3-dimensional reconstruction of mandibular canal at the interforaminal region using micro-computed tomography in Korean

PURPOSE: The purpose of this study was to identify the complex course of the mandibular canal using 3D reconstruction of microCT images and to provide the diagram for clinicians to help them understand at the interforaminal region in Korean. MATERIALS AND METHODS: Twenty-six hemimandibles obtained from cadavers were examined using microCT, and the images were reconstructed. At both the midpoint of mental foramen and the tip of anterior loop, the bucco-lingual position, the height from the mandibular inferior border, the horizontal distance between two points, and position relative to tooth site on the mandibular canal were measured. The angle that the mental canal diverges from the mandibular canal was measured in posteriorsuperior and lateral-superior direction. RESULTS: The buccal distance from the mandibular canal was significantly much shorter than lingual distance at both the mental foramen and the tip of anterior loop. The mandibular canal at the tip of anterior loop was significantly located closer to buccal side and higher than at the mental foramen. And the mental canal most commonly diverged from the mandibular canal below the first premolar by approximately 50° posterior-superior and 41° lateral-superior direction, which had with a mean length of 5.19 mm in front of the mental foramen, and exited to the mental foramen below the second premolar. CONCLUSION: These results suggest that it could form a hazardous tetrahedron space at the interforaminal region, thus, the clinician need to pay attention to the width of a premolar tooth from the mental foramen during dental implant placement.

Morphometric Analysis of the Facial Artery in Perioral Region / 체질인류학회지

The facial artery is the largest and main arterial supply of the face, and the inferior and superior labial arteries supply blood to the lower and upper lips and intersect on the opposite site. The aim of this study was to provide quantitative data on the course of facial artery and the distribution of inferior and superior labial artery in perioral region. The location, distance, course, and diameter of the facial artery, inferior labial artery, and superior labial artery were measured directly on 50 hemifacial cadavers of Koreans and statistically analyzed using oneway ANOVA. The facial artery was located 18.50 mm lateral to the mouth corners (Cheilions). The inferior labial artery at its origin was located 15.11 mm inferior and 19.63 mm lateral to the Cheilions. The superior labial artery at its origin was located 5.83 mm superior and 11.28 mm lateral to the Cheilions. The diameter of facial artery, inferior labial artery, and superior labial artery was 2.19, 1.56, and 1.48 mm, respectively. The courses of the facial artery and it's branches showed no significant differences on laterality except for the diameter of the superior labial artery (p=0.026). The buccal branch of facial artery was showed in 44% of the cases in the deep layer of perioral region. In conclusion, this study provides that the data will be useful in predicting the courses of the facial artery and helpful for reconstructive surgery in perioral region.