The course of the inferior alveolar nerve in the normal human mandibular ramus and in patients presenting for cosmetic reduction of the mandibular angles

This study was undertaken to quantify the path of the inferior alveolar nerve in the normal human mandible and in the mandibles of patients presenting for cosmetic reduction of the mandibular angles. The goals were: (1) to provide normative information that would assist the surgeon in avoiding injury to the nerve during surgery; (2) to characterize gender differences in the normal population; and (3) to compare the course of the nerve in the normal population to its course in a group of patients who presented with a complaint of "square face." The study was based upon the computerized tomographic scans of 10 normal patients (six men, four women) and 8 patients (all women) complaining of "square face." Using AnalyzePC 2.5 imaging software, the mandibles were segmented and the position of the nerve was recorded within its osseous canal in the mandibular ramus on each axial slice in which it was identifiable. Distances were calculated between the nerve and the anterior, posterior, lateral, and medial cortices. The positions of the lateral ramus prominence and the lowest point on the sigmoid notch were also recorded. The position of the mental foramen was recorded in relation to the nearest tooth, and the three-dimensional surface distances from the foramen to the alveolar bone, the inferior border of the mandible, and the mandibular symphysis were determined. The distances from the entrance of the nerve into the mandible to the lateral ramus prominence and the lowest point on the sigmoid notch were calculated. Summary statistics were obtained, comparing differences in gender. The nerve was identifiable in each ramus over a mean distance of 12.7 mm. On average, the lateral ramus prominence was 0.3 mm higher on the caudad-cephalad axis than the point at which the nerve entered the bone, whereas the location of the lowest point on the sigmoid notch was 16.6 mm above the nerve. The average distances from the nerve to the anterior, posterior, medial, and lateral cortices were 11.6, 12.1, 1.8, and 4.7 mm, respectively. Gender differences were significant for all of these except the medial cortex to nerve distance. On average, the mental foramen exited the body of the mandible immediately below the second premolar and the average surface distances from the foramen to the symphysis, the most cephalad alveolar bone, and the inferior border of the body were 30.9, 14.2, and 19.3 mm, respectively. With regard to the patients presenting for mandibular angle reduction, there were a few statistically significant but small scalar differences from normal controls.     

Cephalometric study of mandibular dimorphism in living population in South-West France

The role of the mandible in sex determination is still poorly defined because of the plasticity of this bone. We carried out a teleradiographic study of the mandibles of 63 living white subjects, measuring bigonial breadth, bicondylar breadth (anterior radiographs), mandibular symphysis height, mandibular length, articulare-gonion height, mandibular ramus height and mandibular body length (lateral radiographs). All these paramters showed significant sexual dimorphism (p<0.001 in all cases). Mandibular symphysis height had the highest percentage of dimorphism (19.44%). Based on this study, two discriminant functions were calculated, one of which used all the measurement and the other, two. These functions made it possible to determine the sex of 87.3% of the sample studied, using the mandible alone.     

A note on functional implications of morphological variation in the human mandible

This study was carried out on 56 mandibles belonging to skeletal remains recovered from archaeological excavations in Israel dated to 6.000 BP. or less, 2 Neandertal mandibles dating between 50.000–60.000 BP. and 2 early H. sapiens sapiens mandibles both dating to circa 92.000 yr BP. Mandibular body length, the distance from the anterior border of the symphysis to a line bisecting the first molar (distance 1), and the distance from the line bisecting the first molar to the mandibular angle (distance 2) were measured. Distance 1, showed little variation between specimens. However, distance 2 showed a significant difference between sexes and between early and late specimens. For all specimens examined there was a low nonsignificant correlation, between the length of the mandible and distance 1, while there was a high correlation between the length of the mandibular body and distance 2. There was little or no correlation between distance 1 and 2. We propose that the human mandible, as a lever arm, can be divided into two functional parts; an anterior part which shows little change over the last 90000 years, and a posterior part which differs in accordance with the length of the mandibular corpus. These changes in distance 2 appear to correlate to changes in body size and diet, suggesting that as proposed by Hylander (1988) chewing rather than incision has played the main role in evolutionary trends of the hominid mandible. This is also in accordance with mandibular growth during development where the lengthening of the jaw takes place mostly in the posterior part by remodeling in the ramus area (Enlow, 1990) both during individual development (ontogenesis) and through evolutionary changes (phylogenesis).     

