Díaz G, Bustamante G, Romero L, Cedeño A, Molina M

Language: Spanish
References: 10
Page: 32-36
PDF size: 834.88 Kb.

ABSTRACT

Introduction: the term bifid originates in Latin and means «split in two». A bifid mandibular canal (BMC) is simply the formation of a secondary mandibular canal that runs parallel to the main canal, with or without communication between the two structures. Analyzing the position and precise course of the mandibular canal is crucial, as it can lead to complications ranging from inadequate anesthesia to active bleeding and postoperative sensory disturbances due to injury to the secondary canal. Objective: describe the imaging diagnosis of a bifid mandibular canal as an incidental finding. Case report: this was a 25-year-old female patient with a history of pain during dental treatment, despite having received anesthetic block, which is why a panoramic image was requested, in which the presence of an extremely unusual anatomical variant was detected, which was analyzed and categorized with the help of a cone beam computed tomography (CBCT) and the available digital tools. Conclusion: for an accurate diagnosis, it is essential to evaluate these cases using more specific imaging methods such as CBCT, in order to ensure effective anesthetic block, as well as to prevent intra- and postoperative complications due to these possible anatomical variations.

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