scholarly journals Three-dimensional Assessment of the Nasopalatine Canal and the Surrounding Bone Using Cone-beam Computed Tomography

2018 ◽  
Vol 8 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Fateme Salemi ◽  
Fazele Atarbashi Moghadam ◽  
Zahra Shakibai ◽  
Maryam Farhadian

Background and aims. Because of increasing concerns about surgeries in the anterior maxilla, including implant placement, it is necessary to examine the morphology of the nasopalatine canal and its surrounding bones. This study aimed to analyze the shape and position of the nasopalatine canal and incisive foramen using cone-beam computed tomography (CBCT). Materials and methods. CBCT images of 110 patients referred to Hamadan School of Dentistry were examined. The size and shape of the nasopalatine canal and incisive foramen, the distance between the incisive foramen and the anterior nasal spine, and the distance between the anterior border of the nasopalatine canal and the labial surface of the buccal plate were recorded. Results. The nasopalatine canal length decreased and its diameter increased with aging. The canal was found to be longer and wider in men. Patients without incisors had longer and thicker nasopalatine canals. The distance from the nasopalatine canal to the labial surface of the buccal plate was not gender-related but decreased with age. The distance to the labial cortical surface decreased significantly with loss of incisors. Conclusion. Given the diversities in the size and shape of nasopalatine canals, it is highly important to perform CBCT to prevent neurovascular damage.

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 915
Author(s):  
Pavle Milanovic ◽  
Dragica Selakovic ◽  
Milica Vasiljevic ◽  
Nemanja U. Jovicic ◽  
Dragan Milovanović ◽  
...  

The aim of this study was to evaluate the interconnection between the type of nasopalatine canal (NPC) and morphometric characteristics of the anterior maxilla. The investigation involved 113 subjects, and the morphometric parameters were obtained using cone beam computed tomography (CBCT). NPC shapes were classified into four types: banana-, hourglass-, cylindrical-, and funnel-shaped (distribution of approximately 9, 25, 31, and 35%, respectively). The analysis revealed that the NPC shape was significantly connected with the morphometric properties of anterior maxilla horizontal dimensions. In general, a banana-shaped NPC was accompanied with an overall reduction in anterior maxilla diameters when compared to other NPC shapes, with no significant difference between the other three NPC shapes. Furthermore, the morphometric characteristics that depend on NPC shape at the sagittal cross-section were significantly correlated with diameters of the incisive foramen, nasal foramen, and NPC length. According to the results of our study, it seems that the presented analyses of morphometric data may allow useful insight into the algorithms of various interconnections between the measures obtained in the region of the anterior maxilla, which could be of interest for a time rationale approach when planning some surgical procedures, such as immediate dental implant placement planning.


2019 ◽  
pp. 15-18
Author(s):  
K Saraswathi Gopal ◽  
Priyam Kapoor

Background: Implantology is a very significant branch of dentistry that deals with the rehabilitation of edentulous patients. Thus, knowledge of anatomical variations of related neurovascular structures such as the nasopalatine canal is essential. Aim:The aim of study was to determine the form, length, and diameter of the nasopalatine canal using CBCT. Materials and Methods: In this retrospective study, images were archived from CBCT unit and visualized using Romexis software. The nasopalatine canals of 50 patients between the age range of 18-59years were analyzed. The shape of the nasopalatine canal, length of the nasopalatine canal and the diameter of incisive foramen were assessed in sagittal and coronal section. The width of labial and palatal alveolar bone around the canal and inclination of the nasopalatine canal to hard palate were evaluated. Statistics: (1) if there is any relation between the gender and the assessed parameters (2) if there is any relation between edentulous and partially edentulous patients with the assessed parameters. Results: The most common shape of the nasopalatine canal was cylindrical. The average length of the nasopalatine canal was 12.14±2.41 mm and the average diameter of incisive foramen 3.45±0.84 mm anteroposteriorly and 3.77±0.94mm mediolaterally. The average inclination of the nasopalatine canal to hard palate was 119.93±9.73° Conclusion: This study highlights the variations seen in the nasopalatine canal. The close vicinity of nasopalatine canal and implant can lead to sensory disturbances and damage of the tissues. Thus, a thorough knowledge before the surgical - implant procedure using cone beam computed tomography seems beneficial.


PeerJ ◽  
2015 ◽  
Vol 3 ◽  
pp. e1315 ◽  
Author(s):  
Xueting Jia ◽  
Wenjie Hu ◽  
Huanxin Meng

Background.The aims of this study were to investigate the ridge contour anterior to the nasopalatine canal, and the difference between the incidences of the nasopalatine canal perforation in dentate and partially edentulous patients by cone-beam computed tomography.Methods.Cone-beam computed tomography scan images from 72 patients were selected from database and divided into dentate and partially edentulous groups. The configuration of the ridge anterior to the canal including palatal concavity depth, palatal concavity height, palatal concavity angle, bone height coronal to the incisive foramen, and bone width anterior to the canal was measured. A virtual implant placement procedure was used, and the incidences of perforation were evaluated after implant placement in the cingulum position with the long axis along with the designed crown.Results.Comparing with variable values from dentate patients, the palatal concavity depth and angle were greater by 0.9 mm and 4°, and bone height was shorter by 1.1 mm in partially edentulous patients, respectively. Bone width in edentulous patients was narrower than in dentate patients by 1.2 mm at incisive foramen level and 0.9 mm at 8 mm subcrestal level, respectively. After 72 virtual cylindrical implants (4.1 × 12 mm) were placed, a total of 12 sites (16.7%) showed a perforation and three-fourths occurred in partially edentulous patients. After replacing with 72 tapered implants (4.3 × 13 mm), only 6 implants (8.3%) broke into the canal in the partially edentulous patient group.Conclusions.The nasopalatine canal may get close to the implant site and the bone width anterior to the canal decreases after the central incisor extraction. The incidence of nasopalatine canal perforation may occur more commonly during delayed implant placement in central incisor missing patients.


2013 ◽  
Vol 43 (4) ◽  
pp. 273 ◽  
Author(s):  
Arpita Rai Thakur ◽  
Krishna Burde ◽  
Kruthika Guttal ◽  
Venkatesh G Naikmasur

2021 ◽  
Vol 10 (15) ◽  
pp. e351101522978
Author(s):  
Ana Carolina Neves Melgaço de Lima ◽  
Dominique A. Peniche ◽  
Thais M. C. Coutinho ◽  
Fábio R. Guedes ◽  
Maria Augusta Visconti ◽  
...  

Objective: To evaluate the dimensions of the nasopalatine canal (NPC) and its relationship with the maxillary central incisors (MCI) using cone-beam computed tomography (CBCT) and to determine variations in the NPC in relation to age and gender. Methods: CBCT scans from 333 patients (67% female; 35.9 ± 14.6 years) were included. The CBCT scan was analyzed to determine the length and diameter of the NPC, the distance between the NPC and the MCI, and to evaluate the morphology of the NPC. The data were analyzed using the independent Student's t-test, the Mann–Whitney and Kruskal–Wallis tests, and Dunn's post-test (p < 0.05). Results: The average diameter and length of the NPC were 2.92 ± 0.91 mm and 12.67 ± 3.32 mm, respectively. The minimum and maximum distance between the MCI and the NPC were 0.78 ± 0.42 mm and 2.56 ± 1.38 mm, respectively. The NPC of male patients was greater in length compared with the female patients (p < 0.05). The majority presented a funnel-like morphology (34.1%), followed by a cylindrical morphology (27.5%). Conclusions: There was variability in the dimensions of the NPC and its relationship with the MCI, which was influenced by gender and age.


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