Growth-related changes in prehistoric Jomon and modern Japanese mandibles with emphasis on cortical bone distribution

Cortical bone distribution of the anthropoid mandibular symphysis has been addressed in relation to mechanical stress generated by mastication. To examine whether or not bone mass and distribution patterns of the human mandibular symphysis could be interpreted as an example of functional adaptation, we compared the skeletal growth series of two populations, prehistoric Jomon, considered to represent a "robust" mandibular morphology associated with a presumed heavier masticatory load, and modern Japanese. Results showed that the adult Jomon symphysis possessed significantly greater bone mass and thicker cortical bone compared to the modern Japanese condition. However, the second moments of area did not differ significantly between the two, indicating comparable rigidity against bending. Furthermore, the Jomon mandibles of the infant to juvenile stages exhibited most of the adult characteristics, in both bone mass/distribution of the symphysis and in mandibular corpus/ramus morphologies. The present study also demonstrated the presence of a growth pattern of symphyseal cortical thickness, common to both the Jomon and the modern Japanese series. In both populations, subsequent to deciduous molar occlusion, cortical bone tends to be thickest at the inferolingual symphysis, at the location where the highest tensile stresses presumably occur during mastication. These findings suggest that the "robust" characteristics of the Jomon mandible are initially manifested early in development, and that the effect of mechanical stimulus to bone mass formation in the human symphysis is largely confined to a regulatory role during growth modeling.     

Talking heads: Morphological variation in the human mandible over the last 500 years in the Netherlands

The primary aim of this paper is to assess patterns of morphological variation in the mandible to investigate changes during the last 500 years in the Netherlands. Three-dimensional geometric morphometrics is used on data collected from adults from three populations living in the Netherlands during three time-periods. Two of these samples come from Dutch archaeological sites (Alkmaar, 1484–1574, n = 37; and Middenbeemster, 1829–1866, n = 51) and were digitized using a 3D laser scanner. The third is a modern sample obtained from MRI scans of 34 modern Dutch individuals.Differences between mandibles are dominated by size. Significant differences in size are found among samples, with on average, males from Alkmaar having the largest mandibles and females from Middenbeemster having the smallest. The results are possibly linked to a softening of the diet, due to a combination of differences in food types and food processing that occurred between these time-periods. Differences in shape are most noticeable between males from Alkmaar and Middenbeemster. Shape differences between males and females are concentrated in the symphysis and ramus, which is mostly the consequence of sexual dimorphism. The relevance of this research is a better understanding of the anatomical variation of the mandible that can occur over an evolutionarily short time, as well as supporting research that has shown plasticity of the mandibular form related to diet and food processing. This plasticity of form must be taken into account in phylogenetic research and when the mandible is used in sex estimation of skeletons.     

Modeling a fibula transplant in mandibular reconstructions: evaluation of the effects of a minimal number of osteotomies on the contour of the jaw.

