Year :
2024
| Month :
May
| Volume :
18
| Issue :
5
| Page :
ZC36 - ZC41
Full Version
Role of Age, Gender and Vertical Facial Type on Anatomical Location of Mandibular Foramen in Paediatric Population: A Cross-sectional Study
Published: May 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/68925.19418
Topi Nyodu, Nilanjana Saha, Shiladitya Sil, Subhankar Ghosh
1. Postgraduate Trainee, Department of Pedodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India.
2. Associate Professor, Department of Pedodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India.
3. Assistant Professor, Department of Oral Medicine and Radiology, North Bengal Dental College and Hospital, Kolkata, West Bengal, India.
4. Associate Professor, Department of Dentistry, Burdwan Medical College and Hospital, Burdwan, West Bengal, India.
Correspondence Address :
Shiladitya Sil,
Assistant Professor, Department of Oral Medicine and Radiology, North Bengal Dental College and Hospital, Sushrutanagar, Siliguri, Dist. Darjeeling-734012, West Bengal, India.
E-mail: shiladitya.sil@gmail.com
Abstract
Introduction: Pain management is paramount in paediatric dental care, influencing patient cooperation and future perceptions of dental treatment. The widely used Inferior Alveolar Nerve Block (IANB) anaesthesia faces challenges in children due to anatomical variations. The position of the mandibular foramen, which evolves with age, growth patterns, and facial types, necessitates customised approaches for effective paediatric pain management.
Aim: To identify the position of the mandibular foramen amongst children aged 7-14 years with respect to age, gender, and facial types.
Materials and Methods: In a cross-sectional study conducted in West Bengal, India, 126 children aged 7-14 were investigated from March 2021 to August 2022. The Orthopantomograms (OPG) and lateral cephalograms were assessed for the location of the mandibular foramen with respect to age, sex, and facial type in clear radiographs with normal growth. Statistical analysis encompassed descriptive statistics, Analysis of Variance (ANOVA), and multiple linear regression analysis.
Results: A total of 126 x-rays were analysed across age, gender, and facial types, showing a mean age of 10.78 years. There were 52 (41.3%) males and 74 (58.7%) females. The distribution of subjects according to facial types was as follows: short (n=33, 26.2%), normal (n=19, 15.1%), and long (n=74, 58.7%). The vertical position of the mandibular foramen increased with age. No significant gender difference was observed regarding the vertical position of the mandibular foramen. However, a significant variation across facial types was observed, with individuals with normal faces exhibiting a greater vertical position.
Conclusion: This study revealed that the vertical position of the mandibular foramen increases with age. There was no significant difference found between males and females in the location of the mandibular foramen; however, individuals with normal faces exhibited a greater vertical position of the same.
Keywords
Anaesthesia, Inferior alveolar nerve block, Lateral cephalogram, Paediatric dental care, Pain management, Orthopantomogram
DOI: 10.7860/JCDR/2024/68925.19418
Date of Submission: Dec 04, 2023
Date of Peer Review: Feb 07, 2024
Date of Acceptance: Apr 09, 2024
Date of Publishing: May 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes (from parents)
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 06, 2023
• Manual Googling: Mar 29, 2024
• iThenticate Software: Apr 01, 2024 (19%)
ETYMOLOGY: Author Origin
EMENDATIONS: 10
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