Anatomical Variations of the Mandibular Canal and Their Clinical Significance


Şimşek M.

​Advanced Clinical Maxillofacial Imaging: From Anatomy to AI, Samed ŞATIR, Editör, Akademisyen Kitabevi, Ankara, ss.1-10, 2026

  • Yayın Türü: Kitapta Bölüm / Mesleki Kitap
  • Basım Tarihi: 2026
  • Doi Numarası: 10.37609/akya.4109
  • Yayınevi: Akademisyen Kitabevi
  • Basıldığı Şehir: Ankara
  • Sayfa Sayıları: ss.1-10
  • Editörler: Samed ŞATIR, Editör
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

The mandibular canal (MC) is a bilateral intraosseous structure that contains the inferior alveolar neurovascular bundle and plays a critical role in dental and maxillofacial procedures. Although typically described as a single canal, several anatomical variations may be observed, including bifid and trifid canals, the retromolar canal, mandibular incisive canal, accessory mental foramen, anterior loop, and lingual foramina. These variations arise mainly from embryological developmental patterns and may significantly influence surgical and anesthetic interventions. Failure to recognize such variations can result in neurovascular injury, hemorrhage, neurosensory disturbances, or inadequate inferior alveolar nerve block anesthesia. With the increasing use of cone-beam computed tomography (CBCT), detection of these variations has improved substantially, as CBCT provides high-resolution three-dimensional imaging and accurate visualization of canal morphology and branching configurations. Therefore, careful preoperative assessment of the MC and its anatomical variations is essential for procedures such as implant placement, third molar extraction, and orthognathic surgery. Systematic identification and appropriate radiological evaluation help minimize iatrogenic complications, enhance treatment planning, and improve overall patient safety and clinical outcomes in contemporary dental practice.