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3D assessment of the relationship of the mandibular buccal shelf with the mandibular canal : a CBCT retrospective study

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorFeliciano, Jéssica
dc.contributor.authorPereira, Pedro Mariano
dc.contributor.authorProença, Luís
dc.contributor.authorBorga, Joana
dc.contributor.authorBugaighis, Iman
dc.date.accessioned2026-04-27T11:19:01Z
dc.date.available2026-04-27T11:19:01Z
dc.date.issued2025-12
dc.description.abstractObjective: This study aimed to evaluate the micro-implant safest insertion site on the mandibular buccal shelf (MBS) without compromising the integrity of the mandibular canal (MC). Methods: This retrospective investigation included cone-beam computed tomography (CBCT) of 96 Portuguese patients (58 females and 38 males, average age of 25.5±10.2 years). Measurements were taken in four bilateral MBS sites buccal to the mandibular second molar; tangent to the distal surface (7D), distobuccal cusp tip (7CD), buccal groove (7S) and mesiobuccal cusp tip (7CM). The transversal MBS midpoint was also determined, and the maximum angulation from the transversal MBS midpoint was extracted relative to the true vertical plane. Subsequently, the distance from the MBS midpoint to the MC was calculated at this angulation. Descriptive and inferential statistical analyses were performed at p<0.05 Results: Significant correlations were observed among several variables and age, sex and bilateral asymmetry (p<0.05). The MBS transversal width and the distance from the MBS midpoint to the MC progressively increased in the posterior direction while the angulation decreased. Conclusion: The most appropriate micro-implant insertion location compared to the other MBS investigated sites, in the absence of impacted third molars, is adjacent to the distal surface of the second molar. This finding is consistent across all age groups, sexes, and insertion sides. However, due to the demonstrated variability, taking a CBCT scan prior to mini-implant insertion might be considered to minimize the risk of injury to the inferior alveolar nerve.eng
dc.identifier.citationFeliciano, J., Pereira, P. M., Proença, L., Borga, J., & Bugaighis, I. (2025). 3D Assessment of the Relationship of the Mandibular Buccal Shelf with the Mandibular Canal: A CBCT Retrospective Study. Turkish journal of orthodontics, 38(4), 199–205. https://doi.org/10.4274/TurkJOrthod.2025.2025.37
dc.identifier.doi10.4274/TurkJOrthod.2025.2025.37
dc.identifier.issn2148-9505
dc.identifier.urihttp://hdl.handle.net/10400.26/62889
dc.language.isoeng
dc.peerreviewedyes
dc.publisherGalenos
dc.relation.hasversionhttps://doi.org/10.4274/TurkJOrthod.2025.2025.37
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectCBCT
dc.subjectmandibular buccal shelf
dc.subjectmandibular canal
dc.subjectmini-implants
dc.title3D assessment of the relationship of the mandibular buccal shelf with the mandibular canal : a CBCT retrospective studyeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage205
oaire.citation.issue4
oaire.citation.startPage199
oaire.citation.titleTurkish Journal of Orthodontics
oaire.citation.volume38
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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