Volume 28, Issue 3 (8-2025)
J Arak Uni Med Sci 2025, 28(3): 204-210 |
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Pooladi M, Madadi S, Baazm M, Moslemi A, Golchini E, Abbasi Y. Characteristics of the Maxillary Sinuosus and Accessory Canals in the Arak Population: Age and Gender Correlation. J Arak Uni Med Sci 2025; 28 (3) :204-210
URL: http://jams.arakmu.ac.ir/article-1-7970-en.html
URL: http://jams.arakmu.ac.ir/article-1-7970-en.html
Marziyeh Pooladi1 
, Soheila Madadi2 , Maryam Baazm1 , Azam Moslemi3 , Ehsan Golchini4 , Yusef Abbasi5
, Soheila Madadi2 , Maryam Baazm1 , Azam Moslemi3 , Ehsan Golchini4 , Yusef Abbasi5
1- Department of Anatomy, School of Medicine, Arak University of Medical Sciences, Arak, Iran
2- Department of Anatomy, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
3- Department of Biostatistics, School of Medicine, Arak University of Medical Sciences, Sardasht, Basij Square, Arak, Markazi Province, Iran
4- Department of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran
5- Department of Anatomy, School of Medicine, Arak University of Medical Sciences, Arak, Iran ,yusef6542@gmail.com
2- Department of Anatomy, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
3- Department of Biostatistics, School of Medicine, Arak University of Medical Sciences, Sardasht, Basij Square, Arak, Markazi Province, Iran
4- Department of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran
5- Department of Anatomy, School of Medicine, Arak University of Medical Sciences, Arak, Iran ,
Abstract: (773 Views)
Introduction: The sinuosus canal and its branching accessory canals have crucial importance across different races for minimizing neurovascular problems in dental implantation.
Methods: This study was performed as a retrospective analysis, employing Cone beam computed tomography(CBCT) images of 174 patients who attended a private oral and maxillofacial radiology center in Arak from 2018 to 2020. The CBCT images were examined with Romexis software. Quantitative variables were reported as mean ± standard deviation, whereas qualitative variables were presented as frequency percentages. The data were analyzed using the independent T-test. The correlation between quantitative data was examined using Pearsons correlation coefficient and logistic regression analysis. One-way ANOVA was performed to analyze variables including age groups and the location of accessory canals.
Results: 65.5% of the participants had a canalis sinuosus, demonstrating a considerable prevalence of canalis sinuosus in the studied population. Age and gender did not significantly correlate with the prevalence of accessory and sinuosus canals (P > 0.05). However, a significant difference was observed in the mean diameter of the canalis sinuosus between males and females (P = 0.01). The most common location for the termination of accessory canals on the left side in females was posterior to the lateral incisor (48.3%), whereas in males, it was posterior to the central incisor (45.8%). On the right side, the most common place in females (45.5%) and males (36.4%) was also posterior to the central incisor.
Conclusions: The prevalence of sinuosus and accessory canals in different populations and races is more closely related to sample size and race and requires investigation across different races to reduce neurovascular complications.
Methods: This study was performed as a retrospective analysis, employing Cone beam computed tomography(CBCT) images of 174 patients who attended a private oral and maxillofacial radiology center in Arak from 2018 to 2020. The CBCT images were examined with Romexis software. Quantitative variables were reported as mean ± standard deviation, whereas qualitative variables were presented as frequency percentages. The data were analyzed using the independent T-test. The correlation between quantitative data was examined using Pearsons correlation coefficient and logistic regression analysis. One-way ANOVA was performed to analyze variables including age groups and the location of accessory canals.
Results: 65.5% of the participants had a canalis sinuosus, demonstrating a considerable prevalence of canalis sinuosus in the studied population. Age and gender did not significantly correlate with the prevalence of accessory and sinuosus canals (P > 0.05). However, a significant difference was observed in the mean diameter of the canalis sinuosus between males and females (P = 0.01). The most common location for the termination of accessory canals on the left side in females was posterior to the lateral incisor (48.3%), whereas in males, it was posterior to the central incisor (45.8%). On the right side, the most common place in females (45.5%) and males (36.4%) was also posterior to the central incisor.
Conclusions: The prevalence of sinuosus and accessory canals in different populations and races is more closely related to sample size and race and requires investigation across different races to reduce neurovascular complications.
