Search

Background: Augmentation mentoplasty with implants is an extremely rewarding procedure. Bone resorption is almost unavoidable. The high-risk factors for chin bone resorption have not been explored in the past. This study aimed to analyze and evaluate the factors influencing bone resorption after augmentation mentoplasty with implants using three-dimensional imaging. Methods: We retrospectively analyzed preoperative craniofacial Computed Tomography scan data from 105 patients who underwent mandibular implantation surgery and 108 patients who did not. We also examined the extent to which different factors influenced the occurrence of bone resorption in the chin area. Results: Patients with silicone gel implants are more prone to bone resorption than those with Medpor implants. Patients who experienced bone resorption had thicker mentalis muscles than those who did not experience bone resorption (6.35 ± 1. mm vs. 5.73 ± 1.25 mm, P < 0.05), and thinner cortical bone (3.25 ± 1.65 mm vs. 5.22 ± 2.04 mm, P < 0.05). Additionally, implants placed above the mandibular bone were more likely to induce bone resorption than those placed below it. Conclusions: This study is the first to systematically reveal the impact of implant type, placement position, mentalis muscle thickness, and cortical bone thickness on bone resorption after chin augmentation surgery. For patients with thicker mentalis muscles and thinner cortical bones, greater attention should be paid to the occurrence of bone resorption. Choosing silicone implants or placing the implants higher on the mandible can help reduce the occurrence of bone resorption. This study can assist clinicians in selecting appropriate treatment methods, thereby reducing post-implantation bone resorption. Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 [ABSTRACT FROM AUTHOR]

Chin prosthesis implantation, a cosmetic procedure to correct chin asymmetry, depression, or retraction, is generally safe and simple. However, its long-term effects on surrounding tissues are a concern. This study aimed to use three-dimensional (3D) scanning to classify the mentalis muscle shapes and assess the impact of prosthesis implantation on these muscles. This study evaluated 450 eligible female participants. Using three-dimensional imaging, data on the types, thickness, width, and length of the left and right mentalis muscles were collected and summarized. The impact of chin prosthesis on these muscle dimensions was assessed using analysis of variance, and the effect on muscle type was determined using χ 2 test. Chin implant placement affected the mentalis muscles, resulting in increased length, thickness, and width. The subjects' mentalis muscles were categorized into 3 types and divided into 7 subtypes. χ 2 test results indicated that implantation influences the classification of these muscles. Recognizing how implant placement affects the mentalis muscle can guide the development of treatments to mitigate these changes. Additionally, understanding the muscle's morphology enables more precise treatment approaches for patients. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this retrospective study was to investigate the effects of Botulinum Toxin‐A (BTX‐A) injection into the mentalis muscle on the free gingival graft (FGG). Materials and Methods: Forty patients with keratinized gingiva insufficiency and Cairo's RT 2 gingival recession (formerly classified as Miller class III) in their mandibular central incisors were randomly divided into two groups: FGG and FGG + BTX. Plaque index (PI), gingival index (GI), probing pocket depth (PPD), keratinized gingiva width (KGW), attached gingiva width (AGW), clinical attachment level (CAL), gingival thickness (GT), gingival recession amount (GRA), gingival recession width (GRW), and root closure percentage (RCP%) parameters were measured at baseline and at first, third, and sixth months after the operation. Results: There was no difference in PI, GI, and PPD levels in both groups (p > 0.05). While the change in GT and RCP% levels were found to be statistically significantly higher at FGG + BTX group than FGG group, the change in GRW and CAL levels were statistically significantly lower (p < 0.05). Conclusion: The findings of this study indicate that BTX‐A injection applied to the mentalis muscle after FGG operation may have positive effects in terms of KGW, AGW, GT, RCP%, GRW, and CAL parameters. Clinical Significance: As a result of the fact that BTX‐A injection into the mentalis muscle contributed to the nutrition and immobility of FGG, positive developments were obtained in terms of clinical periodontal parameters. BTX‐A injection into the mentalis muscle may be an alternative method that increases the success rate of Cairo's RT 2 gingival recession. [ABSTRACT FROM AUTHOR]

OBJECTIVES: The perioral muscles postural and functional abnormality should be clearly evaluated. The influence of the abnormal function of mentalis muscle on the shape and posture of the mandible was evaluated using a finite element approach. METHODS: Finite element analysis was used to create a three‑dimensional representation of a human mandible that represents a dry normal mandible with teeth (33‑36 gm/cm²). Pressures were applied directly to the labial surface of the mandible’s lower anterior dento‑alveolar structure reflecting the normal lips muscle function. While on abnormal swallowing pattern, lip muscle force (300 gm\cm2 ) had been assumed. RESULTS: Shape and postural abnormality of the mandible with malocclusion particularly at the anterior dentoalveolar and basal bone region in sagittal direction as well as inward pressure on the mandibular posterior region. CONCLUSION: Abnormal perioral muscle function throughout growth and development may result in a shape and postural abnormality of the mandible and a companying malocclusion. [ABSTRACT FROM AUTHOR]

