Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Submandibular Fossa Derinliği ile Kemik Kalınlığı Arasındaki İlişkinin Değerlendirilmesi: Konik Işınlı Bilgisayarlı Tomografi Çalışması
Evaluation of the Relationship Between Submandibular Fossa Depth and Bone Thickness: a Cone-Beam Computed Tomography Study
Derya İÇÖZa, Faruk AKGÜNLÜa
aSelçuk Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Radyolojisi Bölümü, Konya, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(2):217-23
doi: 10.5336/dentalsci.2020-76856
Article Language: TR
Full Text
ÖZET
 Amaç: Submandibular fossa, başta implant uygulamaları olmak üzere birçok cerrahi girişim öncesinde dikkatle değerlendirilmesi gereken bir anatomik oluşumdur. Bu çalışmada, submandibular fossa derinliğinin belirlenmesi ve fossanın en derin izlendiği kesitte mandibular kanalın bukkal ve lingualinde ölçülen kemik kalınlıkları ile fossa derinliği arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya, yaşları 18-77 arasında değişen 203 bireye ait konik ışınlı bilgisayarlı tomografi görüntüleri retrospektif olarak seçilerek dâhil edildi. Bütün görüntüler bilateral olarak değerlendirildi ve fossa derinliği her yarım çene için submandibular fossayı oluşturan konkavitenin en derin olduğu noktadan en dış alt ve üst noktalarına çizilen teğete olan dik mesafe olarak ölçüldü. Kemik kalınlıkları ise mandibular kanalın bukkal ve lingual dış sınırının orta noktasından mandibular kemiğin bukkal ve lingual dış sınırına olan mesafe olarak belirlendi. Derinlik ile kemik kalınlıkları arasındaki korelasyon istatistiksel olarak analiz edildi. Bulgular: Submandibular fossanın ortalama derinliği 1,73±0,68 mm idi. Erkeklerde ortalama derinlik (1,87±0,71 mm) kadınlardan (1,54±0,6 mm) daha fazla olarak belirlenmiştir (p=0,00). Fossa derinliğinin istatistiksel olarak yaşla ilişkili olmadığı (p=0,083), kemik kalınlıkları ile arasında ise zayıf ve orta düzeylerde negatif korelasyon olduğu tespit edilmiştir. Sonuç: Çalışmanın sonuçlarına göre submandibular fossa derinliğinin artmasıyla, kemik kalınlığının azaldığı görülmüştür. Mandibular posterior bölgedeki cerrahi girişimler öncesinde olası komplikasyonları önlemek için 3 boyutlu değerlendirme yapılması önerilmektedir.

Anahtar Kelimeler: Bölgesel anatomi; diş implantı; konik ışınlı bilgisayarlı tomografi; submandibular fossa
ABSTRACT
 Objective: The submandibular fossa is an anatomical formation that should be carefully evaluated before many surgical interventions, especially implant applications. In this study, it was aimed to determine the depth of the submandibular fossa and to evaluate the relationship between the bone thickness measured in the buccal and lingual of the mandibular canal and the depth of the submandibular fossa in the deepest section of the fossa. Material and Methods: Cone beam computed tomography images of 203 individuals aged between 18-77 were selected retrospectively. All images were evaluated bilaterally and the depth of the fossa was measured as perpendicular distance to the tangent drawn from the point where the submandibular fossa concavity was deepest to the outermost lower and upper points for each hemimandible. Bone thickness was determined as the distance from the midpoint of the buccal and lingual outer boundary of the mandibular canal to the buccal and lingual outer boundary of the mandibular bone. The correlation between depth and bone thickness was analyzed statistically. Results: The average depth of the submandibular fossa was 1.73±0.68 mm. The mean depth in men (1.87±0.71 mm) was determined to be higher than in women (1.54±0.6 mm) (p=0.00). It was found that fossa depth was not statistically related to age (p=0.083), and there was a weak and moderate negative correlation with bone thickness. Conclusion: According to the results of the study, it was observed that the bone thickness decreased with increasing the depth of the submandibular fossa. Threedimensional evaluation is recommended to prevent possible complications before surgical interventions in the posterior mandibular region.