The fibula osteocutaneous free flap has become the preferred method for most cases of mandibular reconstruction after oncologic surgical ablation. To recreate the parabolic form of the mandible, the fibula has to be divided up into segments using a closed wedge osteotomy technique. The number of osteotomies is preferably kept to a minimum so that segmental periosteal circulation is not compromised and also to keep operating time to a minimum. The limited number of osteotomies creates an angular contour. The aim of this study was to establish the degree to which overcorrection or undercorrection would occur when a subtotal reconstruction from ramus to ramus was simulated using five bony segments and four osteotomies. The study was carried out using 30 preserved jaws; the contour lines of the jaws were transferred onto tracing paper using a cardboard template. The contour of the mandible was divided into five sections (ramus, body, symphysis, body, and ramus). Because of the cutting off of the curvature in the original jaw outline, the lateral side of the body will become narrower and the chin broader. This also results in an underprojection (displacement) of the chin. To follow the original contour of the jaw as accurately as possible, all these anomalies must be minimized. The amount of under- and overprojection is calculated for a displacement of 1.0, 1.5, 2.5, 5.0, 7.5, and 10 mm of the chin. The most accurate reconstruction of the mandibular contour is achieved with a displacement of 1.5 or 2.5 mm. To preserve sufficient periosteal circulation, the minimum width of bone segments must be 15 mm or more. This concerns especially the symphysis section. On the basis of a fibula thickness of 14 mm, the internal bone width of the symphysis section is calculated. With a displacement of 1.5 mm, the average internal width of the bone segment is 14.8 mm, with a range of 9.9 to 23.0 mm (95 percent confidence interval, 12.8 to 16.7 mm). Therefore, a displacement of 2.5 mm with an internal bone width of 16.4 mm is preferred (range, 11.9 to 24.8 mm; 95 percent confidence interval, 15.5 to 18.2 mm). The loss of lateral projection is minimal (5.8 mm) and the resulting chin width is acceptable (average, 35.0 mm). In conclusion, we propose that in a subtotal procedure, an acceptable jaw reconstruction can be achieved with a limited number of osteotomies. The bone length of the symphysis section remains within safe limits. If the defect is of limited dimensions, then the resulting jaw contour is even more accurate.     

Sexual dimorphism in the Atapuerca-SH hominids: the evidence from the mandibles

The pattern of sexual dimorphism in 15 mandibles from the Atapuerca-SH Middle Pleistocene site, attributed to Homo heidelbergensis, is explored. Two modern human samples of known sex are used as a baseline for establishing sexing criteria. The mandible was divided for analysis into seven study regions and differential expression of sexual dimorphism in these regions is analysed. A total of 40 continuous and 32 discrete variables were scored on the mandibles. The means method given in Regh & Leigh (Am. J. phys. Anthrop.110, 95-104, 1999) was followed for evaluating the potential of correct sex attribution for each variable.On average, the mandibles from the Atapuerca-SH site present a degree of sexual dimorphism about eight points higher than in H. sapiens samples. However, mandibular anatomy of the European Middle Pleistocene hominid records sexual dimorphism differentially. Different areas of the Atapuerca-SH mandibles exhibit quite distinct degrees of sexual dimorphism. For instance, variables of the alveolar arcade present very low or practically no sexual dimorphism. Variables related to overall size of the mandible and symphysis region present a medium degree of sex differences. Finally, ramus height, and gonion and coronoid process present a high degree of sexual dimorphism (indexes of sexual dimorphism are all above 130%). Whether this marked sexual dimorphism in specific anatomical systems affects sexual differences in body size is not completely clear and further studies are needed.Sexual differences detected in the mandible of modern humans have at least two components: differences related to musculo-skeletal development and differences related to a different growth trajectory in males and females (relative development of some of the basal border features). The Atapuerca-SH mandibles display little variation in the basal border, however. The limited variation of this mandibular region may indicate that the pattern of sexual variation in H. heidelbergensis is different enough to that of H. sapiens to caution against simple extrapolation of criteria from one pattern to the other.     

Two new“Meganthropus” mandibles from Java

There are now eleven known mandibular pieces from the Lower and Middle Pleistocene of Java, all but one being from the Sangiran site. All of these have been assigned toHomo erectus by most authorities, while others have suggested as many as four different hominoid taxa. Two of the mandibles, Sangiran 33 (Mandible H) and“Meganthropus”D (no Sangiran number yet assigned), are described here for the first time. The two new mandibles come from the Upper Pucangan Formation and date approximately 1.2–1.4 Myr. They are morphologically compatible with other“Meganthropus” mandibles described from Java. Despite attempts by numerous authorities to place all the Sangiran hominid mandibles in the species,H. erectus, the range of variation in metric and nonmetric features of the“Meganthropus” hominids is clearly beyond the know variation found inH. erectus. “Meganthropus” could represent a speciation from the well-knownH. erectus.     

