Characteristics of Medial Depression of the Mandibular Ramus: A CBCT Analysis in Different Sagittal Skeletal Patterns.

Statement of the Problem: Medial depression of the mandibular ramus (MDMR) as a normal anatomical variation might complicate orthognatic surgeries that involve ramus. When planning an orthognatic surgery, it is clinically valuable to notice MDMR in osteotomy site to decrease the risk of failure. Pur...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Dentistry (2345-6485) Vol. 24; no. 1; pp. 1 - 7
Autores principales: Hasani, Mahvash, Karandish, Maryam, Salari, Yalda
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Shiraz University of Medical Sciences Mar2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161836594&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 161836594
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        23456485
        MX2K
      jtl: Journal of Dentistry (2345-6485)
      issn: 23456485
      maglogo: N
    pubinfo:
      dt: Mar2023
      vid: 24
      iid: 1
      pid: 65846
      pub: Shiraz University of Medical Sciences
      place: Shiraz, <Blank>
    artinfo:
      ui:
        161836594
        161836594
        161836594
        10.30476/dentjods.2022.89659.1427
        161836594
      ppf: 1
      ppct: 6
      formats:
      tig:
        atl: Characteristics of Medial Depression of the Mandibular Ramus: A CBCT Analysis in Different Sagittal Skeletal Patterns.
      aug:
        au:
          Hasani, Mahvash
          Karandish, Maryam
          Salari, Yalda
        affil: Department of Cell Biology, New York University Medical Center, New York, New York, U.S.A
      sug:
        subj:
          Mandible Pathology
          Orthognathic Surgery
          Treatment Outcomes
          Postoperative Complications
          Mandibular Diseases Epidemiology
          Tomography, X-Ray Computed
          Radiography, Dental
          Prevalence
          Iran
          Human
          Cross Sectional Studies
          Chi Square Test
          Male
          Female
          Funding Source
          Male
          Female
      ab: Statement of the Problem: Medial depression of the mandibular ramus (MDMR) as a normal anatomical variation might complicate orthognatic surgeries that involve ramus. When planning an orthognatic surgery, it is clinically valuable to notice MDMR in osteotomy site to decrease the risk of failure. Purpose: The aim of present study was to evaluate the prevalence as well as characteristics of MDMR in three skeletal sagittal classifications. Materials and Method: This cross sectional study evaluated 530 cone beam computed tomography (CBCT) scans, of which 220 were enrolled. The skeletal sagittal classification, the presence of MDMR, the shape, depth, and width of MDMR were recorded for each patient by two examiners. Chi-square test was performed to determine the differences between three skeletal sagittal groups and between two genders. Results: The overall prevalence of MDMR was 60.45%. MDMR was mostly detected in class III (76.92%), followed by class II (76.66%), and class I (54.87%). In the analyzed CBCT scans, semi-lunar was the most common shape detected (42.85%), followed by triangular (30.82%), circular (18.04%), and tear-drop (8.27%). The depth of MDMR was not significantly different between three sagittal groups and between genders; however, the width of MDMR was higher in class III group and in male patients. In the present study, MDMR was found to be more common in patients with class II and class III skeletal classifications. Although, MDMR was more frequent in class III, the difference between class II and class III was not significant. Conclusion: More caution is needed during orthognatic surgery in patients with dentoskeletal deformities during the splitting of the ramus. Moreover, higher width of MDMR in class III and male patients should be concerned when planning an orthognatic surgery for these patients.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N