Dental Tribune USA

  1. Prof. Narayana Kilarkaje says:

    Previously, I reported accessory foramina, including retromolar foramen and canal, and accessory mandibular foramina in mandibles (please see my papers in google). Cortex of mandible has numerous inconstant foramina. The inconstant foramen on ramus may be pierced by some nerve fibers from messeteric nerve after it supplies the masseter. However, these branches do not reach the mandibular teeth as they are far away. When I reviewed this paper, I did not see that discussion. Early branching of IAN in the case of mandible or accessory alveolar nerves in the case of maxilla may be responsible for anesthesia escape theory and the nerve fibers passing through the foramina are unlikely to be the reason.

  2. Prof Puneet Wadhwani says:

    Dr Nyer, is one isolated case on the lateral aspect of coronoid enough to state it as a ground breaking finding?.. If you look at Langlais(1985)classification of bifid inferior alveolar canals, this falls under a Type 4 category (LA MALAMED PG 183) the only difference being present on the lateral aspect of the mandible.. bifid inf alv canals are known to have different origin (openings)on various levels of ramus and are notorious for incomplete anaesthesia because of differential distribution of the the inferior alv nerve bundle.
    My concern is that in todays world everything present on internet is being taken verbatim.

  3. Dr Azhar perveiz says:

    Thanks dr nyyer n best wishes for ur future

  4. Yak Lindy says:

    Would it be possible to change injection angle to Anesthetize nerves from this Foramen as well?

  5. Dr rashid tellawi says:

    Thx dr Nyer for this knowledge its verry important for the dental future .
    God bless you ❤

  6. Dr. Ninad jamdade says:

    How much clinical significance does this foramina and associated structures carry during the surgical procedures and in case of pain control?

  7. Dr Dannis Brij says:

    Thank you Dr Nyer for widening our knowledge about this anatomic variation.
    Congratulations and best wishes

  8. Dr. Nyer Firdoose says:

    These bilateral coronoid foramina along with the accessory foramina on the lateral aspect of ramus of mandible are occupied by neurovascular bundle. The confirmed structures are debatable, also it needs extensive invasive investigations to isolate and identify them.

  9. S.Cherie Natasha says:

    what are the specific structures passing through the coronoid foramina?

  10. Dr G John Berne says:

    I can’t believe the statement that “current antimicrobial techniques are largely ineffective. I have been using ozone therapy for almost 10 years and there is now almost no periodontal infection that I can’t control. Since I have been using ozonated water and ozone gas for intraoral infections I have rarely any failures if the patient is treated adequately. Furthermore I now rarely use antibiotics for localized oral infections or after oral surgery as ozone is so effective.I am well situated with ozone to combat the forthcoming catastrophe when we run out of antibiotics I scratch my head to understand why it is not now universally used.We don’t need robots if you start using ozone.

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