The mentalis muscle is a paired muscle originating from the alveolar bone of the mandible. This muscle is the main target muscle for botulinum neurotoxin (BoNT) injection therapy, which aims to treat cobblestone chin caused by mentalis hyperactivity. However, a lack of knowledge on the anatomy of the mentalis muscle and the properties of BoNT can lead to side effects, such as mouth closure insufficiency and smile asymmetry due to ptosis of the lower lip after BoNT injection procedures. Therefore, we have reviewed the anatomical properties associated with BoNT injection into the mentalis muscle. An up-to-date understanding of the localization of the BoNT injection point according to mandibular anatomy leads to better injection localization into the mentalis muscle. Optimal injection sites have been provided for the mentalis muscle and a proper injection technique has been described. We have suggested optimal injection sites based on the external anatomical landmarks of the mandible. The aim of these guidelines is to maximize the effects of BoNT therapy by minimizing the deleterious effects, which can be very useful in clinical settings. [ABSTRACT FROM AUTHOR]

Rationale: Atraumatic myositis ossificans circumscripta is a benign condition characterized by the aberrant formation of bone in extraskeletal soft tissues without a usual connection to trauma. Patient Concern: A female patient of around 17 years of age reported with the main complaint of pain and swelling over the chin area for 6 months with no history of trauma. Diagnosis: Clinical, radiographic, and histopathological examinations were performed and all signs and symptoms pointed to a diagnosis of Atraumatic Myositis Ossificans in the Mentalis muscle. Intervention: Surgical exploration of the area concerned was done under (L.A) local anesthesia with adrenaline (1:1,00,000), where the nodes were extracted from the lower surface of the Mentalis muscle. The wound was sutured back to its normal physiologic anatomy, and the patient then was advised of postoperative instructions. Results: The patient recovered with a good prognosis and returned to a normal routine with good functional capacity. Lessons Learned: The practitioner must consider Atraumatic Myositis ossificans as a viable diagnosis for painful soft tissue calcification when a history of trauma is not present. [ABSTRACT FROM AUTHOR]

OBJECTIVES: The perioral muscles postural and functional abnormality should be clearly evaluated. The influence of the abnormal function of mentalis muscle on the shape and posture of the mandible was evaluated using a finite element approach. METHODS: Finite element analysis was used to create a three-dimensional representation of a human mandible that represents a dry normal mandible with teeth (33-36 gm/cm2). Pressures were applied directly to the labial surface of the mandible's lower anterior dento-alveolar structure reflecting the normal lips muscle function. While on abnormal swallowing pattern, lip muscle force (300 gm\cm2) had been assumed. RESULTS: Shape and postural abnormality of the mandible with malocclusion particularly at the anterior dentoalveolar and basal bone region in sagittal direction as well as inward pressure on the mandibular posterior region. CONCLUSION: Abnormal perioral muscle function throughout growth and development may result in a shape and postural abnormality of the mandible and a companying malocclusion.

• Lateral spread response (LSR) findings may differ between different facial muscles. • LSR in the mentalis and orbicularis oris have different clinical implications in current monitoring protocol. • We detail technical points to be considered for interpreting LSR in the orbicularis oris muscle. Interpreting lateral spread response (LSR) during microvascular decompression (MVD) for hemifacial spasm (HFS) is difficult when LSRs observed in different muscles do not match. We aimed to analyze LSR patterns recorded in both the orbicularis oris (oris) and mentalis muscles and their relationships with clinical outcomes. The data of 1288 HFS patients who underwent MVD between 2015 and 2018 were retrospectively reviewed. LSR was recorded in the oris and mentalis muscles through centrifugal stimulation of the temporal branch of the facial nerve after preoperative mapping. The disappearance of LSR following surgery, clinical outcomes, and the characteristics of LSR in oris were analyzed. After surgery, LSR remained in 100 (7.7%) and 279 (21.6%) of the mentalis and oris muscles, respectively. The postoperative outcome correlated with LSR disappearance in the mentalis, not with that in the oris. LSR patterns differed in each muscle and may not be correlated with clinical outcomes. LSR in the mentalis and oris muscles should be interpreted differently. We describe a monitoring protocol characterized by preoperative facial nerve mapping, antidromic stimulation, and recording from multiple muscles. We analyze differences in LSRs in the mentalis and oris muscles and suggest technical points for interpretation. [ABSTRACT FROM AUTHOR]

