Mandibular canal bifurcation and trifurcation: case report from a finding obtained through cone beam computed tomography

Authors

  • Jhonatan Universidade Estadual da Paraíba
  • Gélica Lima Granja Universidade Estadual da Paraíba
  • Daniela Pita de Melo Universidade Estadual da Paraíba
  • George Borja de Freitas Centro Universitário de Patos
  • Túlio Neves de Araújo Centro Universitário de Patos
  • Jalber Almeida dos Santos FIP Campina Grande

DOI:

https://doi.org/10.35699/2178-1990.2022.32737

Keywords:

Anatomy, Mandibular nerve, Cone-beam computed tomography

Abstract

Aim: This case report aims to demonstrate a rare mandibular canal (MC) variation, presenting right trifurcation and left bifurcation through Cone-Beam Computed Tomography (CBCT).

Case report: A 26-year-old female patient with no systemic disorders was referred for surgical removal of the lower third molars due to the presence of painful symptoms. CBCT was requested to evaluate the relationship between third molars and the mandibular canal and to guide the surgical planning. Tomographic volume was analyzed through the Sidexis software (Sirona Dental Systems, Bernsheim, Germany). During the analysis of tomographic sections, it was possible to observe the presence of bilateral MC variations. Bifurcation of the right MC and trifurcation of the left MC were observed.

Conclusion: The present report highlighted the importance of CBCT for the diagnosis of anatomical changes, such as MC trifurcation.

 

Downloads

Download data is not yet available.

References

Puciło M, Lipski M, Sroczyk-Jaszczyńska M, Puciło A, Nowicka A. The anatomical relationship between the roots of erupted permanent teeth and the mandibular canal: a systematic review. Surg Radiol Anat. 2020;42(5):529-42.

Gilis S, Dhaene B, Dequanter D, Loeb I. Mandibular incisive canal and lingual foramina characterization by cone-beam computed tomography. Morphologie. 2019;103(341):48-53.

Haas LF, Dutra K, Porporatti AL, Mezzomo LA, De Luca Canto G, Flores-Mir C,

et al. Anatomical variations of mandibular canal detected by panoramic radiography and CT: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2016;45(2):20150310.

Kalantar MMH, Navi F, Sarabi N. Bifid mandibular canals: prevalence and implications. J Oral Maxillofac Surg. 2015;73(3):387-90.

Oliveira RS, Oliveira AMG, Junqueira JLC, Panzarella FK. Association between the anatomy of the mandibular canal and facial types: a cone-beam computed tomography analysis. Int J Dent. 2018;2018(1):1-9.

Villaça-Carvalho MF, Manhães Júnior LRC, Moraes MEL, Lopes SLPC. Prevalence of bifid mandibular canals by cone beam computed tomography. Oral Maxillofac Surg. 2016;20(3):289-94.

Nasseh I, Aoun G. Bifid mandibular canal: a rare or underestimated entity? Clin Pract. 2016;6(3):73-5.

Sanchis JM, Peãarrocha M, Soler F. Bifid Mandibular canal. J Oral Maxillofac Surg. 2003;61(1):422-4.

Vallarelli TP. Radiographic interpretation of the mandibular canal in panoramic radiographs. Rev Aca Tir Odo. 2007;7(1):432-49.

Kuribayashi A, Watanabe H, Imaizumi A, Tantanapornkul W, Katakami K, Kurabayashi T. Bifid mandibular canals: cone beam computed tomography evaluation. Dentomaxillofac Radiol. 2010;39(4):235-9.

Rashsuren O, Choi JW, Han WJ, Kim EK. Assessment of bifid and trifid mandibular canals using cone-beam computed tomography. Imaging Sci Dent. 2014;44(3):229-36.

Castro MAA, Barra SG, Vich MOL, Abreu MHG, Mesquita RA. Mandibular canal branching assessed with cone beam computed tomography. Radiol Med. 2018;123(8):601-8.

Aljunid S, AlSiweedi S, Nambiar P, Chai WL, Ngeow WC. The management of persistent pain from a branch of the trifid mandibular canal due to implant impingement. J Oral Implantol. 2016;42(4):349-52.

Fuentes R, Arias A, Farfán C, Astete N, Garay I, Navarro P, et al. Morphological variations of the mandibular canal in digital panoramic radiographs: a retrospective study in a Chilean population. Folia Morphol (Warszawa). 2019;78(1):163-70.

Nortjé CJ, Farman AG, Grotepass FW. Variations in the normal anatomy of the inferior dental (mandibular) canal: a retrospective study of panoramic radiographs from 3612 routine dental patients. Br J Oral Surg. 1977;15(1):55-63.

Carter RB, Keen MS. The intramandibular course of the inferior alveolar nerve. J Anat. 1971;108(3):433-40.

Langlais RP, Broadus R, Glass BJ. Bifid mandibular canals in panoramic radiographs. J Am Dent Assoc. 1985;110(1):923-6.

Gu L, Zhu C, Chen K, Liu X, Tang Z. Anatomic study of the position of the mandibular canal and corresponding mandibular third molar on cone-beam computed tomography images. Surg Radiol Anat. 2018;40(6):609-14.

Li Y, Yafei C, Jun P, Yuanyuan L, Shuqun Q, Jian P. Cone beam computed tomography evaluation of bifid mandibular canals in the adult population in Sichuan Province. Hua Xi Kou Qiang Yi Xue Za Zhi. 2017;35(1):82-8.

Kikuta S, Iwanaga J, Nakamura K, Hino K, Nakamura M, Kusukawa J. The retromolar canals and foramina: radiographic observation and application to oral surgery. Surg Radiol Anat. 2018;40(6):647-52.

Rothe TM, Kumar P, Shah N, Venkatesh R, Vassandacoumara V, Mahajan A. Prevalence of bifid mandibular canal amongst indian population: a radiographic study. J Maxillofac Oral Surg. 2018;17(3):379-82.

Adisen MZ, Misirlioglu M, Yilmaz S. Trifid mandibular nerve canal. J Oral Maxillofac Radiol. 2013;1(2):67-9.

Freitas GB, Morais AF, Silva LA, Silva MBF, Gomes TC, Manhães Júnior LRC. Incidence and classification of bifid mandibular canals using cone beam computed tomography. Braz J Oral Sci. 2015;14(4):294-8.

He P, Iwanaga J, Truong MK, Adeeb N, Tubbs RS, Yamaki KI. First report of tripled retromolar foramina. Cureus. 2017;9(7):e1440.

Published

2022-09-16

How to Cite

Jhonatan, Granja, G. L., Melo, D. P. de ., Freitas, G. B. de ., Araújo, T. N. de ., & Santos, J. A. dos . (2022). Mandibular canal bifurcation and trifurcation: case report from a finding obtained through cone beam computed tomography. Arquivos Em Odontologia, 58, 125–130. https://doi.org/10.35699/2178-1990.2022.32737

Issue

Section

Artigos