Introduction: this study aimed at determining gender and age by mandibular anatomy landmarks in computed tomography with Cone-Beam (CBCT). Methodology: this cross sectional study was performed on 147 CBCT images available in archive of radiology in the dentistry department of Ahvaz Jondi Shapoor medical science university. In this research, we assessed parameters including SMEF: Distance from mental foramen to the highest point of alveolar crest ridge, BIAC: distance from lowest point of IAC to the most anterior tangent point of buccal mandibular plate, LIAC: distance from the lowest IAC point to the most posterior tangent point o mandibular lingual plate, IMEF: distance from the lowest mental hole border to the lowest tangent point on inferior mandibular border, D2: distance from the lowest IAC canal border to the lowest tangent point on inferior mandibular border and gonial angle: junction of inferior mandibular border and posterior ramus border. Data were analysed by SPSS software 20th version and Spearman correlation coefficient tests, one-way variance analysis, Kruskal-Wallis, independent t, and Uman Withney. Results: SMEF level was significantly different in groups and in 25-34 group it was significantly higher than under 25 group. In right side it was significantly higher than female. IMEF had no significant difference in age groups and in both side it was higher in male than female. BIAC in both sides had no significant difference. LIAC in both sides an in different ages had no significant difference in male and female. D2 had no significant difference in both sides. But in a group with patients older than 55 it was significantly higher than 45-54 group. In addition, in left side it was higher in male than female there was no significant difference in gonial angle in different groups in left side with in right side there was significant difference in different age groups. But there was no significant difference in gender. Conclusion: evaluated indices in this research are not ry accurate to forecast age and gender and they cannot be used as accurate tools in estimating age and gender of people.
Background Nasal septum deviation (NSD) can cause serious anatomical and clinical complications. It can change the breathing pattern and thus alter the anatomy of the airway structures. Despite its importance, the association between NSD with the nasopharynx volume (NPV) has not been assessed before. Therefore, we aimed to investigate it for the first time. Methods Archival CBCTs of 202 patients older than 17 years and without any history of trauma or pathology of the nasopharynx and without any orthodontic/orthognathic treatments were evaluated (129 women, 73 men, mean age: 36.24 ± 14.61 years). All included CBCTs must have been taken with a 12 × 8 field of view and fully covered the nasopharynx areas. The extent of NSD (°) and NPV (mm3) were measured. NSDs were categorized as mild (NSD ˂ 9°), moderate (9 ≤ NSD ≤ 15°), and severe (NSD ˃ 15°). Associations between sex, age, NSD, and nasopharynx volume were assessed using independent-samples t test, chi-square, one-way ANOVA, Tamhane post hoc test, Pearson and point-biserial correlation coefficients, and multiple linear regressions (α = 0.05). Results Mean NSDs were 11.27 ± 4.69° (range 1–19.5), 11.58 ± 4.63°, and 10.70 ± 4.76° in the sample, females, and males, respectively (P > 0.05). Of females, 27.9%, 40.3%, and 31.8% had mild, moderate, and severe NSDs. These were 35.6%, 39.7%, and 24.7% in males (P > 0.05). Mean NPVs were 4.88 ± 1.49, 4.80 ± 1.43, and 5.04 ± 1.60 mm3 in the sample, females, and males, respectively (P > 0.05). Mean NPVs were 6.41 ± 1.21, 4.87 ± 0.73, and 3.30 ± 0.65 mm3 in mild, moderate, and severe NSD groups (all P values = 0.000). Mean ages were 27.06 ± 6.49, 29.80 ± 9.64, and 54.73 ± 8.45 years in mild, moderate, and severe NSD groups (severe group being older than the other two groups, P = 0.000). NSD was strongly, negatively correlated with NPV (R = − 0.793, P = 0.000). Sex was not correlated with NPV or NSD (P ≥ 0.189). Age was negatively and positively correlated with NPV and NSD, respectively (P = 0.000). Modeling NSD (β = −0.776, P = 0.000) as a predictor for NPV rendered age effect insignificant (P > 0.05). Conclusions It was found, for the first time, that the more deviated the nasal septum, the smaller the nasopharynx volume. Aging might increase NSD and through it, reduce the nasopharynx volume. Sex might not affect NSD or NPV.