Three-dimensional CT examination of the mastication system in the giant anteater

The gross anatomy of the mastication system of the giant anteater (Myrmecophaga tridactyla) was examined by means of three-dimensional image analysis. The anteater rotates the mandibles medially and laterally to control its tongue when it is elongated and to house it when it is relaxed. Three-dimensional CT image analysis demonstrated that the shape and size of the oral cavity changes drastically when the mandibles are rotated. The oral cavity expands bilaterally when the dorsal part of the mandibles bend medially. Macroscopic observations and muscle-weight data supported the observation that the superficial temporal and medial pterygoid muscles act as the main medial and lateral rotators of the mandible, respectively. The low height of the mandibular ramus and the incomplete zygomatic arch in this species represent adaptations for the rotational movement of the mandibles, since they both contribute to the medially oriented transmission of force from the temporal muscles and to preventing collision between the mandibles and the cranium during the rotational movement.     

Predatory behavior in the genusLeptogenys: A comparative study

We studied the predatory behavior of seven species of the genusLeptogenys from Mexico and Cameroon. The ants of this genus are armed with long, thin, curved mandibles articulated at the extreme corners of the anterior margin of the head, permitting them easily to seize oniscoid isopods, the obligate or the principal prey of mostLeptogenys species. Workers hunt these prey, which are able to roll themselves up, solitarily. Foraging behavior comprises sequences of up to eight activities. The prey can be seized by the body (rolled up or not), or alternatively by the edge of the shell, then turned over and stung on the ventral face. A relationship between the mandible size of the workers and the handling method permitted us to established that the phase “seizure by the edge of the shell” (compared to grasping the prey by the body) was more frequent as the prey size increased or the mandible length of the workers decreased. The rate of prey escape followed the same pattern. When a prey escaped, workers reacted by using a local searching or “reserve” behavior: they moved by increasing both sinuosity and speed. Recruitment occurred mainly after a worker found a group of prey or a large prey.L. mexicana are attractive at a distance to the isopods Bathytropidae living in the same natural environment. As a consequence, prey capture is possible without foraging for this species.     

Reverse engineering of mandible and prosthetic framework: Effect of titanium implants in conjunction with titanium milled full arch bridge prostheses on the biomechanics of the mandible

This study aimed at investigating the effects of titanium implants and different configurations of full-arch prostheses on the biomechanics of edentulous mandibles. Reverse engineered, composite, anisotropic, edentulous mandibles made of a poly(methylmethacrylate) core and a glass fibre reinforced outer shell were rapid prototyped and instrumented with strain gauges. Brånemark implants RP platforms in conjunction with titanium Procera one-piece or two-piece bridges were used to simulate oral rehabilitations. A lateral load through the gonion regions was used to test the biomechanical effects of the rehabilitations. In addition, strains due to misfit of the one-piece titanium bridge were compared to those produced by one-piece cast gold bridges. Milled titanium bridges had a better fit than cast gold bridges. The stress distribution in mandibular bone rehabilitated with a one-piece bridge was more perturbed than that observed with a two-piece bridge. In particular the former induced a stress concentration and stress shielding in the molar and symphysis regions, while for the latter design these stresses were strongly reduced. In conclusion, prosthetic frameworks changed the biomechanics of the mandible as a result of both their design and manufacturing technology.     

