Journals / Journal of Medicine and Palliative Care / 2026 / Volume: 7 Issue: 1

Evaluation of submandibular fossa depth and morphology using cone-beam computed tomography: a correlation with alveolar bone height and edentulism

Elif Çelebi(Bahçeşehir Üniversitesi)0000-0001-7823-9562
Melis Haydarpaşa(BAHÇEŞEHİR ÜNİVERSİTESİ)0000-0003-2376-6925
Pages
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Publication Date
2026-02-20
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings should be interpreted as providing anatomical insight that enhances risk awareness and supports careful preoperative evaluation of the posterior mandible, particularly in elderly and edentulous patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: To evaluate the morphology of the submandibular fossa (SF) using cone-beam computed tomography (CBCT) and to determine its relationship with alveolar bone dimensions and edentulism.
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Key Findings & Data:Methods: A total of 116 CBCT scans of patients aged 18 years or older were retrospectively analyzed.
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Conclusion & Impact:These findings should be interpreted as providing anatomical insight that enhances risk awareness and supports careful preoperative evaluation of the posterior mandible, particularly in elderly and edentulous patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Submandibular fossa · lingual concavity · cone-beam computed tomography

Abstract

Aims: To evaluate the morphology of the submandibular fossa (SF) using cone-beam computed tomography (CBCT) and to determine its relationship with alveolar bone dimensions and edentulism. Methods: A total of 116 CBCT scans of patients aged 18 years or older were retrospectively analyzed. SF height, SF depth, lingual concavity angle, alveolar bone height, and alveolar bone width were measured bilaterally on coronal CBCT sections at the site of maximum SF depth. Comparisons between sides, sexes, and dentate versus edentulous regions were performed, and correlations between age, SF parameters, and alveolar bone dimensions were analyzed. Results: Linear dimensions of the SF and alveolar bone demonstrated bilateral symmetry, whereas the lingual concavity angle was significantly greater on the left side (p 0.05). Conclusion: SF depth and alveolar bone dimensions are significantly influenced by sex and age, while tooth loss is primarily associated with reductions in alveolar bone dimensions rather than independent changes in SF depth. These findings should be interpreted as providing anatomical insight that enhances risk awareness and supports careful preoperative evaluation of the posterior mandible, particularly in elderly and edentulous patients.

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Cite This Article

Çelebi, E., Haydarpaşa, M. (2026). Evaluation of submandibular fossa depth and morphology using cone-beam computed tomography: a correlation with alveolar bone height and edentulism. Journal of Medicine and Palliative Care, Volume: 7 Issue: 1. https://doi.org/10.47582/jompac.1863638

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References (18)

