Direct estimation of human trabecular bone stiffness using cone beam computed tomography

Introduction: Periodontitis is an inflamatory process in supporting tissues of the teeth including the gingiva, cementum, periodontal ligament and alveolar bone. Perioditis ntitis begins with migration of junctional ephithelium toward the apical side and form a pocket on gingiva. Aggressive periodontitis is one of the classifications of periodontitis with characteristics of attacking teens to young adults in relatively fast can lead to severe alveolar bone loss and it is not comparable with local factors that there. Trabeculae are part of the alveolar bone covered by compact bone and cortical bone harder . On radiographs, trabeculae only seen as a radiolucent surrounded by a radiopaque. The purpose of this research was to know the description of alveolar trabecular bone in patients with aggressive periodontitis using Cone Beam Computed Tomography imaging. Methods: This study is descriptive on 72 samples of aggressive periodontitis alveolar travecular bon e by CBCT imaging, taken from 6 archival aggressive periodontitis patients as research subjects, obtained from secondary data in the Radiology Department of RSGM FKG UNPAD. Results: The results of this study from the 3D CBCT imaging of alveolar trabecular bone leading to further describe the more posterior a decline in trabecular bone density and decrease in patients with aggressive periodontitis. Conclusion: The 3D CBCT imaging of alveolar trabecular bone leading to further describe the more posterior a decline in trabecular bone density and decrease in patients with aggressive periodontitis.

Download Full-text

Assessment of Trabecular Bone During Dental Implant Planning using Cone-beam Computed Tomography with High-resolution Parameters

The Open Dentistry Journal ◽

10.2174/1874210602115010057 ◽

2021 ◽

Vol 15 (1) ◽

pp. 57-63

Author(s):

Lauren Bohner ◽

Pedro Tortamano ◽

Felix Gremse ◽

Israel Chilvarquer ◽

Johannes Kleinheinz ◽

...

Keyword(s):

Computed Tomography ◽

High Resolution ◽

Trabecular Bone ◽

Cone Beam Computed Tomography ◽

Volume Fraction ◽

Statistical Significance ◽

Cone Beam ◽

Bone Volume Fraction ◽

Voxel Size ◽

Trabecular Thickness

Background: Cone-Beam Computed Tomography (CBCT) with high-resolution parameters may provide an acceptable resolution for bone assessment. Objectives: The purpose of this study is to assess trabecular bone using two cone-beam computed tomography (CBCT) devices with high-resolution parameters in comparison to micro-computed tomography (µCT). Methods: Bone samples (n=8) were acquired from dry mandibles and scanned by two CBCT devices: 1) VV (Veraview R100, Morita; FOV 4x4, 75kV, 9mA, voxel size 0.125µm); and PR (Prexion 3D, Prexion; FOV 5x5, 90kV, 4mA, 37s, voxel size 108µm). Gold-standard images were acquired using µCT (SkyScan 1272; Bruker; 80kV, 125mA, voxel size 16µm). Morphometric parameters (BvTv- Bone Volume Fraction, BsBv- Trabecular specific surface, TbTh- Trabecular thickness and TbSp- Trabecular separation) were measured. Statistical analysis was performed within ANOVA, Spearman Correlation test and Bland-Altmann plots with a statistical significance level at p=0.05. Results: CBCT devices showed similar BvTv values in comparison to µCT. No statistical difference was found for BvTv parameters assessed by CBCT devices and µCT. BsBv values were underestimated by CBCT devices (p<0.01), whereas TbTh and TbSp values were overestimated by them (p<0.01). Positive correlations were found between VV and µCT measurements for BvTv (r2= 0.65, p=0.00), such as between PR and µCT measurements for TbSp (r2= 0.50, p=0.04). For BsBv measurements, PR was negatively correlated with µCT (r2= -0.643, p=0.01). Conclusion: The evaluated CBCT device was able to assess trabecular bone. However, bone parameters were under or overestimated in comparison to µCT.

Download Full-text