Objective: The objective of this study was to investigate the frequency and pattern of bifid mandibular condyles (BMCs).
Methods: A retrospective study was performed using panoramic radiographs from 10 200 patients undergoing dental treatment in the Department of Oral and Maxillofacial Radiology (Erzurum, Turkey) between 1996 and 2008.
Results: Of the 10 200 patients, 32 (0.3%) had BMCs, of whom 17 were female (53.1%) and 15 were male (46.9%). The age range of the patients with BMCs was 5 to 71 years (mean age 30.0+/-0.40). Of these 32 patients, 24 (75.0%) had unilateral and 8 (25.0%) had bilateral BMCs, none of the patients had a history of trauma. No symptoms associated with bifid condyles were observed in any of the patients with BMCs.
Conclusions: It is possible that BMC is a more frequent condition than is commonly perceived. However, because of the minimal symptoms associated with this condition, the authors believe that it will remain an incidental finding upon routine radiographic examination, rather than a clinical observation. Nevertheless, in symptomatic cases or in cases where surgical treatment is planned, panoramic radiographs should be supplemented with CT.
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http://dx.doi.org/10.1259/dmfr/38196548 | DOI Listing |
J Stomatol Oral Maxillofac Surg
December 2024
Department of Prosthodontics, Faculty of Dentistry, Uşak University, Uşak, Turkey. Electronic address:
Although the bifid or trifid mandibular condyle is a rare entity, the tetrafid mandibular condyle is a more rare entity. This article presents the first case of tetrafid and trifid mandibular condyle of a 31-year-old patient with a history of previous trauma. The patient had with symptoms such as crepitus of the right temporomandibular joint and pain upon palpation in the preauricular region and masseter muscle.
View Article and Find Full Text PDFJ Oral Maxillofac Surg
January 2025
Consultant Surgeon and Associate Professor, Department of Oral and Maxillofacial Surgery, Royal Dental Hospital Melbourne, Carlton, Victoria, Australia; Consultant Surgeon and Associate Professor, Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia; Consultant Surgeon and Associate Professor, School of Dentistry & Health Sciences Charles Sturt University, Orange, NSW, Australia.
Background: Cone-beam computed tomography (CBCT) provides additional 3-dimensional information on the relationship between the mandibular third molar (M3M) and the inferior alveolar nerve (IAN). As such, CBCT is being increasingly utilized in preoperative M3M assessment.
Purpose: The purpose of the study was to compare the radiographic findings on panoramic and CBCT and their association with postoperative IAN paresthesia.
J Endod
December 2024
Department of Surgical and Diagnostic Sciences, Marquette University School of Dentistry, Milwaukee, Wisconsin, USA.
Bifid mandibular canals are common anatomical findings with variations based on direction and location of branching, which carry significant clinical implications for endodontic and surgical dental procedures. This case report describes a previously unreported ectopic dental canal that branches off the superior border of the mandibular canal, enters the apex of a mandibular second molar, traverses through the root, anastomoses with the root canal system, and subsequently exits through the lingual aspect of the root. The anastomosis of this ectopic dental canal with the mesial lingual canal led to significant bleeding during rotary instrumentation.
View Article and Find Full Text PDFSurg Radiol Anat
October 2024
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Purpose: Various anatomical variations of the inferior alveolar canal increase the incidence of surgical complications; Therefore, this study aimed to evaluate the frequency and configuration of bifid and trifid mandibular canals using cone beam computed tomography (CBCT) in the Turkish subpopulation.
Methods: The inferior alveolar canal was evaluated on 1014 hemi-mandibles in the CBCT (I-CAT 3D Imaging System) images of 513 patients. The frequency and configuration of the bifid and trifid mandibular canal (MC) were examined.
Purpose: To assess the prevalence and configuration of bifid (BMC) and trifid (TMC) mandibular canals using computed tomography (CT), describing the anatomical characteristics of the accessory canals, especially of the retromolar type.
Materials And Methods: CT scans of 123 patients were analysed. BMCs were identified and the patterns of bifurcation were classified, including trifid canals.
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