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Analysis of the sublingual artery using contrast‐enhanced computed tomography
Introduction This in vivo study aimed to clarify the position of the sublingual artery (SLA) relative to the mandibular bone and to infer the potential risk for injury during dental implant surgery. Methods Contrast‐enhanced computed tomography images of the mouth of 50 edentulous patients (100 side...
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| Published in: | Clinical implant dentistry and related research 2023-06, Vol.25 (3), p.532-539 |
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| container_title | Clinical implant dentistry and related research |
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| creator | Takahashi, Akira Kamada, Kumiko Fukuda, Naoyuki Kudoh, Keiko Takamaru, Natsumi Kurio, Naito Sugawara, Chieko Miyamoto, Youji |
| description | Introduction
This in vivo study aimed to clarify the position of the sublingual artery (SLA) relative to the mandibular bone and to infer the potential risk for injury during dental implant surgery.
Methods
Contrast‐enhanced computed tomography images of the mouth of 50 edentulous patients (100 sides) treated at Tokushima University Hospital were reviewed. Curved planar reconstructed images perpendicular to the alveolar ridge were processed and classified into molar, premolar, canine, and incisor regions. The SLA and its branches were identified, and the distance from the mandible to the SLA was measured.
Results
The SLA was located close to the mandible ( |
| doi_str_mv | 10.1111/cid.13197 |
| format | article |
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This in vivo study aimed to clarify the position of the sublingual artery (SLA) relative to the mandibular bone and to infer the potential risk for injury during dental implant surgery.
Methods
Contrast‐enhanced computed tomography images of the mouth of 50 edentulous patients (100 sides) treated at Tokushima University Hospital were reviewed. Curved planar reconstructed images perpendicular to the alveolar ridge were processed and classified into molar, premolar, canine, and incisor regions. The SLA and its branches were identified, and the distance from the mandible to the SLA was measured.
Results
The SLA was located close to the mandible (<2 mm) in the molar, premolar, canine, and incisor segments in 12.0% (95% confidence interval 5.6%–18.4%), 20.6% (12.6%–28.7%), 30.5% (21.3%–39.8%), and 41.8% (28.8%–54.9%) cases, respectively. The SLA was located within ±3 mm craniocaudally to the upper wall of the mandibular canal in the molar and premolar regions in 50% of cases and within ±5 mm craniocaudally to the mylohyoid ridge in the canine and incisor regions in the other cases, with no sex or age‐related differences. The vertical distance from the alveolar ridge to the SLA was influenced by sex and age owing to alveolar resorption, indicating that the alveolar ridge is not a reliable reference for predicting SLA position.
Conclusions
As the risk of SLA injury always exist during dental implant placement and there is no way to confirm the SLA pathways in a patient, clinicians must avoid injuring the sublingual soft tissue.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.13197</identifier><identifier>PMID: 36896477</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Computed tomography ; Dental implants ; floor of the mouth ; Health risks ; Image contrast ; Image enhancement ; Image reconstruction ; In vivo methods and tests ; Injury prevention ; lingual perimandibular vessels ; Mandible ; Mandibular canal ; Medical imaging ; oral hemorrhage ; Patients ; postoperative bleeding ; Root resorption ; Sex ; Soft tissues ; sublingual artery ; Tomography</subject><ispartof>Clinical implant dentistry and related research, 2023-06, Vol.25 (3), p.532-539</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4197-bcc999612736380a459a43706bf209ecbcfc1a20299ffb8f96e6337140f0e9f83</citedby><cites>FETCH-LOGICAL-c4197-bcc999612736380a459a43706bf209ecbcfc1a20299ffb8f96e6337140f0e9f83</cites><orcidid>0000-0002-2316-4345</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36896477$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takahashi, Akira</creatorcontrib><creatorcontrib>Kamada, Kumiko</creatorcontrib><creatorcontrib>Fukuda, Naoyuki</creatorcontrib><creatorcontrib>Kudoh, Keiko</creatorcontrib><creatorcontrib>Takamaru, Natsumi</creatorcontrib><creatorcontrib>Kurio, Naito</creatorcontrib><creatorcontrib>Sugawara, Chieko</creatorcontrib><creatorcontrib>Miyamoto, Youji</creatorcontrib><title>Analysis of the sublingual artery using contrast‐enhanced computed tomography</title><title>Clinical implant dentistry and related research</title><addtitle>Clin Implant Dent Relat Res</addtitle><description>Introduction
This in vivo study aimed to clarify the position of the sublingual artery (SLA) relative to the mandibular bone and to infer the potential risk for injury during dental implant surgery.