Dynamic analysis,with feedback characterization,of hybrid human musculoskeletal frameworks by the linegraph-flowgraph procedure

The dynamic response of human musculo-skeletal framework is treated by (i) idealization of the musculo-skeletal framework as hybrid structural networks possessing feedback characteristics and then (ii) employing linegraph-flowgraph procedures for the feedback characterization of the hybrid structural networks. Topological procedures are used in which a “tree” of a network furnishes the skeleton upon which the “linkage” (muscle representing) members provide interaction. Feedback characterization (representing the sensitivity of the skeletal members to the tensile forces) is defined, between the internal “linkage” and “tree” members, by means of the flowgraph. Mikusinski operational calculus is used to facilitate representation of inertia effects by dynamic feedback characterization, with inclusion of initial conditions.     

Technical note: A blind test of mandibular ramus flexure as a morphologic indicator of sexual dimorphism in the human skeleton

Loth and Henneberg (1996, Am. J. Phys. Anthropol. 99:473–487) identified a single morphological feature of the mandible, the presence or absence of a distinct flexure or angulation of the posterior margin of the mandibular ramus at the level of the occlusal plane, which appears to be an extraordinarily accurate predictor of sex. Using only this feature, Loth and Henneberg were able to predict sex with 94% accuracy in a large sample of mandibles. In this article, we report the results of a blind test of mandibular ramus flexure as a predictor of sex. In our blind test, only 62.5% of the mandibles were correctly sexed, and virtually identical results were obtained when the same sample of mandibles was examined by a second observer. Overall, our results demonstrate that: 1) the association between ramus flexure and sex is weak; 2) the predictive accuracy of Loth and Henneberg's method is better than chance for only one sex, males; and 3) the method is based on a trait that cannot be reliably or consistently identified. Am J Phys Anthropol 107:363–366, 1998 © 1998 Wiley-Liss, Inc.     

Disproportionate sexual dimorphism in the human face

Analysis of facial dimensions of 86 young adults and their 76 parents indicates that a disproportionate sexual dimorphism exists in the ramus of the mandible, demonstrating a regional difference in growth response. The male ramus is on the average 14% longer than the female ramus, whereas other facial dimensions approximate an 8% sex difference. The findings have relevance to the analysis of skeletal remains and suggest the desirability of age specific discriminant function analysis for the sexing of adult mandibles.     

A comparison of the position of the mental foramen in Chinese and British mandibles

The antero-posterior position of the mental foramen was studied in 68 Chinese and 44 British skulls of known or calculated age at death. All skulls showed low pre-mortem tooth loss and had a good occlusion. The position of the foramen was related to the body of the mandible as well as to the standing mandibular teeth using two previously published methods. There was no significant difference in the size of the Chinese and British mandibles. There was a significant difference between the two groups when measurements relating the foramen to the body of the mandible (symphysis menti) were considered, the foraminal position being more distal in the Chinese group. The modal position of the foramen in the Chinese sample was along the long axis of the second premolar, whereas in the British sample it lay between the apices of the first and second premolar. The foraminal position apparently moved distally in both groups with age and this was likely to be associated with mesial tooth drift and age-related attrition.     

Biomechanical scaling of the hominoid mandibular symphysis

Experimental investigation of mandibular bone strain in cercopithecine primates has established that the mandible is bent in the transverse plane during the power stroke of mastication. Additional comparative work also supports the assumption that the morphology of the mandibular symphysis is functionally linked to the biomechanics of lateral transverse bending, or "wishboning" of the mandibular corpus. There are currently no experimental data to verify that lateral transverse bending constitutes an important loading regime among hominoid primates. There are, however, allometric models from cercopithecoid primates that allow prediction of scaling patterns in hominoid mandibular dimensions that would be consistent with a mechanical environment that includes wishboning as a significant component. This study uses computed tomography (CT) scans to visualize cortical bone distribution in the anterior corpus of a sample of four genera of extant hominoids. From the cortical bone contours, area properties of the mandibular symphysis are calculated, and these variables are subjected to an allometric analysis to detect whether scaling of jaw dimensions are consistent with a wishboning loading regime. Scaling of the hominoid symphysis recalls patterns observed in cercopithecoid monkeys, which lends indirect support for the hypothesis that wishboning is an integral part of the masticatory loading environment in living apes. Inclination of the symphysis, rather than changes in cross-sectional shape or development of the superior transverse torus, represents a morphological solution for minimizing the potentially harmful effects of wishboning in the jaws of these primates.     