The mentalis muscle is now considered key structures when performing procedures for rejuvenating the lower face. The aim of this study was to determine the anatomical morphology and location of the mentalis muscle and thereby provide anatomical information for facilitating clinical procedures designed to rejuvenate the lower face. Forty-four adult hemifaces from five Thai cadavers and 21 Korean cadavers were dissected to identify the locations of the mentalis muscle. Sixty-six hemifaces from 33 healthy young Korean subjects were included in an ultrasonographic study. The depth of the mentalis muscle below the skin surface, the thickness of the mentalis muscle, and the distance from the bone to the mentalis muscle were measured at the two points that were 5 mm lateral to the most-prominent point of the chin. The mentalis muscle was classified into two types based to its shape: in type A (86.4%, 38 of the 44 cases) it was dome shaped in three dimensions, while in type B (13.6%, 6 of the 44 cases) it was flat. The mentalis muscle was present mostly at the area 5–10 mm from the midsagittal line and 20–30 mm from a horizontal line connecting the mouth corners. The mentalis muscle was present between depths of 6.7 to 10.7 mm below the skin. This new information about the location of the mentalis muscle may help when identifying the most effective and safe botulinum toxin injection points and depths during esthetic procedures for weakened facial rhytides on the lower face.

Incisor and canine mandibular regions are a key mechanical vault, which strives with strong muscle and occlusal centripetal forces. In cases of dental and / or periodontal weakness and / or excessive mechanical stress, situations of imbalance can affect the stability of orthodontic treatments and periodontal durability. This article reports two surgical techniques to prevent and treat these situations: - The labiomental weakening in growing children and adolescents; - Alveolar corticotomy with vestibular allograft bone in adults; Both techniques allow functional management of mechanical imbalance, improvement of the periodontal biotype, and promote lower incisors' relocation. [ABSTRACT FROM AUTHOR]

Copyright of Revue d'Orthopédie Dento-Faciale is the property of Parresia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: The aim of this study was to assess the presence of oral myofunctional alterations before and after first premolar extraction in Class II/1 malocclusion patients that could endanger the long-term dental arch stability. MATERIAL AND METHODS: The study was performed by means of morphological, functional and electromyographic analyses in 17 Class II/1 malocclusion patients (group T) and 17 Class I malocclusion patients (group C -control), both groups with 12-30-year age range (mean age: 20.93 ± 4.94 years). RESULTS: Data analyzed statistically by Student's t-test showed a significant decrease (p0.05). The Kruskal-Wallis test analyzed data from lip posture (orbicularis oris muscle) at rest and during swallowing, as well as the mentalis muscle behavior during the above-mentioned function, not showing statistically significant differences (p>0.05) after treatment (groups T1 and T2). However, group T differed significantly from group C (p

Cysticercosis, a helminthic disease commonly seen in India, Latin America, Eastern Europe and Southern Africa, results from extraintestinal encystation of the larval form of Taenia solium. It is a condition in which man acts as intermediate host instead of definitive host. The most frequent sites of cysticercosis are subcutaneous layers, brain, muscles, heart, liver, lungs, and peritoneum. Oral cysticercosis is considered rare and cause cystic swellings or nodules in the mouth and a precise clinical diagnosis is not usually established. Here, we report a case of oral cysticercosis in a 32-year-old female occurring in the mentalis muscle presenting as asymptomatic nodule.

The mentalis muscle (MM) arises from the incisive fossa of the mandible, raises and protrudes the lower lip. Here, we aim to characterize responses obtained from MM by supraorbital and median electrical as well as auditory stimuli in a group of 16 healthy volunteers who did not have clinical palmomental reflex. Reflex activities were recorded from the MM and orbicularis oculi (O.oc) after supraorbital and median electrical as well as auditory stimuli. Response rates over MM were consistent after each stimulus, however, mean latencies of MM response were longer than O.oc responses by all stimulation modalities. Shapes and amplitudes of responses from O.oc and MM were similar. Based on our findings, we may say that MM motoneurons have connections with trigeminal, vestibulocochlear and lemniscal pathways similar to other facial muscles and electrophysiological recording of MM responses after electrical and auditory stimulation is possible in healthy subjects. [ABSTRACT FROM AUTHOR]

Hemangiomas of skeletal muscle are extremely rare benign neoplasms. In the head and neckregion, intramuscular hemangiomas occur most frequently in the masseter and trapezius muscles.However, intramuscular hemangiomas (IMH) arising from the mentalis muscle are relativelyrare. Preoperative diagnosis of head and neck IMH is rendered difficult by its rarity andnonspecific clinical findings. Total excision of the hemangioma with a margin of normal muscleis recommended. In this report, a case of mentalis muscle hemangioma, which was surgicallyexcised by transoral approach and histopathologically confirmed the diagnosis of capillary-typeIMH, was presented and the clinical, histologic fîndings and treatment modalities are discussed.

