Having complete information about a patient's mandibular canal and mental foramen is fundamental to performing safer procedures and avoiding intraoperative and postoperative complications. Cone beam computed tomography (CBCT) produces accurate images for the analysis of maxillomandibular bone structures and is widely used in dentistry. The aim of this study is to report a case of mandibular bifid canal associated with triple mental foramina that was revealed with CBCT images. A 45-year-old woman was referred for a CBCT scan of remaining bone quantity to assist in preoperative implant planning. The patient had reported problems related to anesthesia during extraction of the mandibular right second and third molars. Examination showed bilateral bifurcation of the mandibular canal, from the mandibular foramen to the gonial angle. In addition, exteriorization of the mandibular canal was noticed in 3 regions; that is, there were 3 distinct mental foramina. Clinicians must be aware of these anatomical variations in the mandibular region during dental procedures to avoid complications such as difficulty in obtaining anesthesia or postoperative sensory dysfunction.
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Clin Oral Investig
January 2025
Department of Restorative Dentistry, Dental Materials, and Endodontics, Bauru School of Dentistry, University of São Paulo, Rua Siqueira Campos, 180, Centro, Vitória da Conquista, Bauru, São Paulo, BA, ZIP: 45.000-455, Brazil.
Objective: This study investigated the associations among endodontic instruments, ultrasonic tips and various final irrigation protocols for removing intracanal and intratubular biofilms in long oval canals.
Methodology: One hundred mandibular premolars inoculated with Enterococcus faecalis were divided into two groups: the control group (CG: n = 10), which received no treatment; and the test groups (n = 30), which included saline (SS), sodium hypochlorite (2.5% NaOCl) and chlorhexidine (2% CHX).
Materials (Basel)
January 2025
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, Beijing 100101, China.
To assess the biomechanical behaviors of endodontically treated molars (ETMs) restored with endocrowns composed of different materials, forty mandibular molars were assigned to five groups (n = 8 each). Untreated molars constituted the control group (group C); the rest of the teeth that underwent root canal therapy were restored with endocrowns composed of polycrystalline ceramics (ST zirconia, UPCERA) in group ZR, lithium disilicate glass ceramics (UP.CAD, UPCERA) in group LD, resin-based nanoceramics (Hyramic, UPCERA) in group NC, and feldspathic ceramics (CEREC Blocs, Sirona) in group FC.
View Article and Find Full Text PDFDiagnostics (Basel)
January 2025
Department of Anatomy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
: This is a systematic review on the subject of anatomic landmarks and variations in the mandible that influence implantation placement. With this systematic review, we would like to summarize the results from different studies that are relevant to this subject and that are up to date, presenting their main findings, the measurements of mentioned landmarks, and giving clinical implications that will be helpful to practitioners in their better understanding of this topic. : This study followed all of the elements of PRISMA.
View Article and Find Full Text PDFBMC Oral Health
January 2025
Department of Agr. Machinery and Technology Engineering, Akdeniz University, Antalya, Turkey.
Background: Examining stress distributions in abutment teeth with periapical lesions is essential for understanding their biomechanical impact on dental structures and tissues. This study uses finite element analysis (FEA) to evaluate these stress patterns under occlusal forces, aiming to enhance treatment strategies and prosthetic designs.
Methods: Three FEA models were created: a healthy mandibular premolar (Model 1), a premolar with a single crown and a lesion repaired using a fiber-post (Model 2), and 3) a premolar with a lesion repaired using fiber-post to support a four-member bridge (Model 3).
Beijing Da Xue Xue Bao Yi Xue Ban
February 2025
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, China.
Objective: To investigate the clinical application effect of the along-axis extraction method in the extraction of impacted mandibular third molars (IMTM) and to compare the biomechanical characteristics of different root extraction techniques through three-dimensional finite element analysis.
Methods: A total of 68 patients requiring IMTM extraction were enrolled and randomly divided into two groups: the experimental group underwent the along-axis extraction method, while the control group underwent the traditional buccal bone removal and root extraction method. The duration of the procedure, intraoperative and postoperative complications were recorded.
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