Type of Study: Original Atricle |
Subject:
Basic Sciences
Received: 2025/02/19 | Accepted: 2025/03/16
Received: 2025/02/19 | Accepted: 2025/03/16
References
1. Jabali S, Pishva S, Bardal R, Bahrami F, Mostafavi M. Quantitative evaluation of the canalis sinuosus relative to adjacent structures in cone-beam computed tomography images. J Adv Periodontol Implant Dent. 2024;16(2):139-43 pmid: 39758264 doi: 10.34172/japid.2024.014.
2. Ghandourah AO, Rashad A, Heiland M, Hamzi BM, Friedrich RE. Cone-beam tomographic analysis of canalis sinuosus accessory intraosseous canals in the maxilla. Ger Med Sci. 2017;15: Doc20. pmid: 29308063 doi: 10.3205/000261
3. Tomrukçu DN, Köse TE. Assesment of accessory branches of canalis sinuosus on CBCT images. Med Oral Patol Oral Cir Bucal. 2019;25(1): e124-e130. pmid: 31880280 doi: 10.4317/medoral.23235
4. Rao W-X, Ma Y-X, Li M-X, Wen Y-M, Rao Y-L, Wu J-Q, et al. Cone Beam Computed Tomography in observing the presence and location of canalis sinuosus. Eur Rev Med Pharmacol Sci. 2024;28(3):939-48. pmid: 38375699 doi: 10.26355/eurrev_202402_35331
5. Salari A, Ostovarrad F, Banan S, Alavi FN. Evaluation of Canalis Sinuosus on CBCT Images of Patients Candidate for Dental Implant Treatment in Iranian Population. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2025;25:e220136. doi: 10.1590/pboci.2025.036
6. Khajavi A, Bakhi MS, Khodadadifard L, Mortazavi S. Evaluation of the frequency, location, and classification of canalis sinuosus in cone-beam computed tomography images. J Dent Sch. 2023;41(3):102-8. doi:10.22037/jds.v41i3.44211
7. Tetik H, Akarslan ZZ. Anatomical variations of the canalis sinuosus: a CBCT Study. Clin Exp Health Sci. 2024;14(3):835-42. doi: 10.33808/clinexphealthsci.1443811
8. Beyzade Z, Yılmaz HG, Ünsal G, Çaygür-Yoran A. Prevalence, radiographic features and clinical relevancy of accessory canals of the canalis sinuosus in cypriot population: A retrospective Cone-Beam Computed Tomography (CBCT) Study. Medicina (Kaunas). 2022;58(7):930. pmid: 35888649 doi: 10.3390/medicina58070930
9. Greenstein G, Tarnow D. The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. J Periodontol. 2006;77(12):1933-43. pmid: 17209776 doi: 10.1902/jop.2006.060197
10. Mraiwa N, Jacobs R, Moerman P, Lambrichts I, van Steenberghe D, Quirynen M. Presence and course of the incisive canal in the human mandibular interforaminal region: two-dimensional imaging versus anatomical observations. Surg Radiol Anat. 2003;25(5-6):416-23. pmid: 13680184 doi: 10.1007/s00276-003-0152-8
11. Lello RIE, Bornstein MM, Suter VGA, Bischof FM, von Arx T. Assessment of the anatomical course of the canalis sinuosus using cone beam computed tomography. Oral Surgery. 2020;13(3):221-9. doi: 10.1111/ors.12490
12. Jones FW. The anterior superior alveolar nerve and vessels. J Anat. 1939;73(Pt 4):583-91. pmid: 17104781
13. Lopes dos Santos G, Ikuta CRS, Salzedas LMP, Miyahara GI, Tjioe KC. Canalis sinuosus: an anatomic repair that may prevent success of dental implants in anterior maxilla. J Prosthodont. 2020;29(9):751-5. pmid: 32902120 doi: 10.1111/jopr.13256
14. Anatoly A, Sedov Y, Gvozdikova E, Mordanov O, Kruchinina L, Avanesov K, et al. Radiological and morphometric features of canalis sinuosus in Russian population: Cone‐Beam Computed Tomography study. International Journal of Dentistry. 2019;2019(1):2453469. doi: 10.1155/2019/2453469
