Comparison of the Mandibular Foramen Position in Panoramic Radiographs in Skeletal Class I, II and III

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Peeranut Chanritisen
Wilawan Weraarchakul
Supaporn Kongsomboon

Abstract

The position of the mandibular foramen can vary depending on age, gender, ethnicity, and skeletal patterns. Knowing the position of the mandibular foramen before performing oral surgery procedures can help reduce the incidence of complications or adverse events. The purpose of the study was to compare the position of the mandibular foramen and investigate its correlation with the gonial angle across different skeletal patterns. This was a retrospective analytical cross-sectional study. All data (91 subjects) were collected and analyzed from lateral cephalometric and panoramic radiographs. Statistical analysis revealed no significant difference in mandibular foramen position among skeletal classes I, II, and III in males (p>0.05). However, in females, a significant relationship was observed. Specifically, in skeletal class I, the distance from the mandibular foramen to the anterior ramus (M-A) was greater than in class III (p<0.05), and distance from the mandibular foramen to the posterior border of the ramus (M-P) was greater than in class II (p<0.05). Furthermore, a negative correlation between the distance from the mandibular foramen to the occlusal plane (M-O) and the gonial angle was found in skeletal class III (B = -1.31, p<0.05). In conclusion, for females with skeletal Class I, the M-A distance is greater compared to Class II and III. Successful outcomes in inferior alveolar nerve blocks require deeper needle insertion compared to Class II and III.

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Chanritisen P, Weraarchakul W, Kongsomboon S. Comparison of the Mandibular Foramen Position in Panoramic Radiographs in Skeletal Class I, II and III. Khon Kaen Dent J [Internet]. 2024 Aug. 13 [cited 2024 Nov. 22];27(2):100-1. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/270443
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