Evidence map›Paper›PMID 41272731›Full record

ArticleBMC oral health2025

Three-dimensional analysis of the inferior alveolar nerve in relation to mandibular morphology.

Yunus Balel, Baran Coşkun, Çağrı Kaplan

Abstract read
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Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yunus BalelDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sivas Cumhuriyet University, Mehmetpaşa, Atatürk Blv. 1B, Sivas, Merkez, 58040, Türkiye. yunusbalel@hotmail.com.ORCID 0000-0003-0496-8564
Baran CoşkunDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sivas Cumhuriyet University, Mehmetpaşa, Atatürk Blv. 1B, Sivas, Merkez, 58040, Türkiye.
Çağrı KaplanDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sivas Cumhuriyet University, Mehmetpaşa, Atatürk Blv. 1B, Sivas, Merkez, 58040, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the relationship between mandibular morphology and the localization of the inferior alveolar nerve (IAN) using cone-beam computed tomography (CBCT).

methodsA retrospective study was conducted using CBCT scans. Mandibular morphology was classified according to the 14-type. These types are as follows: Straight, Pen Shape, Oblique, D Type, B Type, Kidney, Hourglass, Sickle, Golf Club, Toucan Beak, Tear, Cudgel, Basal, and Saddle. The vertical position of the IAN was assessed by dividing the mandibular cross-section into four equal zones from superior to inferior (Zone 1-4). The horizontal position was evaluated by dividing the cross-section into three regions: buccal, middle, and lingual. Measurements were conducted bilaterally at the first, second, and third molar regions. Parameters such as age, sex, presence of teeth, mandibular type, and IAN position were recorded and analyzed.

resultsSignificant associations were observed between mandibular morphology and both vertical and horizontal positions of the IAN in all regions (p < .001). For vertical localization, the nerve was most frequently found in Zone 2 and Zone 3. Age was also a significant predictor: increasing age was associated with deeper nerve positioning (e.g., right first molar, Zone 3: Estimate = -0.038, p < .001). Regarding horizontal positioning, the IAN was predominantly located in the lingual zone. The Straight type showed the highest rate of lingual localization in several regions (e.g., left third molar: χ² = 398.985; p < .001). Presence of teeth was associated with more superficial (Zone 1-3) and buccal/middle nerve positioning, whereas edentulous regions tended to show deeper and more lingual localization.

conclusionsMandibular morphology, age, and the presence or absence of teeth significantly influence the position of the inferior alveolar nerve. Specific morphological types such as Straight and Cudgel can predict nerve course, which is crucial for surgical planning. Deeper nerve localization with increasing age and superficial positions in dentate regions are important clinical considerations. Individualized anatomical assessment using CBCT is recommended to enhance patient safety and minimize the risk of nerve injury in oral and maxillofacial interventions.

Indexed as

Cone-Beam Computed TomographyMandibleMandibular NerveAdolescentAdultAgedAge FactorsFemaleHumansJaw, EdentulousMaleMiddle AgedRetrospective StudiesYoung AdultCone-beam computed tomographyInferior alveolar nerveMandibular morphologyNerve localization

Identifiers

PMID41272731
PMCPMC12639774

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.