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سمك العظم الشدقي في مناطق مختلفة من الفك السفلي واهميتة السريرية في تثبيت المسامير الحلزونية احادية القشرة باستخدام جهاز الاشعة المقطعية متعدد الشرائح == Thickness of Buccal Bone At Various Sites of Themandible And Its Clinical Significance In Monocortical Screws Placementusing Multislice Computed Tomography
Author name:
حوراء نوري عطا لله
Supervisor name:
لمياء حامد النقيب
General topic:
Dentistry
Specific topic:
Oral and Dental Radiology
Degree:
Master
University:
University of Baghdad
Language:
English
University location:
Baghdad
First pages:
20T374 - p.pdf
Abstract:
Open reduction and internal fixation (ORIF) using miniplates and screws is the treatment of choice for mandibular fractures.Using miniplates and screws along the ideal line of osteosynthesis provides sufficient support and stability to the bone fragments to allow immediate function. It is important to know both : the region where the bone providesafirm anchorage for the screw,andthe topography of thedental apices and inferior alveolar nerve to avoiddamaging them when inserting the screwThe aim of study : The purpose of this study is to determine the thickness of buccal cortical plate and that of buccal bone using computed tomography,at the parasymphysis and mandibular body, thereby determining the area that provide afirm anchorage and the maximum length of mono - cortical screws that can be safely placed in these regions without injuring the tooth roots orinferior alveolar nerve.Materials and Methods : The sample of the present study was a total of 110 Iraqi patients (77 males & 33 females) aged (18 - 35) years old who admitted to Computed Tomography scan unit in AL - SadrTeaching Hospital in Al - Najaf city to getComputed Tomographic examination of facial bones from November 2013 to May 2014. The conventional section of CT (axial) wasused to do the measurements and dental planning analysiswhich is a specific investigation protocol was also used.The thickness of buccal cortical plate and the thickness of buccal bone were measured at the level of root apex of (canine, first premolar, second premolar) and at the level of : root apex and inferior alveolar canal in (mesial and distal root of first and second molar). Results : The mean buccal bone thickness at canine area was (3.7 - 4.3 mm), in premolars area (3.6 - 4 mm), in molar area (at the level of apex) (5.6 - 6 mm), in molar area (at the level of inferior alveolar canal) (5.2 - 5.6 mm) for females and males respectively. The mean buccal cortical plate thickness at canine area was (1.4 - 1.6 mm), in premolars area (1.5 - 1.7 mm), in molar area (at the level of apex) (2.4 - 2.6 mm), in molar area (atthe level of inferior alveolar canal) (2.4 - 2.3 mm) for females and males respectively.There was no statistically significant age and gender difference in buccal cortical plate thickness and buccal bone thickness. Conclusion : Buccal cortical plate thickness and buccal bone thickness in various sites of the mandible could be measured precisely using Multislice Computed Tomography which can guide surgeons in selecting the proper screw length without causing injury to rootapex or inferior alveolar nerve.
