Assessing the frequency of deep lingual concavities in 826 posterior mandible sockets

J Craniomaxillofac Surg. 2020 Nov;48(11):1045-1051. doi: 10.1016/j.jcms.2020.09.001. Epub 2020 Sep 12.

Abstract

Purpose: To evaluate the frequency of deep lingual concavities in the lower jaw, which can cause surgical complications while inserting dental implants.

Methods: Cross-sections of the mandible alveolar ridge at the edentulous sockets were obtained via cone-beam computed tomography. Measurements were carried out using the freeware 'IC Measure' and based on the basic definitions of a previous study.

Results: Most (767/826 = 93%) sockets had concavities of various degrees (30-90°), while 59 (7%) sockets had no concavity. However, the majority of the concavities (71%) were mild, with angles > 60°. The other 220 (26%) sockets had deeper concavities of <60°; among these, 12 (1%) had extremely deep concavities of <40°.

Conclusions: Only a few cases have deep lingual concavities that pose a high risk for lingual plate perforation during dental implantation.

Keywords: Cone-beam computerized tomography; Dental implant; Lingual concavity.

MeSH terms

  • Cone-Beam Computed Tomography
  • Dental Implantation, Endosseous / adverse effects
  • Dental Implants*
  • Humans
  • Mandible / diagnostic imaging
  • Mandible / surgery
  • Mouth, Edentulous*
  • Tongue
  • Tooth Socket

Substances

  • Dental Implants