Estudio de la Relación Topográfica del Tercer Molar Inferior con el Conducto Mandibular. Frecuencia y Complicaciones

María M. González; Gabriela G. Bessone; Estefanía R. Fernández; Carlos A. Rosales

doi:10.16925/od.v12i24.1666

Clinical study and of laboratory of the Topographic Relation of the Third Low Molar with the Pertaining to the jaw Channel.

Research Articles

https://doi.org/10.16925/od.v12i24.1666

María M. González Ver Biografía

Área de formación profesional. FOUNNE

Gabriela G. Bessone Ver Biografía

Área de formación básica. FOUNNE

Estefanía R. Fernández Ver Biografía

Becarios de investigación. FOUNNE, Argentina.

Carlos A. Rosales Ver Biografía

Becarios de investigación. FOUNNE, Argentina.

Introduction: The knowledgment of the mandibular region anatomy is fundamental for the performance of surgical interventions due to the neighborly relations between dental and osseous structures. The objectives of this work were to determine the path of the mandibular canal as a true conduit to the mental foramen in dry jaws, to establish the relation frequency between the inferior third molar with the conduit and to record the complications that occured during the eruption of the inferior third molar, before and after the surgical treatment, by sex and age. Methodology: 50 dry mandibular bones were used, silicon with barium sulfate added, orthodontic wire, drypoint dividers, milimetered ruler and radiographic films. Sagittal and frontal cuttings were performed to obtain base distances, alveolar ridge and tooth-conduit. Clinically, 100 patients of both sexes, 15 to 30 years were treated, and they were divided in two groups: patients with pre-treatment complications; patients with post-treatment complications. For the quantification and validation of data the percentual method and the Chi-square (x+) test were used, with a statistical significance of p<0.05. Results: It was determined that the lower mandibular canal is true in 80% of cases. In frontal cuttings, the conduit was located closert to the alveolar ridge. In sagittal cuttings, the distance between tooth and conduit were tiny. The data show higher frequency of complications in female patients, aged between 17 and 25 and with mesioangular and retained position of the tooth. The most obvious complications were: trismus pericoronaritis, nerve type pain and otitis. Conclution: Knowledge of the mandibular anatomy and of the neighborhood relations allow to work safely and efficiently, avoiding the risks that involves nerve complications associated with inferior alveolar nerve damage.

Keywords: anatomy, mandible, mandibular nerve, third molar

Ash M, Stanley N. Anatomía, Fisiología y Oclusión dental. 8a ed. España: Elsevier; 2003.

Figun M, Garino R. Anatomía odontológica funcional y aplicada. 2a. ed. Buenos Aires: El Ateneo; 2002.

Diamond M. Anatomía dental. 2a ed. México: Interamericana; 2010.

Kraus B, Jordan R. Abrams L. Anatomía Dental y Oclusión. 1a ed. México: Interamericana; 1972.

Velayos J, Diaz Santana H. Anatomía de la Cabeza con enfoque Odontoestomatológico. Madrid: Médica Panamericana; 1994.

Visvisián C, Gani Artola O, et al. Cambios producidos por la edad en la forma de los conductos radiculares del primer molar superior. Rev Asoc Odontol Argent. 1997; 85(2):129-34.

Latarjet M, Ruiz-Liard A. Atlas de Anatomía. 2a. ed. Buenos Aires: Panamericana; 2004.

Rouviere H. Anatomía Humana, Descriptiva, Topográfica y Funcional. 8a ed. Madrid: Bailly Bailliere SA; 1970.

Sicher H, Dubrul E. Anatomía Oral. 8a ed. Sao Paulo: Artes Médicas; 1991.

Carbo Ayala J. Anatomía dental y de la oclusión. La Habana: Ciencias Médicas; 2009

Brand R, Isselhard D. Anatomía de la Estructuras Orofaciales. España: Harcourt Brace; 1999.

Diamond M. Anatomía Dental. México: Interamericana; 1992.

Aprile H, Figún M, et al. Anatomía Odontológica, Orocervical. 5a ed. Argentina: El Ateneo; 1984.

Sobotta Johannes. Atlas de Anatomía Humana. 19a ed. Madrid: Panamericana; 1991.

Girard K. Considerations in the management of damage to the mandibular nerve. J .Am. Dent. Assoc. 1979; 98:65-7.

Tortora G, Grabowsky SR. Principios de Anatomía y Fisiología. 7a ed. España: Mosby Dogma Libros; 1996.

Manns A. Sistema Estomatognático. Chile: Sociedad Gráfica de Almagro Ltda; 1988.

Ash MS. Anatomía dental fisiología y oclusión. 7a ed. México: Interamericana; 1994.

Gravosky S. Principios de Anatomía y Fisiología. 7a ed. España: Mosby Dogma Libros; 1996.

Anderson L, Kosinski T. et al. A review of the intraosseous course of the nerves of the mandible.J Oral Implantol. 1991; 17(4):394-403.

Bozzatello JR. Estudio estadístico del tercer molar inferior retenido, en la ciudad de Córdoba (Argentina). Tesis de Doctorado. Rev Fac Odontol Univ Nac (Córdoba). 2002. URI Disponible en: http://hdl.handle.net/11086/1733 Acceso: 17/02/2015

Wang TM, Shih C, et al. A clinical and anatomical study of the location of the mental foramen in adult chinese mandibles. Acta Anat, 1986; 126(27): 29-33.

Phillips JL, Weller RN, Kulild JC. The mental fo-ramen: Size, orientation, and positional relations-hip to the mandibular second premolar. J Endod. 1990;16(28):221-223.

Shankland WE. The position of the mental foramen in asían indians. J Oral Implanto. 1994;20:118-123.

Phillips JL, Weller RN, et al. The mental foramen: Size, orientation, and positional relationship to the mandibular second premolar. J Endod. 1990; 16(28): 221-223.

Shankland WE. The position of the mental foramen in asían indians.J Oral Implanto. 1994; 20: 118-123

Clinical study and of laboratory of the Topographic Relation of the Third Low Molar with the Pertaining to the jaw Channel. (2017). Revista Nacional De Odontología, 13(24). https://doi.org/10.16925/od.v12i24.1666

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Clinical study and of laboratory of the Topographic Relation of the Third Low Molar with the Pertaining to the jaw Channel.

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