Methods
Contrast‐enhanced computed tomography images of the mouth of 50 edentulous patients (100 sides) treated at Tokushima University Hospital were reviewed. Curved planar reconstructed images perpendicular to the alveolar ridge were processed and classified into molar, premolar, canine, and incisor regions. The SLA and its branches were identified, and the distance from the mandible to the SLA was measured.
Results
The SLA was located close to the mandible (<2 mm) in the molar, premolar, canine, and incisor segments in 12.0% (95% confidence interval 5.6%–18.4%), 20.6% (12.6%–28.7%), 30.5% (21.3%–39.8%), and 41.8% (28.8%–54.9%) cases, respectively. The SLA was located within ±3 mm craniocaudally to the upper wall of the mandibular canal in the molar and premolar regions in 50% of cases and within ±5 mm craniocaudally to the mylohyoid ridge in the canine and incisor regions in the other cases, with no sex or age‐related differences. The vertical distance from the alveolar ridge to the SLA was influenced by sex and age owing to alveolar resorption, indicating that the alveolar ridge is not a reliable reference for predicting SLA position.
Conclusions
As the risk of SLA injury always exist during dental implant placement and there is no way to confirm the SLA pathways in a patient, clinicians must avoid injuring the sublingual soft tissue.</description><subject>Computed tomography</subject><subject>Dental implants</subject><subject>floor of the mouth</subject><subject>Health risks</subject><subject>Image contrast</subject><subject>Image enhancement</subject><subject>Image reconstruction</subject><subject>In vivo methods and tests</subject><subject>Injury prevention</subject><subject>lingual perimandibular vessels</subject><subject>Mandible</subject><subject>Mandibular canal</subject><subject>Medical imaging</subject><subject>oral hemorrhage</subject><subject>Patients</subject><subject>postoperative bleeding</subject><subject>Root resorption</subject><subject>Sex</subject><subject>Soft tissues</subject><subject>sublingual artery</subject><subject>Tomography</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp10LtOwzAYBWALgWgpDLwAisQCQ1pfEl_GqtwqVeoCc-S4dpsql2LHQtl4BJ6RJ8ElhQEJL_5tfTqyDwCXCI5RWBNVrMaIIMGOwBAxyGOOIT8Oc4pJDLkQA3Dm3BZCjBBFp2BAKBc0YWwIltNalp0rXNSYqN3oyPm8LOq1l2UkbattF3kXzpFq6tZK136-f-h6I2ulV-Gu2vk2DG1TNWsrd5vuHJwYWTp9cdhH4OXh_nn2FC-Wj_PZdBGrJLwzzpUSQlCEGaGEQ5mkQiaEQZobDIVWuTIKSQyxEMbk3AiqKSEMJdBALQwnI3DT5-5s8-q1a7OqcEqXpax1412GGadQsDTd0-s_dNt4G74dFMcYEYKpCOq2V8o2zlltsp0tKmm7DMFs33IWWs6-Ww726pDo80qvfuVPrQFMevBWlLr7Pymbze_6yC8v9IbT</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Takahashi, Akira</creator><creator>Kamada, Kumiko</creator><creator>Fukuda, Naoyuki</creator><creator>Kudoh, Keiko</creator><creator>Takamaru, Natsumi</creator><creator>Kurio, Naito</creator><creator>Sugawara, Chieko</creator><creator>Miyamoto, Youji</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2316-4345</orcidid></search><sort><creationdate>202306</creationdate><title>Analysis of the sublingual artery using contrast‐enhanced computed tomography</title><author>Takahashi, Akira ; Kamada, Kumiko ; Fukuda, Naoyuki ; Kudoh, Keiko ; Takamaru, Natsumi ; Kurio, Naito ; Sugawara, Chieko ; Miyamoto, Youji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4197-bcc999612736380a459a43706bf209ecbcfc1a20299ffb8f96e6337140f0e9f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Computed tomography</topic><topic>Dental implants</topic><topic>floor of the mouth</topic><topic>Health risks</topic><topic>Image contrast</topic><topic>Image enhancement</topic><topic>Image reconstruction</topic><topic>In vivo methods and tests</topic><topic>Injury prevention</topic><topic>lingual perimandibular