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2015 | 74 | 3 |

Tytuł artykułu

Typology of the antegonial notch in the human mandible

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Surgical treatment for serious malocclusions and fractures of the organ of mastication is a golden standard in medicine. Procedures performed on the mandible require detailed knowledge of the anatomy of the organ. Antegonial notching constitutes a serious technical challenge for surgeons. Therefore, a detailed anatomical description of this structure, which is the subject of this paper, is essential. Materials and methods: We analysed 251 human Caucasian mandibles of identified sex and took measurements of all sections describing the mandibular antegonial notch. Depending on the proportion between sections we classified the shape of the antegonial notch into three types. The surface area of the notch was calculated. We analysed the dimorphic and bilateral differences for each of the three types of notch. We used variance analysis for the assessment of statistical difference. Results: The analysis revealed that in both men and women, regardless of body side, the type 3 antegonial notch was the most frequent. Type 3 occurred with a frequency of between 38% in men on the right side and 55.9% in women on the left side of the body. Type 1 was the least frequent. Dimorphic differences in the presence of individual types of antegonial notch were statistically significant only for the left side of the body. The symmetrical type (type 2) occurred more frequently in men (by 11%) than in women. Type 3 was found more frequently in women (by 10%) than in men. Bilateral differences in men were revealed for the frequencies of types 1 and 3. On the right side type 1 was more frequent (by 8%), and on the left side type 3 was also more frequent (by 8%). The greatest surface area was found for the asymmetrical posterior type (type 1). The smallest surface area was found for the asymmetrical anterior type 3. This difference was statistically significant with respect to the surface area of types 1 and type 2 and found for both sexes for both sides of the body. However, no statistically significant differences were found between the surface areas of types 1 or 2. Conclusions: Knowledge of the preangular notch anatomy can be useful for surgeons during reconstructive and plastic procedures on the body of the mandible. (Folia Morphol 2015; 74, 3: 365–371)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

74

Numer

3

Opis fizyczny

p.365-371,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
  • Non-public Medical College, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
  • Public Medical Training College, Opole, Poland
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
  • Institute of Computer Engineering, Control and Robotics, Wroclaw University of Technology, Wroclaw, Poland
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland
autor
  • Department of Anatomy, Wroclaw Medical University, Wroclaw, Poland

Bibliografia

  • 1. Ali JM, Yamada K, Hanada K (2005) Mandibular antegonial and ramus notch depths and condylar bone change. J Oral Rehabil, 32: 1–6.
  • 2. Becker MH, Coccaro PJ, Conversc MD (1976) Antegonial notching of the mandible: an often overlooked mandibular deformity in congenital and acquired disorders. Radiology, 121: 149–151.
  • 3. Bjork A, Skeiller V (1983) Normal and abnormal growth of the mandible: a synthesis of longitudinal cephalometric implant studies over a period of 25 years. Eur J Orthod, 5: 1–46.
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  • 5. Chole RC, Ranjitkumar NP, Swati BC, Gondivkar S, Gadbail AR, Yuwanati MB, (2013) Association of Mandible Anatomy with age, gender and dental status: a radiographic study. ISRN, Radiology Article ID: 453763.
  • 6. Dal Pont G (1961) Retromolar osteotomy for the correction of prognathism. J Oral Surg Anesth Hosp Dent Serv, 19: 42–47.
  • 7. Epker BN (1977) Modifications in the sagittal osteotomy of the mandible. J Oral Surg, 35: 157–159.
  • 8. Henderson D, Poswillo D (1985) A colour atlas and textbook of orthognathic surgery. The surgery of facial skeletal deformity. Wolfe Medical Publications Ltd., Weert.
  • 9. Hovell JH (1965) Variations in mandibular form. Ann R Coll Surg Engl, 37: 1–18.
  • 10. Kaczkowski H, Porwolik K, Porwolik M, Noga L, Woytoń H, Domagała Z, Gworys B (2012) Anatomical analysis of preangular mandibular notch in humans. Folia Morphol, 71: 100–104.
  • 11. Kołodziej RP, Southard TE, Southard KA, Casko JS, Jakobsen JR (2002) Evaluation of antegonial notch depth growth prediction. Am J Orthod Dentofacial Orthop, 121: 357–363.
  • 12. Lambrechts AHD, Haris AMP, Russouw PE, Stander J (1996) Dimensional differences in the craniofacial morphologies of groups with deep and shallow mandibular antegonial notching. Angle Orthod, 66: 265–272.
  • 13. MacIntosh RB (1981) Experience with the sagittal osteotomy of the mandibular ramus. A 13-year review. J Maxillofac Surg, 9: 151–165.
  • 14. Nakajima S, Osato S (2013) Association of gonial angle with morphology and bone mineral content of the body of the adult human mandible with complete permanent dentition. Ann Anat, 195: 533–538.
  • 15. Osato S, Kuroyama I, Nakajima S, Ogawa T, Misaki K (2012) Differences in 5 anatomic parameters of mandibular body morphology by gonial angle size in dentulous Japanese subjects. Ann Anat, 194: 446–451.
  • 16. Park KR, Kim S, Kim GJ, Park HS, Jung YS (2013) Anatomic study to determine a safe surgical reference point for mandibular ramus osteotomy. J Craniofac Surg, 42: 22–27.
  • 17. Salem OH, Al-Sehaibany F, Preston CB (2003) Aspects of mandibular morphology, with specific refrence to the antegonial notch and the curve of Spee. J Clin Pediatr Dent, 27: 261–265.
  • 18. Singer CP, Mamandras AH, Hunter WS (1987) The depth of the mandibular antegonial notch as an indicator of mandibular growth. Am J Orthod Dentofacial Orthop, 91: 117–24.
  • 19. Takahiro O, Shigeo O (2013) Growth changes of the mandibular body with eruption of mandibular third molars: Analysis of anatomical morphometry and quantitative bone mineral content by using radiography. Ann Anat, 195: 143–150.
  • 20. Tomer G, Kishani R (2011) Correlation of antegonial notch depth with craniofacial morphology a cephalometric and electromyographic study. J Pieere Fauchard Acad, 25: 163–171.
  • 21. Uribe F, Janakirman N, Shafer D, Manda R (2013) Three-dimensional cone-beam computed tomography-based virtual treatment planning and fabrication of a surgical splint for asymmetric patients: surgery first approach. Am J Orthod Dentofacial Orthop, 144: 748–758.
  • 22. Wolford LM (2000) The sagittal split ramus osteotomy as the preferred treatment for mandibular prognathism. J Oral Maxillofac Surg, 58: 833–839.
  • 23. Wu JY, Zhang M (2001) A comparative study of craniofacial morphologic differences between groups with shallow and deep antegonial notch depth. Shanghai Kou Qiang Y Xue, 10: 217–220.
  • 24. Zhang M, Zhao Q, Chen YX (2006) Dimensional differences in craniofacial morphologies of prepubence Class II patients with deep an shallow mandibular antegonial notching. Hua Xi Kou Qiang Yi Xue Za Zhi, 24: 142–145..

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Bibliografia

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