Age and gender variations in the cone-beam computed tomographic location of mandibular canal: Implications for mandibular sagittal split osteotomy.

BACKGROUND: Mandibular sagittal split osteotomy (MSSO) may incur unfavorable split and sensorineural injuries. Knowledge of the anatomic location of the mandibular canal (MC) and bone thickness in the region of interest for MSSO, and the possible variations by age and gender can assist in avoiding such complications. Purpose, to study the location of the MC and bone thickness in the region of MSSO by cone-beam computed tomography (CBCT) radiographs and to evaluate the possible variations by age and gender in a Jordanian population. MATERIAL AND METHODS: This retrospective radio-anatomical study examined all CBCT radiographs for patients treated over three years at the University of Jordan Hospital, Amman, Jordan. Distances from the MC to the cortical external surfaces and MC diameter (MCD) were measured by a reliable observer at three predetermined regions for MSSO: region (A) [mandibular foramen area], region (B) [mandibular angle area] and region (C) [directly mesial to the second molar]. Gender and age differences in all measurements were then compared using non-parametric Mann-Whitney U test. RESULTS: The final study radiographs comprised a total of 202 CBCT belonged to a cohort of 202 subjects; 91 males (45.1%) and 111 (54.9%) females, with mean age (± SD) of 42.94 ± 18.54 years (range 18-90 years). Whereas only the bone thickness superior, buccal and inferior to MC in regions (B) and (C), and MCD in the three regions exhibited significant (p < 0.05) gender differences, all measured distances exhibited statistically significant (p < 0.05) differences between young and adult patients. CONCLUSION: The location of MC and bone thickness in the region of MSSO were significantly variable according to age, but exhibited sexual diamorphism only in regions (B) and (C). This fundamental knowledge should be considered during MSSO planning.

The phenetic distances of the living Druze from other human populations suggest a major genetic drift from the Western Eurasian ancestral category.

The objectives were to determine the expression frequency and sexual dimorphism of 16 non-metric crown traits on the sample of permanent dentitions of the living Druze population (a Near Eastern genetic isolate) in Jordan, and to assess the biological affinity of this sample to 21 regional groups, and to the living general Jordanian population, based on these traits. Druze schoolchildren (46 males, 40 females; mean age=16.0, sd=0.5 years) were studied in 2011. The traits were classified using the Arizona State University dental anthropology system, counted with the individual count method, and dichotomized according to the criteria of Scott and Turner for the purpose of group comparisons. Fisher's exact test for dichotomized scores was used to assess sexual dimorphism in these traits. Smith's mean measure of divergence was used to measure all pairwise distance values among the groups. Sexual dimorphism was found in five traits (i.e., UI2 interruption grooves, 3-cusped UM2, UM1 Carabelli's tubercle/cusp, 4-cusp LM1, and LM2 Y-groove pattern). This study revealed that the dental pattern of living Druze, which is similar to that of the general Jordanian population, is sufficiently distinct from the Western Eurasian pattern and all other known dental patterns to form a distinct dental pattern for the regional group or subcategory to which these two populations belong. Moreover, the relatively large distance values of the living Druze and Jordanians from the other world groups considered, including the Western Eurasian groups, suggest a similar major genetic difference of these two populations from the Western Eurasian ancestry.

Entoconulid (cusp 6), metaconulid (cusp 7), post-metaconulid and pre-entoconulid expression on permanent mandibular first molar in the living Jordanian population and inter-trait interactions.

OBJECTIVES: To determine the frequency of expression and sexual dimorphism of the following dental morphological traits on the permanent mandibular first molar (LM1) in the living Jordanians: Entoconulid (cusp 6; tuberculum sextum), metaconulid (cusp 7, tuberculum intermedium), post-metaconulid and pre-entoconulid (entostylid) traits. In addition, to analyze inter-trait interactions whenever possible was one of the aims. METHODS: Three hundred sixty school children (176 males, 184 females, ages 15.5 +/- 0.4 years) from the middle of Jordan were involved. Impressions for the mandibular dental arches were taken, and dental casts were produced in 2009. The above-mentioned traits were observed. Z-value test between two proportions and nonparametric correlation analysis were used for data analysis. RESULTS: Cusp 7 on LM1 was found in 15.83 %, while cusp 6 on this tooth was found in 21.67% of the examined students. In comparison, both post-metaconulid and pre-entoconulid traits were found to be absent on LM1 in all observed subjects. Nonparametric correlation analysis revealed weak negative and statistically insignificant association between the expression of cusp 6 and 7 on LM1 among the living Jordanians. CONCLUSION: Both cusp 6 and cusp 7 on LM1 are expressed in a relatively higher rate among the living Jordanian Arabs than other studied Western Eurasians, suggesting a significant gene flow from Sub-Saharan Africans and Mongolians to the Middle East. In addition, the insignificant weak correlation between cusp 6 and 7 on LM1 suggests that these two dental morphological traits are both genetically and phenotypically independent.