Purpose To investigate the relationship between mentalis muscle activity and mandibular symphysis morphology in patients with Class I or II skeletal patterns. Materials and methods 123 female Thai patients (17 years old+) participated in the present study. Subject pretreatment lateral cephalometric radiographs were examined. All subjects were diagnosed as having a skeletal normal bite. Subjects were grouped according to their sagittal skeletal pattern (ANB angle) into Class I (ANB 2–6) or Class II (ANB > 6). For each skeletal type, the subjects were divided into 2 groups, normal mentalis muscle activity (control group) and hyperactivity (experimental group). The skeletal Class I group comprised 37 subjects with mentalis muscle hyperactivity and 31 subjects with normal activity, while the skeletal Class II group comprised 30 hyperactive and 25 normal activity subjects. Eight cephalometric variables (angular, linear, and proportional measurements) were measured to evaluate mandibular symphysis morphology. The data were statistically analyzed using the Mann–Whitney U test or Independent-Sample t -test based on the normality of the data. Results In the skeletal Class I type, the experimental group revealed a trend of narrower alveolar symphysis width and greater symphysis height compared to the control group, but this was not significant. However, in the skeletal Class II type, the experimental group demonstrated significantly narrower alveolar symphysis width and significantly greater symphysis height compared to the control group ( p < 0.05). Conclusion An increase in mandibular symphysis height and decrease in alveolar symphysis width may relate to mentalis muscle hyperactivity, and such relationship is more obvious in patients with Class II skeletal pattern. [ABSTRACT FROM AUTHOR]

Hemangiomas of skeletal muscle are extremely rare benign neoplasms. In the head and neck region, intramuscular hemangiomas occur most frequently in the masseter and trapezius muscles. However, intramuscular hemangiomas (IMH) arising from the mentalis muscle are relatively rare. Preoperative diagnosis of head and neck IMH is rendered difficult by its rarity and nonspecific clinical findings. Total excision of the hemangioma with a margin of normal muscle is recommended. In this report, a case of mentalis muscle hemangioma, which was surgically excised by transoral approach and histopathologically confirmed the diagnosis of capillary-type IMH, was presented and the clinical, histologic fîndings and treatment modalities are discussed. [ABSTRACT FROM AUTHOR]

The mentalis muscle is now considered key structures when performing procedures for rejuvenating the lower face. The aim of this study was to determine the anatomical morphology and location of the mentalis muscle and thereby provide anatomical information for facilitating clinical procedures designed to rejuvenate the lower face. Forty-four adult hemifaces from five Thai cadavers and 21 Korean cadavers were dissected to identify the locations of the mentalis muscle. Sixty-six hemifaces from 33 healthy young Korean subjects were included in an ultrasonographic study. The depth of the mentalis muscle below the skin surface, the thickness of the mentalis muscle, and the distance from the bone to the mentalis muscle were measured at the two points that were 5 mm lateral to the most-prominent point of the chin. The mentalis muscle was classified into two types based to its shape: in type A (86.4%, 38 of the 44 cases) it was dome shaped in three dimensions, while in type B (13.6%, 6 of the 44 cases) it was flat. The mentalis muscle was present mostly at the area 5–10 mm from the midsagittal line and 20–30 mm from a horizontal line connecting the mouth corners. The mentalis muscle was present between depths of 6.7 to 10.7 mm below the skin. This new information about the location of the mentalis muscle may help when identifying the most effective and safe botulinum toxin injection points and depths during esthetic procedures for weakened facial rhytides on the lower face. [ABSTRACT FROM AUTHOR]

Cysticercosis, a helminthic disease commonly seen in India, Latin America, Eastern Europe and Southern Africa, results from extraintestinal encystation of the larval form of Taenia solium. It is a condition in which man acts as intermediate host instead of definitive host. The most frequent sites of cysticercosis are subcutaneous layers, brain, muscles, heart, liver, lungs, and peritoneum. Oral cysticercosis is considered rare and cause cystic swellings or nodules in the mouth and a precise clinical diagnosis is not usually established. Here, we report a case of oral cysticercosis in a 32-year-old female occurring in the mentalis muscle presenting as asymptomatic nodule. [ABSTRACT FROM AUTHOR]