15. Machado VdC, Chrcanovic B, Felippe M, Júnior LM, De Carvalho P. Assessment of accessory canals of the canalis sinuosus: a study of 1000 cone beam computed tomography examinations. Int J Oral Maxillofac Surg. 2016;45(12):1586-91. pmid: 27720336 doi: 10.1016/j.ijom.2016.09.007
16. Wanzeler AMV, Marinho CG, Junior SMA, Manzi FR, Tuji FM. Anatomical study of the canalis sinuosus in 100 cone beam computed tomography examinations. Oral Maxillofac Surg. 2015;19(1):49-53. pmid: 24752931 doi: 10.1007/s10006-014-0450-9
17. Alkis HT, Ata GC, Tas A. Evaluation of the morphology of accessory canals of the canalis sinuosus via cone-beam computed tomography. J Stomatol Oral Maxillofac Surg. 2023;124(4):101406. pmid: 36736732 doi: 10.1016/j.jormas.2023.101406
18. Gurler G, Delilbasi C, Ogut EE, Aydin K, Sakul U. Evaluation of the morphology of the canalis sinuosus using cone-beam computed tomography in patients with maxillary impacted canines. Imaging Sci Dent. 2017;47(2):69-74. pmid: 28680842 doi: 10.5624/isd.2017.47.2.69
19. Aoki R, Massuda M, Zenni LTV, Fernandes KS. Canalis sinuosus: anatomical variation or structure? Surg Radiol Anat. 2020;42(1):69-74. pmid: 31606782 doi: 10.1007/s00276-019-02352-2
20. Samunahmetoglu E, Kurt MH. Assessment of Canalis Sinuosus located in maxillary anterior region by using cone beam computed tomography: a retrospective study. BMC Med Imaging. 2023;23(1):46. pmid: 36978007 doi: 10.1186/s12880-023-01000-x
21. de C Machado V, Chrcanovic BR, Felippe MB, Manhães Júnior LRC, de Carvalho PSP. Assessment of accessory canals of the canalis sinuosus: a study of 1000 cone beam computed tomography examinations. Int J Oral Maxillofac Surg. 2016;45(12):1586-91. pmid: 27720336 doi: 10.1016/j.ijom.2016.09.007
22. Devathambi TJR, Aswath N. Assessment of canalis sinuosus, rare anatomical structure using cone-beam computed tomography: A prospective study. J Clin Imaging Sci. 2024;14:8. pmid: 38628609 doi: 10.25259/JCIS_6_2024
23. MANHÃES LRC, Villaça-Carvalho MFL, Moraes MEL, Lopes SLPdC, Silva MBF, Junqueira JLC. Location and classification of Canalis sinuosus for cone beam computed tomography: avoiding misdiagnosis. Braz Oral Res. 2016;30(1):e49. pmid: 27119586 doi: 10.1590/1807-3107BOR-2016.vol30.0049
24. Şallı GA, Öztürkmen Z. Evaluation of Location of Canalis Sinuosus in the Maxilla Using Cone Beam Computed Tomography. Balkan Journal of Dental Medicine. 2020;25(1):7-12. DOI:10.2478/bjdm-2020- 032
25. Fernandes J, Rohinikumar S, Nessapan T, Rani D, Abhinav RP, Gajendran P. CBCT Analysis of prevalence of the canalis sinuosus on the alveolar ridge in the site of endosseous implant placement: A retrospective study. J Long Term Eff Med Implants. 2022;32(2):45-50. pmid: 35695626 doi: 10.1615/JLongTermEffMedImplants.2022039656
26. Tomrukçu DN, Köse TE. Assesment of accessory branches of canalis sinuosus on CBCT images. Med Oral Patol Oral Cir Bucal 2019;25(1):e124-e130. pmid: 31880280 doi: 10.4317/medoral.23235
27. Orhan K, Gorurgoz C, Akyol M, Ozarslanturk S, Avsever H. An anatomical variant: evaluation of accessory canals of the canalis sinuosus using cone beam computed tomography. Folia Morphol (Warsz). 2018;77(3):551-7. pmid: 29345719 doi: 10.5603/FM.a2018.0003
28. von Arx T, Lozanoff S, Sendi P, Bornstein MM. Assessment of bone channels other than the nasopalatine canal in the anterior maxilla using limited cone beam computed tomography. Surg Radiol Anat. 2013;35(9):783-90. pmid: 23539212 doi: 10.1007/s00276-013-1110-8.
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