  1. Nilsun B, Canan B, Evren H, Kaan O. Cone-beam computed tomography evaluation of the submandibular fossa in a group of dental implant patients. Implant Dent. 2019;28(4):329-339. doi:10.1097/ID. 0000000000000892
  2. Görgün EA, Çağlayan F. Evaluation of submandibular gland and submandibular fossa: a combined cone beam computed tomography and ultrasound study. Eur Oral Res. 2023;57(3):128-132. doi:10.26650/eor.20231109135
  3. Mukherjee S, Bajoria AA, N C S, Bhuvaneshwari S, Mishra S, Singh D. Proposed classification system for submandibular gland fossa anatomy and its radiomorphometric assessment using cone-beam computed tomography: a retrospective study. Cureus. Jan 2025;17(1):e77301. doi: 10.7759/cureus.77301
  4. Sadik E, Unal Erzurumlu Z, Yasa Y, Gokkurt Yilmaz BN. Evaluation of submandibular fossa depth and mandibular canal relationship with cone-beam computed tomography. BMC Oral Health. 2025;25(1):601. doi:10.1186/s12903-025-05686-z
  5. Bayrak S, Demirturk-Kocasarac H, Yaprak E, Ustaoglu G, Noujeim M. Correlation between the visibility of submandibular fossa and mandibular canal cortication on panoramic radiographs and submandibular fossa depth on CBCT. Med Oral Patol Oral Cir Bucal. 2018;23(1):e105-e111. doi:10.4317/medoral.22115
  6. Ozeren Keskek C, Aytugar E. Factors influencing submandibular fossa visibility on panoramic images: a comparative CBCT study. BMC Oral Health. 2024;24(1):1556. doi:10.1186/s12903-024-05364-6
  7. Sun Y, Hu S, Xie Z, Zhou Y. Relevant factors of posterior mandible lingual plate perforation during immediate implant placement: a virtual implant placement study using CBCT. BMC Oral Health. 2023;23(1):76. doi:10.1186/s12903-022-02696-z
  8. Rajput BS, Merita S, Parihar DAS, Vyas T, Kaur P, Chansoria S. Assessment of lingual concavities in submandibular fossa region in patients requiring dental implants-a cone beam computed tomography study. J Contemp Dent Pract. 2018;19(11):1329-1333.
  9. de Souza LA, Assis NMSP, Ribeiro RA, Carvalho ACP, Devito KL. Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery. Ann Anat. 2016; 205:53-59. doi:10.1016/j.aanat.2016.01.006
  10. Huang R-Y, Cochran DL, Cheng W-C, et al. Risk of lingual plate perforation for virtual immediate implant placement in the posterior mandible: a computer simulation study. J Am Dent Assoc. 2015;146(10): 735-742. doi:10.1016/j.adaj.2015.04.027
  11. Borahan MO, Dönmez FG, Ulay G, Sadıkoğlu ANY, Pekiner FN. Assessment of submandibular fossa depth using cone beam computed tomography. Yeditepe J Dent. 2018;14(2):51-56. doi:10.5505/yeditepe. 2018.80664
  12. Chan HL, Brooks SL, Fu JH, Yeh CY, Rudek I, Wang HL. Cross-sectional analysis of the mandibular lingual concavity using cone beam computed tomography. Clin Oral Implants Res. 2011;22(2):201-206. doi: 10.1111/j.1600-0501.2010.02018.x
  13. Kamburoğlu K, Acar B, Yüksel S, Paksoy CS. CBCT quantitative evaluation of mandibular lingual concavities in dental implant patients. Surg Radiol Anat. 2015;37(10):1209-1215. doi:10.1007/s00276-015-1493-9
  14. Sadeghi F, Mirhadi S, Malekzadeh J, Gholami SA. Evaluation of submandibular gland fossa variety by CBCT in patients referring to oral and maxillofacial radiology center in Yasuj in the academic year of 2017–2018. Int J Pharm Res. 2020;12(1):1440-1445. doi:10.31838/ijpr/ 2020.12.01.205
  15. Bodart L, Hanken H, Smeets R, et al. Assessing the frequency of deep lingual concavities in 826 posterior mandible sockets. J Craniomaxillofac Surg. 2020;48(11):1045-1051. doi:10.1016/j.jcms.2020.09.001
  16. Mehta S, Parihar AS, Vyas T, Chansoria S, Rajput BS. Assessment of lingual concavities in submandibular fossa region in patients requiring dental implants–a cone beam computed tomography study. J Contemp Dent Pract. 2018;19(11):1329-1333. doi:10.5005/jp-journals-10024-2427
  17. Herranz-Aparicio J, Marques J, Almendros-Marques N, Gay-Escoda C. Retrospective study of the bone morphology in the posterior mandibular region. Evaluation of the prevalence and the degree of lingual concavity and their possible complications. Med Oral Patol Oral Cir Bucal. 2016;21(6):e731-e736. doi:10.4317/medoral.21256
  18. Leong DJ-M, Chan H-L, Yeh C-Y, Takarakis N, Fu J-H, Wang H-L. Risk of lingual plate perforation during implant placement in the posterior mandible: a human cadaver study. Implant Dent. 2011;20(5):360-363. doi:10.1097/ID.0b013e3182263555