Is there a relation between local bone quality as assessed on panoramic radiographs and alveolar bone level?

2007 ◽  
Vol 12 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Olivia Nackaerts ◽  
Frieda Gijbels ◽  
Anna-Maria Sanna ◽  
Reinhilde Jacobs
2019 ◽  
Vol 41 (5) ◽  
pp. 513-518 ◽  
Author(s):  
Un-Bong Baik ◽  
Hong-Beom Choi ◽  
Yoon-Ji Kim ◽  
Dong-Yul Lee ◽  
Junji Sugawara ◽  
...  

Summary Objective To investigate the factors associated with the change in alveolar bone level of mandibular second and third molars after second molar protraction into the space of the missing first molar (L6) or second premolar (LE). Methods Fifty-one patients in whom space of the missing L6 or LE was treated with second molar protraction (13 males, 38 females, mean age 19.6 ± 4.7 years) from 2003 to 2015 were included. The alveolar bone level and position and angulation of the mandibular second and third molars were measured in panoramic radiographs at pre-treatment (T1), and after the alignment of the third molars following second molar protraction (T2). Factors associated with alveolar bone loss on the distal aspect of the mandibular second molars were assessed using linear regression analysis. Results Age at T1 (P < 0.001) and third molar angulation at T1 (P = 0.002) were significant factors for the prediction of alveolar bone level distal to the second molars. Limitation This study used two-dimensional panoramic radiographs, and we could observe only the interproximal bone level. Conclusions After second molar protraction into the missing first molar or second premolar space, mandibular second molars may exhibit alveolar bone resorption in the distal root in older patients and in those with mesially tilted third molars before treatment.


Author(s):  
Gitanjali Khulbe ◽  
Praveena Tantradi ◽  
Renuka Ammanagi ◽  
Jinkimoni Singha

Introduction – Bone is a living, dynamic tissue, which undergoes remodelling throughout life, especially in adults. Deterioration of bone microarchitecture involves changes in the thickness and number of trabeculae, separation of trabeculae, and morphometric changes in the trabecula. Some studies suggest that changes in bone metabolism are reflected more so in the trabecular pattern rather than the bone mineral density. To further explore this, a short-study was carried out to investigate radiographically the relationship between the alveolar bone level and different trabecular bone patterns in periodontitis patients. Materials and Methods – A set of panoramic radiographs of 30 subjects was taken from radiology section, which included both males and females. Average alveolar bone level in a quadrant was calculated for each patient. Trabecular bone in the mandibular premolar area was categorised using Taguchi et alcriteria. The two variables were analysed using Spearman’s correlation coefficient and regression analysis models. Result – A significant positive correlation was found between alveolar bone loss and density of trabecular pattern. Conclusion–With increasing grade of trabeculation, a larger alveolar bone loss can be expected. This may prove to be useful in preventing tooth loss as well as in implant planning. KeyWords: alveolar bone, trabecular bone pattern, panoramic radiographs.


2016 ◽  
Vol 21 (2) ◽  
pp. 95-101 ◽  
Author(s):  
João Paulo Schwartz ◽  
Taisa Boamorte Raveli ◽  
Humberto Osvaldo Schwartz-Filho ◽  
Dirceu Barnabé Raveli

ABSTRACT Objective: This study evaluated alveolar bone loss around mandibular incisors, induced by the Herbst appliance. Methods: The sample consisted of 23 patients (11 men, 12 women; mean age of 15.76 ± 1.75 years), Class II, Division 1 malocclusion, treated with the Herbst appliance. CBCT scans were obtained before treatment (T0) and after Herbst treatment (T1). Vertical alveolar bone level and alveolar bone thickness of mandibular incisors were assessed. Buccal (B), lingual (L) and total (T) bone thicknesses were assessed at crestal (1), midroot (2) and apical (3) levels of mandibular incisors. Student's t-test and Wilcoxon t-test were used to compare dependent samples in parametric and nonparametric cases, respectively. Pearson's and Spearman's rank correlation analyses were performed to determine the relationship of changes in alveolar bone thickness. Results were considered at a significance level of 5%. Results: Mandibular incisors showed no statistical significance for vertical alveolar bone level. Alveolar bone thickness of mandibular incisors significantly reduced after treatment at B1, B2, B3, T1 and significantly increased at L2. The magnitude of the statistically significant changes was less than 0.2 mm. The changes in alveolar bone thickness showed no statistical significance with incisor inclination degree. Conclusions: CBCT scans showed an association between the Herbst appliance and alveolar bone loss on the buccal surface of mandibular incisors; however, without clinical significance.


2011 ◽  
Vol 27 ◽  
pp. e1
Author(s):  
M.L.L. Alves ◽  
F. Campos ◽  
R.S. Sousa ◽  
A.M.O. Dal-Piva ◽  
I.L.R. Arrais ◽  
...  
Keyword(s):  

2019 ◽  
Vol 22 (4) ◽  
pp. 506-512
Author(s):  
Vagner Braga ◽  
Lucas Morita ◽  
Luciana Munhoz ◽  
Silvia Lourenço ◽  
Emiko Arita

Objective:Systemic lupus erythematosus is an autoimmune disease that affects multiple organs. It is well known that lupus patients have higher risk of osteoporosis, but if the disease affects mandibular cortical bone and alveolar bone is not fully established. The objective of this study was to evaluate periodontal disease defects and mandibular osteoporotic alterations in patients with lupus as compared to healthy patients using panoramic radiographs.Material and Methods:The panoramic radiographs of 72 patients with lupus and 360 healthy patients were evaluated for the presence of bone loss secondary to periodontal disease, classified as horizontal and vertical bone loss. We also assessed mandibular osteoporotic alterations by using the mandibular cortical index. Logistic regression analysis was applied to estimate the risk of mandibular osteoporotic alterations as well as horizontal and vertical bone loss in patients with lupus as compared to healthy patients.Results:There were no statistically significant differences between groups in the presence of horizontal bone defects and mandibular cortical indexes. However, patients with lupus demonstrated that patients with lupus were 2.17 more likely to present vertical bone loss than healthy patients.Conclusions:Patients with lupus might have higher risk of vertical bone loss than healthy patients due to pathophysiology of their disease. Further larger prospective studies should be performed to confirm our findings.


2015 ◽  
Vol 3 (3) ◽  
pp. 79
Author(s):  
MatheusLima Oliveira ◽  
Luciana Moraes ◽  
JonathanNicholas Santos Pereira ◽  
GuilhermeMonteiro Tosoni
Keyword(s):  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Marina Reis Oliveira ◽  
Andréa Gonçalves ◽  
Marisa Aparecida Cabrini Gabrielli ◽  
Valfrido Antonio Pereira-Filho

Author(s):  
Kate D. Liddle ◽  
Michael A. Tufaga ◽  
Glenn Diekmann ◽  
Jenni M. Buckley ◽  
Viva Tai ◽  
...  

Failure of the pedicle screw at the screw-bone interface is a common clinical problem, particularly in the setting of osteoporosis, and poses reconstructive challenges for all orthopaedic surgeons. Pedicle screw failure through screw loosing and pull-out is highly correlated with bone mineral density (BMD) and local bone quality [1]. Pre-operative assessment of BMD via dual x-ray absorptiometry (DEXA) has been shown to help determine the need for screw augmentation. However, patients frequently present without pre-operative DEXA scans. Furthermore, DEXA scans provide a measure of general bone quality, but do not necessarily reflect segmental and local variation in the spine [2]. The ability to assess BMD on a per-vertebrae basis intra-operatively would assist with surgical decisions regarding screw sizing, placement and augmentation.


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