Evaluation of abundance of residents and immigration by irretrievable requisitioning of the bank vole (<Emphasis Type="Italic">Myodes glareolus</Emphasis> Schreber, 1780)

The activity of average statistical species was approximated by normal distribution. This is provided by calculation of the part of resident animals without repeated hatching, i.e., the edge effect. Residence beyond the space covering 99% of species activity was considered as non-residence. The appearance of non-residence in general can be considered as “excursions” and “resettlement.” The experiments on requisitioning of small settled animals from a preliminary marked site were carried out. It was shown that the number of settled small animals calculated using results of requisitioning corresponds to the number found during labeling with amendment to the edge effect, and immigration was constant and is not initiated by requisitioning. Only resettlements had an influence on the settlement of free space. The expected velocity of settling of the free space was calculated according to evaluation of the value of settlement and the share of “migrants” among immigrants. Second labeling of the place of hatching has shown that the expected and real paces of settlement are close.     

The status and phylogenetic relationships of “Zanclodon”arenaceus: the earliest known phytosaur?

“Zanclodon”arenaceus has been suggested to represent the oldest reliably dated phytosaur. The type and only specimen, a mandibular fragment of an archosaur from the Schilfsandstein (Carnian; Late Triassic) of Southwest Germany, is described in detail for the first time. “Z.”arenaceus is characterized by a great elongation of the mandible and symphysis, and labiolingually flattened, serrated teeth, a combination that is so far unique among Triassic archosaurs. The previous assignment to the enigmatic reptilian genusZanclodon is unsubstantiated. “Z.”arenaceus shares with Phytosauria both these mandibular characters, but differs in numerous other characters, including most of the autapomorphic mandibular and dental features of Phytosauria. Thus, “Z.”arenaceus is not a phytosaur as currently defined. A cladistic analysis identified “Z.”arenaceus as the sister-taxon of Phytosauria, but because of the limited data available and numerous homoplasies that occur among mandibular characters of archosaurs a closer relationship with other archosaur taxa is a reasonable alternative. It seems unjustified to redefine Phytosauria, or to propose a more inclusive taxon to include “Z.”arenaceus, and therefore the species is assessed as Archosauriaincertae sedis.     

The lateral line system and its innervation in the boxfish Ostracion immaculatus (Tetraodontiformes: Ostraciidae): description and comparisons with other tetraodontiform and perciform conditions

The lateral line system and its innervation were examined in the ostraciid Ostracion immaculatus (Tetraodontiformes), and compared with those in the triacanthodid Triacanthodes anomalus (Tetraodontiformes) and the acropomatid Malakichthys wakiyae (Perciformes). The carapace of O. immaculatus was composed of 6 cephalic and 2 trunk lateral lines, all neuromasts being categorized as “superficial.” Triacanthodes anomalus was identical with O. immaculatus in the absence of the mandibular line and its innervating ramus, whereas in M. wakiyae the line and ramus were present. All neuromasts were “superficial” in the former two, but “canal” in the latter. Judging from the essentially identical lateral line topography and innervation patterns in all three species, the superficial neuromasts in the two tetraodontiforms were considered to have resulted from replacement of canal neuromasts. The number of neuromasts in the cephalic lateral lines of O. immaculatus (106) and T. anomalus (91) were similar, being significantly higher than in M. wakiyae (30). However, the reverse was true for the trunk lateral lines, the two tetraodontiforms having fewer neuromasts (39 in O. immaculatus, 47 in T. anomalus) compared with M. wakiyae (59).