Evaluation of Juxta-Apical Radiolucency as a Risk Factor for Inferior Alveolar Nerve Damage: A Cone-Beam Computed Tomography (CBCT) Study
| Author | Leila Khojastepour | en |
| Author | Mohammad Ghasemi | en |
| Author | Shabnam Rasti | en |
| Author | Mahvash Hasani | en |
| Orcid | Mahvash Hasani [0000-0002-7859-721X] | en |
| Issued Date | 2020-10-31 | en |
| Abstract | Background: Injuries to the lingual and inferior alveolar nerves (IAN) through third molar surgery are common and complicated clinical problems. Juxta-apical radiolucency (JAR) is one of the new radiographic signs, suggestive of IAN damage. Objectives: This study aimed to assess the relationship between JAR and IAN and to determine its effects on the cortical plate. Methods: In this cross-sectional study, after evaluating an initial sample of 450 cases, the cone-beam computed tomography (CBCT) images of 20 patients with JAR were compared with those of 20 age-matched patients without JAR in the axial and multi-planar images. The relationship between JAR and IAN was evaluated, and thinning of the mandibular cortical plates was also investigated. Statistical analysis was performed using descriptive tests and chi-square test in SPSS version 23. Results: The relationship between JAR and IAN was statistically significant (P = 0.001). The cortical plates were perforated in 75% of cases with JAR as opposed to 45% of cases without JAR (P = 0.06). The relationship between the location of JAR and IAN was also significant (P = 0.004). Conclusions: Based on the present results, JAR was associated with IAN in most cases. Thinning of the cortical plates was observed in all cases of JAR. | en |
| DOI | https://doi.org/10.5812/semj.93330 | en |
| Keyword | Juxta-Apical Radiolucency | en |
| Keyword | IAN Injury | en |
| Keyword | CBCT | en |
| Publisher | Brieflands | en |
| Title | Evaluation of Juxta-Apical Radiolucency as a Risk Factor for Inferior Alveolar Nerve Damage: A Cone-Beam Computed Tomography (CBCT) Study | en |
| Type | Research Article | en |