vessels</topic><topic>Mandible</topic><topic>Mandibular canal</topic><topic>Medical imaging</topic><topic>oral hemorrhage</topic><topic>Patients</topic><topic>postoperative bleeding</topic><topic>Root resorption</topic><topic>Sex</topic><topic>Soft tissues</topic><topic>sublingual artery</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takahashi, Akira</creatorcontrib><creatorcontrib>Kamada, Kumiko</creatorcontrib><creatorcontrib>Fukuda, Naoyuki</creatorcontrib><creatorcontrib>Kudoh, Keiko</creatorcontrib><creatorcontrib>Takamaru, Natsumi</creatorcontrib><creatorcontrib>Kurio, Naito</creatorcontrib><creatorcontrib>Sugawara, Chieko</creatorcontrib><creatorcontrib>Miyamoto, Youji</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takahashi, Akira</au><au>Kamada, Kumiko</au><au>Fukuda, Naoyuki</au><au>Kudoh, Keiko</au><au>Takamaru, Natsumi</au><au>Kurio, Naito</au><au>Sugawara, Chieko</au><au>Miyamoto, Youji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of the sublingual artery using contrast‐enhanced computed tomography</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clin Implant Dent Relat Res</addtitle><date>2023-06</date><risdate>2023</risdate><volume>25</volume><issue>3</issue><spage>532</spage><epage>539</epage><pages>532-539</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><abstract>Introduction
This in vivo study aimed to clarify the position of the sublingual artery (SLA) relative to the mandibular bone and to infer the potential risk for injury during dental implant surgery.
Methods
Contrast‐enhanced computed tomography images of the mouth of 50 edentulous patients (100 sides) treated at Tokushima University Hospital were reviewed. Curved planar reconstructed images perpendicular to the alveolar ridge were processed and classified into molar, premolar, canine, and incisor regions. The SLA and its branches were identified, and the distance from the mandible to the SLA was measured.
Results
The SLA was located close to the mandible (<2 mm) in the molar, premolar, canine, and incisor segments in 12.0% (95% confidence interval 5.6%–18.4%), 20.6% (12.6%–28.7%), 30.5% (21.3%–39.8%), and 41.8% (28.8%–54.9%) cases, respectively. The SLA was located within ±3 mm craniocaudally to the upper wall of the mandibular canal in the molar and premolar regions in 50% of cases and within ±5 mm craniocaudally to the mylohyoid ridge in the canine and incisor regions in the other cases, with no sex or age‐related differences. The vertical distance from the alveolar ridge to the SLA was influenced by sex and age owing to alveolar resorption, indicating that the alveolar ridge is not a reliable reference for predicting SLA position.
Conclusions
As the risk of SLA injury always exist during dental implant placement and there is no way to confirm the SLA pathways in a patient, clinicians must avoid injuring the sublingual soft tissue.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>36896477</pmid><doi>10.1111/cid.13197</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2316-4345</orcidid></addata></record> |
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| ispartof | Clinical implant dentistry and related research, 2023-06, Vol.25 (3), p.532-539 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Computed tomography Dental implants floor of the mouth Health risks Image contrast Image enhancement Image reconstruction In vivo methods and tests Injury prevention lingual perimandibular vessels Mandible Mandibular canal Medical imaging oral hemorrhage Patients postoperative bleeding Root resorption Sex Soft tissues sublingual artery Tomography |
| title | Analysis of the sublingual artery using contrast‐enhanced computed tomography |
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