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BioMed Research International
Volume 2014, Article ID 945671, 11 pages
Clinical Study

Cone Beam Computed Tomographic Analyses of the Position and Course of the Mandibular Canal: Relevance to the Sagittal Split Ramus Osteotomy

1Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Erciyes University, 38039 Kayseri, Turkey
2Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Abant Izzet Baysal University, 14280 Bolu, Turkey

Received 16 April 2013; Revised 11 December 2013; Accepted 23 December 2013; Published 27 February 2014

Academic Editor: Vijay K. Goel

Copyright © 2014 Ahmet Ercan Sekerci and Halil Sahman. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. The aim of this study was to document the position and course of the mandibular canal through the region of the mandibular angle and body in dental patients, using cone beam computed tomographic imaging. Methods. The position and course of the mandibular canal from the region of the third molar to the first molar were measured at five specific locations in the same plane: at three different positions just between the first and second molars; between the second and third molars; and just distal to the third molar. Results. The study sample was composed of 500 hemimandibles from 250 dental patients with a mean age of 26.32. Significant differences were found between genders, distances, and positions. B decreased significantly from the anterior positions to the posterior positions in both females and males. The mean values of S and CB increased significantly from the posterior positions to the anterior positions in both females and males. Conclusion. Because the sagittal split ramus osteotomy is a technically difficult procedure, we hope that the findings of the present study will help the surgeon in choosing the safest surgical technique for the treatment of mandibular deformities.