography (CBCT) imaging is very important.
Aims: To determine the characteristics of the MC in relation to adjacent anatomical structures in CBCT projections.
Settings And Design: The convenience sampling method.
Methods And Material: This was a retrospective study of 112 CBCT images of Vietnamese patients aged 18 to 69 years, taken for clinical indications between 2018 and 2023. The evaluation was carried out by comparing and arranging the anatomical structures of different planes in three-dimensional space to assess and measure relevant dimensions.
Statistical Analysis Used: Independent samples T-test.
Results: The average diameter of the MC from the apex of the second premolar to the distal apex of the second molar, if there were no missing teeth in this segment, was 2.58 ± 0.52 mm (right) and 2.55 ± 0.54 mm (left). If there were a missing tooth in this segment, the measurements were 2.51 ± 0.79 mm (right) and 2.47 ± 0.45 mm (left). The difference between the two sides regarding the presence or absence of a missing tooth was not statistically significant.
Conclusions: The precise localization of the MC related to the tooth apex and the diameter of the MC can vary in each person. CBCT indications should be considered when establishing treatment planning to avoid damaging the inferior alveolar nerve in the MC.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698245 | PMC |
http://dx.doi.org/10.4103/jos.jos_47_24 | DOI Listing |
Orthod Craniofac Res
September 2025
Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Introduction: The mandibular canal has been considered a stable anatomic reference structure and continues to be recognised as a primary vertical structure in 2D mandibular superimposition. However, whether the mandibular canal is stable in the transverse dimension is unclear.
Material And Methods: This retrospective longitudinal study utilised cone beam computed tomography (CBCT) images of 17 subjects (9.
Restor Dent Endod
August 2025
Private Practice, San Ramon Endodontics, San Ramon, CA, USA.
Endodontic-periodontal lesions (EPLs) complicated by cemental tears present a diagnostic and therapeutic challenge. This case report describes the successful management of a 66-year-old male patient with a mandibular second molar (#18) exhibiting an EPL complicated by a cemental tear. Clinical examination revealed a draining sinus tract, deep periodontal pockets, and radiographic evidence of a "J-shaped" lesion and a radiopaque cemental fragment.
View Article and Find Full Text PDFInt Dent J
September 2025
Department of Endodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China. Electronic address:
Introduction And Aims: Calcified root canals in mandibular anterior teeth present significant therapeutic challenges due to their narrow anatomy and minimal tolerance for procedural errors. This case report demonstrates the successful integration of robot-assisted navigation with an ultra-fine bur to address these challenges.
Methods: A 44-year-old male presented with symptomatic chronic apical periodontitis and pulp calcification in a mandibular lateral incisor, 20 years after orthodontic treatment.
Stomatologiia (Mosk)
September 2025
Dmitry Rogachev National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Objective: The aim of the study is differential diagnosis of primary chronic osteomyelitis (PCO) and fibrous dysplasia (FD) of the mandible.
Material And Methods: A retrospective comparative study of the case histories of 36 patients with PCO (average age 8.9 years) and 12 patients with FD (average age 8.
Folia Med Cracov
December 2024
Department of Conservative Dentistry with Endodontics, Institute of Stomatology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
The use of cone beam computed tomography (CBCT) in endodontic diagnostics and treatment is gaining importance due to its ability to provide three-dimensional imaging of tooth structures and their surroundings. CBCT allows a precise assessment of the anatomy of the endodontic space, which is crucial in planning and performing effective root canal treatment. Traditional two-dimensional imaging techniques often prove insufficient in diagnosing the complex morphology of dental canals, increasing the risk of leaving areas untreated and potential treatment failure.
View Article and Find Full Text PDF