Introduction: Paranasal sinuses are four air-filled spaces in face. The maxillary sinuses are important for dentist because of their location. The volume of them can be affected by various factors and make them prone to sinusitis. Objectives: This retrospective study examined maxillary sinus volume in relationship with nasal septum deviation (NSD) by using cone-beam computed tomography (CBCT). Materials and Methods: From our CBCT archives, we retrospectively selected 210 CBCT images and 420 healthy maxillary sinuses. The maxillary sinuses were calculated using the NNT Viewer software by importing CBCT images. In this study, NSDs were classified into three levels of severity: mild, moderate, and severe. In patients with NSD, bilateral sinus volumes were compared and allowed us to determine the difference in maxillary sinus volume. Statistical analysis was conducted using SPSS (P<0.05). Results: The average volume of the right and left maxillary sinuses is 13.04 ± 3.37 cm3 and 13.59 ± 3.33 cm3 , respectively. The prevalence of NSD in population of this study was 89.5%. Both sides of the maxillary sinuses were significantly larger in male patients than female patients (P<0.05). The negative correlation between age and maxillary sinus volume (P<0.05) showed that maxillary sinus volume decreased with age. For cases of moderate and severe NSDs in the same direction as the deviation, the maxillary sinus volume is significantly smaller than that on the opposite side (P<0.05), while there was no significant difference in mild cases of deviation (P>0.05). Conclusion: In moderate and severe groups, maxillary sinus volume was smaller on the same side compared with the opposite side of deviation, and maxillary sinus volume is greater in male patients than female patients, and it decreases with age.
Introduction: Primary oral melanoma is an uncommon malignant tumor that originates from the proliferation of melanocytes.Case Presentation: A 78‐year‐old man presented with a pigmented lesion around the maxillary anterior implant prosthesis. The lesion was excised and diagnosed as a melanoma. Biopsy showed a malignant pigmented neoplasm that included proliferation of dysplastic melanocytes into the superficial layers of the submucosa. Initial testing, including a positron emission tomography scan, showed no metastasis; however, after 7 months, the patient developed a cervical lymphadenopathy. A neck dissection was performed and indicated that there was metastasis of the primary melanoma. After surgery, the patient received chemotherapy.Conclusions: Histologic examination of the excised lesion revealed the presence of a malignant melanoma in association with a junctional nevus of the oral mucosa. The patient was referred to the oral and maxillofacial department for further evaluation.
Background: The ostiomeatal complex (OMC) is not a separate anatomical structure although it is a functional unit of structures, including the middle meatus, uncinate process, infundibulum, maxillary sinus ostium, ethmoidal bulla, anterior ethmoid sinus ostium, and frontal recess. Concha bullosa is the pneumatization of the concha, which is one of the most common anatomical variations in the middle turbinate. Methods: This study was conducted using the cone-beam computed tomography (CBCT) images of 172 patients in the archives of the Department of Oral and Maxillofacial Radiology, Dentistry School, Ahvaz Jundishapur. Patient information including age and gender, presence or absence of concha bullosa, the involved side (left or right), and its type (i.e., extensive, lamellar, and bulbous) were collected in the information form. Finally, the chi-square test (with SPSS, version 22) was used to analyze the data, and P value less than 0.05 was considered statistically significant. Results: Patients with and without concha bullosa were 39.1 and 41.7 years, respectively, but it was no significant difference in terms of age (P = 0.321). Out of 52 patients with concha bullosa, 19 (36.5%) cases were males and 33 (63.5%) of them were females. The prevalence of concha bullosa was higher for the bilateral side (20 patients, 38.5%, P = 0.000). The prevalence of bulbulsand lamellar-shape was nearly the same (32.7% and 30.8%, respectively). Eventually, the extensive shape with 36.5% was more frequent for the shape of concha bullosa (P = 0.000). Conclusions: The prevalence of concha bullosa was high. There was no significant difference in terms of age (P = 0.321) and gender (P = 0.058) of patients with concha bullosa. The extensive type and the bilateral appearance of concha bullosa were more significant (P = 0.000).
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