Keywords: Regional anatomy; dental implants; cone beam computed tomography; submandibular fossa
REFERENCES:
  1. Benson BW, Shetty V. Dental implants. In: White SC, Pharaoh MJ, eds.Oral Radiology: Principles and Interpretation. 6th ed. St. Louis: Mosby-Elsevier; 2009. p.597-610.
  2. Greenstein G, Cavallaro J, Tarnow D. Practical application of anatomy for the dental implant surgeon. J Periodontol. 2008;79(10):1833-46. [Crossref] [PubMed] 
  3. Bayrak S, Demirturk-Kocasarac H, Yaprak E, Ustaoglu G, Noujeim M. Correlation between the visibility of submandibular fossa and mandibular canal cortication on panoramic radiographs and submandibular fossa depth on CBCT. Med Oral Patol Oral Cir Bucal. 2018;23(1):e105-e111. [PubMed] [PMC] 
  4. Kamburoğlu K, Acar B, Yüksel S, Paksoy CS. CBCT quantitative evaluation of mandibular lingual concavities in dental implant patients. Surg Radiol Anat. 2015;37(10):1209-15. [Crossref] [PubMed] 
  5. Harazono Y. Anatomy and variations of the submandibular fossa. In: Iwanaga J, Tubbs RS, eds. Anatomical Variations in Clinical Dentistry. 1st ed. Cham: Springer; 2019. p.137-46. [Crossref] 
  6. Borahan MO, Dönmez FG, Ulay G, Sadıkoğlu ANY, Namdar Pekiner F. Assesment of submandibular fossa depth using cone beam computed tomography. 7tepe Klinik. 2018;14(2): 51-6. [Crossref] 
  7. Sumer AP, Zengin AZ, Uzun C, Karoz TB, Sumer M, Danacı M. Evaluation of submandibular fossa using computed tomography and panoramic radiography. Oral Radiology. 2015;31:23-7. [Crossref] 
  8. de Souza LA, Souza Picorelli Assis NM, Ribeiro RA, Pires Carvalho AC, Devito KL. Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery. Ann Anat. 2016;205:53-9. [Crossref] [PubMed] 
  9. Parnia F, Fard EM, Mahboub F, Hafezeqoran A, Gavgani FE. Tomographic volume evaluation of submandibular fossa in patients requiring dental implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(1):e32-6. [Crossref] [PubMed] 
  10. Safi Y, Vasegh Z, Kadkhodazadeh M, Hadian H, Bahemmat N. Different methods to evaluate mandibular alveolar ridge in cone-beam computed tomography images in pre-implant surgery assessments. Int J Med Res Health Sci. 2016;5(11):134-42. [Link] 
  11. Rajput BS, Merita S, Parihar AS, Vyas T, Kaur P, Chansoria S. Assessment of lingual concavities in submandibular fossa region in patients requiring dental implants-a cone beam computed tomography study. J Contemp Dent Pract. 2018;19(11):1329-33. [Crossref] [PubMed] 
  12. American Academy of Implant Dentistry. Glossary of implant terms. J Oral Implantol. 1986;12(2):284-94. [PubMed] 
  13. Greenstein G, Cavallaro J, Tarnow D. Practical application of anatomy for the dental implant surgeon. J Periodontol. 2008;79(10):1833-46. [Crossref] [PubMed] 
  14. Yildiz S, Bayar GR, Guvenc I, Kocabiyik N, Cömert A, Yazar F. Tomographic evaluation on bone morphology in posterior mandibular region for safe placement of dental implant. Surg Radiol Anat. 2015;37(2):167-73. [Crossref] [PubMed] 
  15. Panjnoush M, Eil N, Kheirandish Y, Mofidi N, Shamshiri AR. Evaluation of the concavity depth and inclination in jaws using CBCT. Caspian J Dent Res. 2016;5:17-23. [Link] 
  16. Braut V, Bornstein MM, Kuchler U, Buser D. Bone dimensions in the posterior mandible: a retrospective radiographic study using cone beam computed tomography. Part 2--analysis of edentulous sites. Int J Periodontics Restorative Dent. 2014;34(5):639-47. [Crossref] [PubMed] 
  17. Haghanifar S, Arbabzadegan N, Moudi E, Bijani A, Nozari F. Evaluation of lingual mandibular depression of the submandibular salivary glands using cone-beam computed tomography. J Res Med Dent Sci. 2018;6(2):563-67. [Link] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com