A retrospective radiographic evaluation of the anterior loop of the mental nerve: comparison between panoramic radiography and cone beam computerized tomography
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Vujanovic Eskenazi, Aleksandar; Valero James, Jesus Manuel; Sánchez Garcés, María Angeles; Gay Escoda, Cosme
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Aquest document és un/a article, creat/da en: 2015
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Objectives: To compare the prevalence and the length of mental loop, measured with panoramic radiography (PR)
and cone beam computerized tomography (CBCT).
Material and Methods: PG and CBCT images where analyzed by a single calibrated examiner to determine the
presence and the position of the mental foramen (MF), its distance to the lower mandible border, the anterior
length of the mental loop (ML) and the bone quality in 82 PR and 82 CBCT.
Results: ML was identified in 36.6 % of PR and 48.8 % of CBCT. PR showed a magnification of 1.87 when compared to CBCT. The mean of anterior extension of the inferior alveolar nerve and the distance to the inferior border
of the mandible was higher for PR (2.8 mm, sd 0.91 mm on the PR , range 1.5 to 4.7 mm and 1.59, sd 0.9 on the
CBCT ,range 0.4 to 4.0 mm)
Conclusions: There is a magnification in PR images with respect to those of CBCT. The differences between
CBCT and PR with regards to the identification and length of the ML are not statistically significant. Identification
and accuracy measurements of ML did not depend on the bone quality. Considering that two dimensional imaging
provides less accurate and reliable information regarding the anterior loop, a CBCT scan could be recommended
when planning implant placement in the anterior region.
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