A Rare Anatomical Finding: Bilateral Accessory Mental Foramen

Aim. Accessory mental foramen (AMF) is a not common anatomical variation. During the surgical procedures involving the mandible such as implant surgery, periapical surgery, jaw surgeries, and periapical surgery and enucleation of pathologies at the mental region, obvious attention should be given to...

Full description

Saved in:
Bibliographic Details
Main Authors: Zülfikar Karabıyık, Mustafa Kıranatlı
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/6020515
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560665957498880
author Zülfikar Karabıyık
Mustafa Kıranatlı
author_facet Zülfikar Karabıyık
Mustafa Kıranatlı
author_sort Zülfikar Karabıyık
collection DOAJ
description Aim. Accessory mental foramen (AMF) is a not common anatomical variation. During the surgical procedures involving the mandible such as implant surgery, periapical surgery, jaw surgeries, and periapical surgery and enucleation of pathologies at the mental region, obvious attention should be given to prevent postoperative sequelae. Case Report. Orthopantomograph (OPG) is routinely taken to visualize the maxillofacial region at a dental clinic. OPG shows exactly upper and lower jaw and teeth but superficially reveals some pathology or anatomic variation. It misses sometimes an anatomic landmark such as AMF. As the surgery is planned to a maxillofacial region, a detailed knowledge should be known before going into surgery to not interfere with anatomic landmarks. A 52-year-old male patient was referred to Kütahya Health Science University Dental Hospital, Turkey, to rehabilitate his bilateral partial edentulous lower jaw region. Implant surgery was planned in our patient. OPG was taken to evaluate the maxillofacial region but was unremarkable. Before the implant surgery, CBCT was obtained from our patient. CBCT and a three-dimensional reconstructed model of the male patient showed bilateral accessory mental foramen (AMF). Conclusion. Accessory mental foramen (AMF) carries additional innervation to the chin, mandibular anterior gingiva, and mental region. Reflection and protection of the AMF during the surgery can prevent hemorrhage and neurosensory disturbance at the mental region and can improve quality of life for the patient. CBCT has higher precision but also a higher price and radiation dose. Although anatomical variations are uncommon, they can be found on digital panoramic radiographs but in limited percentage.
format Article
id doaj-art-57431b267bc94dd3be8f2fca10ef4199
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-57431b267bc94dd3be8f2fca10ef41992025-02-03T01:26:59ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/60205156020515A Rare Anatomical Finding: Bilateral Accessory Mental ForamenZülfikar Karabıyık0Mustafa Kıranatlı1Kütahya Health Science University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery, TurkeyKütahya Health Science University, Dentistry Faculty, Department of Oral and Maxillofacial Radiology, TurkeyAim. Accessory mental foramen (AMF) is a not common anatomical variation. During the surgical procedures involving the mandible such as implant surgery, periapical surgery, jaw surgeries, and periapical surgery and enucleation of pathologies at the mental region, obvious attention should be given to prevent postoperative sequelae. Case Report. Orthopantomograph (OPG) is routinely taken to visualize the maxillofacial region at a dental clinic. OPG shows exactly upper and lower jaw and teeth but superficially reveals some pathology or anatomic variation. It misses sometimes an anatomic landmark such as AMF. As the surgery is planned to a maxillofacial region, a detailed knowledge should be known before going into surgery to not interfere with anatomic landmarks. A 52-year-old male patient was referred to Kütahya Health Science University Dental Hospital, Turkey, to rehabilitate his bilateral partial edentulous lower jaw region. Implant surgery was planned in our patient. OPG was taken to evaluate the maxillofacial region but was unremarkable. Before the implant surgery, CBCT was obtained from our patient. CBCT and a three-dimensional reconstructed model of the male patient showed bilateral accessory mental foramen (AMF). Conclusion. Accessory mental foramen (AMF) carries additional innervation to the chin, mandibular anterior gingiva, and mental region. Reflection and protection of the AMF during the surgery can prevent hemorrhage and neurosensory disturbance at the mental region and can improve quality of life for the patient. CBCT has higher precision but also a higher price and radiation dose. Although anatomical variations are uncommon, they can be found on digital panoramic radiographs but in limited percentage.http://dx.doi.org/10.1155/2021/6020515
spellingShingle Zülfikar Karabıyık
Mustafa Kıranatlı
A Rare Anatomical Finding: Bilateral Accessory Mental Foramen
Case Reports in Dentistry
title A Rare Anatomical Finding: Bilateral Accessory Mental Foramen
title_full A Rare Anatomical Finding: Bilateral Accessory Mental Foramen
title_fullStr A Rare Anatomical Finding: Bilateral Accessory Mental Foramen
title_full_unstemmed A Rare Anatomical Finding: Bilateral Accessory Mental Foramen
title_short A Rare Anatomical Finding: Bilateral Accessory Mental Foramen
title_sort rare anatomical finding bilateral accessory mental foramen
url http://dx.doi.org/10.1155/2021/6020515
work_keys_str_mv AT zulfikarkarabıyık arareanatomicalfindingbilateralaccessorymentalforamen
AT mustafakıranatlı arareanatomicalfindingbilateralaccessorymentalforamen
AT zulfikarkarabıyık rareanatomicalfindingbilateralaccessorymentalforamen
AT mustafakıranatlı rareanatomicalfindingbilateralaccessorymentalforamen