head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2020, vol. 26, issue4
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2020264.3394
Published online: 28 October 2020

Original article

J of IMAB. 2020 Oct-Dec;26(4):3394-3397
Dimitar Yovchev1ORCID logo Corresponding Autoremail, Hristina Mihaylova1ORCID logo, Elitsa Deliverska2ORCID logo, Nadezhda Miteva - Yovcheva3ORCID logo,
1) Department of Imaging and Oral Diagnostics, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria,
2) Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria,
3) Department of Medical Oncology, Serdika Hospital, Sofia, Bulgaria.

Purpose: To assess the presence of the vestibulo - lingual intrabony canal communications (VLC) in the anterior mandible using cone beam computed tomography (CBCT).
Materials and methods: Study material included 200 CBCT scans taken for preoperative planning of implant placement. The images were examined carefully by three observers concerning the presence of VLC. Interobserver agreement in identification of the canal communications was excellent (mean kappa value – 0.82).
Results: Vestibulo - lingual communications were found in 27 % of cases. The communications appeared as a crossing of the lateral lingual canal with the mandibular incisive canal (type 1), as a connection between midline lingual canal (or canals) and a vestibular nutrient canal (type 2) or as a lateral lingual canal connected with the anterior loop of the mandibular canal (type 3).
The main type of VLC is those between a lateral lingual canal and mandibular incisive canal – 85.2% from all of the VLCs.
Conclusions: A considerable part (27%) of Bulgarian citizens has vestibulo - lingual communications in the anterior mandible. The type 1 communication prevails, and it is more frequently located on the right side. The knowledge about vestibulo - lingual communications could contribute a better understanding of bone tumor invasion but further studies are necessary.

Keywords: cone beam computed tomography, lingual canal, oncology, mandible,

pdf - Download FULL TEXT /PDF 2409 KB/
Please cite this article as: SYovchev D, Mihaylova H, Deliverska E, Miteva-Yovcheva N. CBCT Investigation of the Intrabony Canal Communications between the Vestibular and Lingual Plates in the Anterior Mandible. J of IMAB. 2020 Oct-Dec;26(4):3394-3397. DOI: 10.5272/jimab.2020264.3394

Corresponding AutorCorrespondence to: Dimitar Yovchev, Department of Imaging and Oral Diagnostics, Faculty of Dental Medicine, Medical University, Sofia; 1, St. Georgi Sofiyski Str., 1431 Sofia, Bulgaria; E-mail: dr.iovchev@dir.bg

1. Aykol S, Orduyilmaz F, Gumusok M, Ozmeric N, Alkurt MT. Imaging of accessory mental foramen before implant therapy. J Oral Maxillofac Radiology. 2015;3(3):105-107.
2. Fuakami K, Shiozaki K, Mishima A, Shimoda S, Hamada Y, Kobayashi K. Detection of buccal perimandibular neurovascularisation associated with accessory foramina using limited cone-beam computed tomography and gross anatomy. Surg Radiol Anat. 2011; 33(2):141-146.
3. Iwanaga J, Saga T, Tabira Y, Nakamura M, Kitashima S, Watanabe K et al. The clinical anatomy of accessory mental nerves and foramina. 2015; Clin Anat. 28(7): 848-856.
4. Iwanaga J, Watanabe K, Saga T, Tabira Y, Kitashima S, Kusukava J et al. Accessory mental foramina and nerves: Application to periodontal, periapical, and implant surgery. Clin Anat. 2016;29(4): 493-501.
5. Kabak SL, Savrasova NA, Melnichenko YM, Zhuravleva NV. Imaging of accessory buccal foramina using cone-beam computed tomography: case reports. Eur J Anat. 2017; 21(3):189-195. [Internet]
6. Barttelbort SN, Bahn SL, Ariyan S. Rim mandibulectomy for cancer of oral cavity. Am J Surg. 1987; 154:423–428.
7. Browne JS, Browne RM. Factors influencing the pattern of invasion of the mandible by oral squamous cell carcinoma. Intern J Oral Maxillofacial Surg. 1995; 24:417–426.
8. Das S,  Suri RK. An anatomico-radiological study of an accessory mandibular foramen on the medial mandibular surface. Folia Morphol (Warsz). 2004;63:511-13.
9. Lukinmaa PL, Hietanen J, Soderholme AL, Lindqvist C. The histologic pattern of bone invasion by squamous cell carcinoma of the mandibular region. Br J Oral Maxillofac Surg. 1992; 30: 2–7.
10. McGregor DA, Mac Donald DG. Routes of entry of squamous cell carcinoma into the mandible. Head and Neck Surgery. 1988;10:294-301.
11. Trikeriotis D, Paravalou E, Diamantopoulos P, Nikolaou D. Anterior mandible canal communications: a potential portal of entry for tumour spread. Dentomaxillofac Radiology. 2008; 37(3):125-129.
12. Eshak M, Brooks S, Abdel-Wahed N, Edwards PC. Cone beam CT evaluation of the presence of anatomic accessory canals in the jaws. Dentomaxillofac Radiol. 2014; 43(4):20130259. [PubMed] [Crossref]
13. Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, et al. Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 May;103(5):683-93. [PubMed] [Crossref]
14. Nakajima K, Tagaya A, Otonari-Yamamoto M, Seki K, Araki K, Sano T, et al. Composition of the blood supply in the sublingual and submandibular spaces and its relationship to the lateral lingual foramen of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiology. 2014 Jan;117(1):e32-8. [PubMed] [Crossref]
15. Patil S, Matsuda Y, Okano T. Accessory Mandibular Foramina: A CT Study of 300 Cases. Surg Radiol Anat. 2013 May;35(4):323-30. [PubMed] [Crossref]
16. Scaravilli MS, Mariniello M, Sammartino G. Mandibular lingual vascular canals (MLVC): evaluation on dental CTs of a case series. Eur J Radiol. 2010 Nov;76(2):173–6. [PubMed] [Crossref]
17. Goller BD, KцseE. Available bone morphology and status of neural structures in the mandibular interforaminal region: three-dimensional analysis of anatomical structures. Surg Radiol Anat. 2018; 40: 1243–1252.
18. Almashraqi AA, Ahmed EA, Mohamed NS, Barngkgei IH, Elsherbini NA, Halboub ES. Evaluation of different low-dose multidetector CT and cone beam CT protocols in maxillary sinus imaging: part I-an in vitro study. Dentomaxillofac Radiol. 2017 Aug;46(6):20160323. [PubMed] [Crossref]
19. Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, Walker A, et al. Effective Dose Range for Dental Cone Beam Computed Tomography Scanners. Eur J Radiology. 2012 Feb;81(2):267-71. [PubMed] [Crossref]
20. Yang XW, Zhang FF, Li YH, Wei B, Gong Y. Characteristics of intrabony nerve canals in mandibular interforaminal region by using cone-beam computed tomography and a recommendation of safe zone for implant and bone harvesting. Clin Implant Dent Relat Res. 2017;19(3):530-538.

Received: 10 September 2020
Published online: 28 October 2020

back to Online Journal